HIPAA Forms (Notice of Privacy Practices & Acknowledgement of HIPAA Privacy Notice)

Instructions:

The Notice of Privacy Practices clearly states the responsibilities of the private practice, the uses and disclosures of protected health information as well as the patient's rights to privacy. The Acknowledgement of Receiving the HIPAA Form is a form for the client to sign that acknowledges that they have seen the HIPAA notice and understand its contents.

Form Preview (Notice of Privacy Practices):

Form Preview (Receipt of HIPAA Privacy Notice):

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