Forms
In English
- Contract NPI/API Association Form (MS Word)
- Form 0400: DADS HIPAA Privacy Incident Information — English
- Form 1131: Individually Identifiable Health Information Fax Transmittal
- Form 1826-D: Case Information Release
- DADS Notice of Privacy Practices in English (PDF)
- Summary of the Protected Health Information (PHI) Privacy Notice (PDF)
In Spanish
- DADS Notice of Privacy Practices in Spanish (PDF)
- Summary of the Protected Health Information (PHI) Privacy Notice Spanish (PDF)
Updated: August 6, 2015