This is a legal form that was released by the Wisconsin Department of Health Services - a government authority operating within Wisconsin. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form F-13158?
A: Form F-13158 is a HIPAA Privacy Complaint form.
Q: What is HIPAA?
A: HIPAA stands for Health Insurance Portability and Accountability Act.
Q: What is the purpose of the HIPAA Privacy Complaint form?
A: The purpose of the form is to file a complaint related to privacy concerns under HIPAA.
Q: What is the Wisconsin Chronic Disease Program (WCDP)?
A: The WCDP is a program in Wisconsin that aims to prevent and manage chronic diseases.
Q: How can I file a complaint with the WCDP?
A: You can file a complaint with the WCDP by using Form F-13158.
Q: What information should be provided when filing a complaint?
A: When filing a complaint, you should provide detailed information about the incident, including names, dates, and a description of the privacy violation.
Q: Who can file a complaint?
A: Anyone who believes their privacy rights under HIPAA have been violated can file a complaint.
Q: What happens after filing a complaint?
A: After filing a complaint, the WCDP will review the information and investigate the alleged privacy violation.
Q: Is there a time limit for filing a complaint?
A: There is no specific time limit for filing a complaint, but it is recommended to file the complaint as soon as possible after the incident.
Q: Can I file a complaint anonymously?
A: Yes, you can choose to file a complaint anonymously if you wish.
Form Details:
Download a fillable version of Form F-13158 by clicking the link below or browse more documents and templates provided by the Wisconsin Department of Health Services.