Community Partner Forms

Click on a document title to download or print. If you have questions about these documents, contact Tommy Phillips at 404-639-9933 x305.

Pathways is an inclusive, not for profit organization and does not discriminate or exclude potential community or organization partners on the basis of race, color, creed sex, age, national origin, disabilities, sexual orientation, marital status, familial status, or ancestry.

 Agency Agreements
Pathways_GSA_v3_3_Georgia_June_2010.pdf
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Agreement for Georgia organizations only. Agreements for other organizations are available through local community partners   140k v. 5 Feb 4, 2011 5:14 AM William Matson
 Agency Forms
PATHWAYSCOMPASSNewAgencyFormv5.0.pdf
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This form is filled out and submitted to Pathways when a new agency joins an existing CISS/HMIS implementation  85k v. 2 Feb 8, 2011 1:14 PM William Matson
 HIPAA Agreements
CoveredEntitycharts.pdf
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Guidance on how to determine whether an organization or individual is a covered entity under the Administrative Simplification provisions of HIPAA   259k v. 2 Dec 6, 2010 9:26 AM William Matson
PathwaysBARequirementWaiverCertification.pdf
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For organizations not required to comply with HIPAA regulations  19k v. 4 Dec 6, 2010 9:33 AM William Matson
PathwaysBusinessAssociateAddendum.pdf
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A data sharing agreement required under the federal Health Insurance Portability and Accountability Act (HIPAA)   180k v. 2 Feb 4, 2011 5:17 AM William Matson