Volunteer Annual Training Certification

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VA SAN DIEGO HEALTHCARE SYSTEM
Volunteer Annual Training Certification
Print Name:______________________________________
Date:_______________
The Joint Commission and Health Insurance Portability and Accountability Act (HIPAA)
requires that all volunteers receive mandatory training upon entry and on an annual basis.
Voluntary Service needs to document that you have received this training.
Initials
1. General Orientation
_____
2. Infection Prevention
_____
3. TB Requirements
_____
4. Bloodborne Pathogens
_____
5. Hazard Communication
_____
6. Equipment Utilization
_____
7. Emergency Training
_____
8. Terrorism
_____
9. Security Management
_____
10. Sexual Harassment
_____
11. Diversity Awareness
_____
12. Workplace Violence
_____
13. Privacy Training
_____
14. Info Security & HIPAA
_____
15. Rules and Ethics
_____
16. Statement of Commitment
_____
I certify that I understand and have completed the Annual Training Materials. I will abide by the
policies and procedures of Voluntary Service at the VA San Diego Healthcare System.
Signed:_______________________________________________ Date:______________

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