Other HIPAA Forms

• HIPAA Patient Consent to take Photo
• HIPAA Patient Consent to take Photo- Spanish
• UAMS Friends and Family Form
• UAMS Friends and Family Form- Spanish
• Affidavit of Next of Kin Form

An audio version, in Spanish and English, of the Notice of Privacy Practices may be accessed by dialing (501) 526-7270 or 866- 273-3554 (toll free number).