Hipaa Confidentiality And Non-Disclosure Agreement Page 3

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EMPLOYEE DOCUMENTATION OF HIPAA PRIVACY TRAINING
The Health Insurance Portability Act of 1996 (HIPAA) requires our privacy officer to train employees
on our health information privacy policies and procedures to the HIPAA Omnibus Standards of 2013
which also includes HI-TECH and Protected Health Information (PHI), Electronic Protected Health
Information (ePHI) and Electronic Health Records (EHR). All employees with treatment, payment or
healthcare operations responsibilities, which allow access to protected health information, are
trained with updates periodically as State and Federal mandates require. HIPAA also requires that
we keep this documentation (that the training was completed) for six years after the training.
I, the undersigned do hereby certify that I have received, read, understood and agree to abide by
this Healthcare Facilities HIPAA Policies and Operating Procedures.
Printed Name
Signature
Date

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