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President's Message: Watson Award Announcement, July 10, 2012
https://www.utsouthwestern.edu/edumedia/edufiles/about_us/office_of_the_president/pm-watson-award-announcement-10jul12.pdf
Watson Award Announcement July 10, 2012 To the UT Southwestern Community: I am very pleased to announce that Dr. Sharon Reimold has been selected as the recipient of the 2012 Patricia and …
Dr. Claus Roehrborn Named Watson Award Winner: From the President's Desk
https://www.utsouthwestern.edu/edumedia/edufiles/about_us/office_of_the_president/pm-watson-award-roehrborn-14july2010.pdf
Watson Award Announcement July 14, 2010 To the UT Southwestern Community: I am very pleased to announce that Dr. Claus Roehrborn has been selected to be this year’s recipient of the Patricia and William L. Watson, Jr., M.D. Award for Excellence in Clinical Medicine. In making their generous…
New University Hospital Planning: From the President's Desk - UT Southwestern
https://www.utsouthwestern.edu/edumedia/edufiles/about_us/office_of_the_president/pm-new-hospital-12feb2010.pdf
New University Hospital Planning Feb. 12, 2010 To the UT Southwestern Community: I am writing to provide an update on one of the important efforts underway at UT Southwestern: our planning for a New University Hospital. As I’ve previously discussed, developing our academic health care sys…
Response to Sunday’s Dallas Morning News Article: From the President's Desk
https://www.utsouthwestern.edu/edumedia/edufiles/about_us/office_of_the_president/pm-dmn-response-2june2010.pdf
Response to Sunday’s Dallas Morning News Article June 2, 2010 To the UT Southwestern Campus Community: On Sunday, May 30, the Dallas Morning News published as a front page story a lengthy - but misleading and incomplete - article about UT Southwestern. Most of the article focused on a ca…
https://www.utsouthwestern.edu/edumedia/edufiles/about_us/admin_offices/hipaa_privacy/medical-record-amendment-request.pdf
Form # FMA/MRARF-001 / 03.03 (Rev. 03.16) Reviewed 09/13 Page 1 of 2 Medical Record Amendment Request Form Pt. Name:______________________________________________ Address:_______________________________________________ ______________________________________________________ City …
IMH - Adlt Hemophilia - LH
https://www.utsouthwestern.edu/edumedia/edufiles/about_us/admin_offices/hipaa_privacy/auth-for-audio-recordings-photo-other-images-non-treatment.pdf
Form # FMA/AARPOINTP-001 / 07.05 (Rev. 10.03.14) White – Health Information Management Department Yellow – Patient Reviewed 09/13 Authorization for Audio Recordings, Photography, or Other Images for Non-Treatment Purposes I hereby authorize the at (insert department name) UT Southwestern Medica…
https://www.utsouthwestern.edu/edumedia/edufiles/about_us/admin_offices/hipaa_privacy/restriction-request-use-disclosure-phi.pdf
Form # FMA/RRFDPHI-001 / 02.03 (Rev. 07.12) (Reviewed 09/13) Page 1 of 1 (See other side for instructions) Restriction Request Form For Use and Disclosure of Protected Health Information Date: You are requesting that UT Southwestern Medical Center restrict its use and disclosure of certai…
https://www.utsouthwestern.edu/edumedia/edufiles/about_us/admin_offices/hipaa_privacy/notice-of-privacy-practices-acknowledgement-of-receipt-spanish.pdf
Form # SY2/NPPARF-002 / 11.03 (Rev. 10.01.14) White – Health Information Management Department Yellow – Patient (Reviewed 09/13) Page 1 of 1 NOTIFICACIÓN DE PRACTICAS DE PRIVACIDAD RECONOCIMIENTO DE RECIBO DEL AVISO Su firma abajo indica que le han ofrecido una copia del aviso medico de UT …
https://www.utsouthwestern.edu/edumedia/edufiles/about_us/admin_offices/hipaa_privacy/alternate-communications-request.pdf
Form # AMA/ACRF-001 / 02.04 (Rev. 03.26.13) Original - Health Information Management Department Copy - Privacy Officer (Reviewed 09/13) Page 1 of 1 Alternate Communications Request Form Request for Alternate Communications Regarding Medical Information Date: Month / Date / Year …
Autorización para divulgar información médica protegida: UT Southwestern, Dallas, TX
https://www.utsouthwestern.edu/edumedia/edufiles/about_us/admin_offices/hipaa_privacy/authorization-to-disclose-phi-spanish.pdf
Nombre del paciente: _________________________________ Dirección: __________________________________________ __________________________________________________ Ciudad Estado Código postal N.º de expediente médico: Fecha de nacimiento: Sexo: Autorización …