Association of Washington Public Hospital Districts
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Translated Versions of Washington State / HIPAA Forms

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AWPHD in cooperation with Physicians Insurance, Washington Casualty Company, the Washington State Hospital Association, and the Washington State Medical Association have produced Washington State specific forms in German, Russian, Spanish, Vietnamese and Tagalog to assist providers in their efforts to comply with the health care information privacy standards established by the Privacy Rules promulgated under the Health Insurance Portability & Accountability Act (HIPAA) of 1996. The English version of these forms are available electronically at and at

Please note that these forms and materials are suitable specifically for Washington State. Please remember that the HIPAA Privacy Rule does not necessarily preempt (replace) state law; if a state law is more "stringent," the state law remains in force. Accordingly, if you have already implemented "national" forms, you are urged to reassess them as they may not be appropriate for Washington.


German: (download all documents)

Russian: (download all documents)

Spanish: (download all documents)

Tagalog: (download all documents)

Vietnamese: (download all documents)