Forms

This page contains all of the Ethics and Compliance related forms.

Please note that all forms are in Portable Document Format (PDF) and require the freely available Adobe Reader for viewing.

Ethics

• Plain Language Guide
• Plain Language Guide (Spanish)
• Code of Ethics
• Code of Ethics (Spanish)

FERPA

• Request for Confidentiality of Student Directory Information
• FERPA Parental Notification
• Annual FERPA Notice to Students
• RU FERPA Release
• Student Directory Confidentiality Selection

HIPAA

• Business Associate Agreement Instructions
• Notice of Privacy Practices
• Request for Restriction Form
• Request for Amendment Form
• Request for Accounting of Disclosures Form
• Request for Access to PHI Form
• Authorization for Release Form
• Limited Data Set Use Agreement Form
• RHG BAA Template (RHG as Covered Entity)
• RHG BAA Template (RHG as Business Associate)
• Confidentiality Statement Form
• Photographs, Audio, and Video Image Consent Form

OPRA

• Printable Records Request Form
• Public Guide to OPRA