ORDERING INFORMATION for the PRIVACY NOTICE & OTHER PATIENT
FORMS
The UCSD Medical Center (UCSDMC) "Notice
of Patient Privacy" booklets (form #151-020) and the "Acknowledgement of
Receipt of the Privacy Notice" form (form #151-035) can be ordered
online through the UCSDMC Forms Management web site
http://forms.ucsd.edu.
If you are unable to access the UCSDMC
intranet site or have any questions regarding the ordering process,
please contact Syndee Holt, UCSDMC Forms Manager,
sholt@ucsd.edu, phone # (619)
543-7675