HIPAA Information


Data Security


Telework Risk Assessment


Augusta University takes privacy rights seriously. The following forms are necessary to assist with a variety of situations involving privacy.

Confidentiality Statement


Protecting personal records is of utmost importance. Augusta University prohibits unauthorized access or disclosure.

Disclosure Declaration-Breach Mitigation


If you receive health information or other confidential information you did not request, please complete this form.

Privacy Incident Intake Report

Report a privacy incident to Compliance, Ethics & Risk Management.

Fax Transmittal Cover


Please use this cover sheet when faxing confidential health care information.

Law Enforcement Request for PHI


When receiving a request for information from law enforcement, please complete this form and adhere to its guidelines.

Report Lost or Stolen Device


If you're not able to locate a device containing sensitive data, please complete this form as soon as possible.