HIPAA Disclosure Form

To Submit a HIPAA disclosure you must be an active employee of University of Pennsylvania Health System or School of Medicine. All users must use PennKey authentication

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HIPAA Disclosures PennKey login
(This is the same username and password you use for Knowledge Link)

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If you are having trouble with PennKey authentication, visit the PennKey help site or email pennkey@uphs.upenn.edu .

For other questions and assistance contact the application manager .