Privacy Notice and Other Forms - Ordering Information

The UCSD Health (UCSDH) "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 UCSDH Forms Management web site

If you are unable to access the UCSDH intranet site or have any questions regarding the ordering process, please contact Document Services,, phone # (619) 543-7675.