Council for Relationships - Helping people understand, respect, and improve the quality of their relationships - HIPAA Compliance Training Acknowledgment Form

I acknowledge that I attended, or viewed and listened to a recording of, the HIPAA Training presented in November 2020. I understand that I must comply with the requirements of the Health Insurance Portability and Accountability Act (HIPAA) of 1996 as presented during the training and the HIPAA Privacy Rule and related policies and procedures in general (which are accessible on Council’s website and in each office waiting room). It is my responsibility to ensure that protected health information to which I have access is kept private and confidential.

I understand that failure to abide by the HIPAA policies and procedures outlined in the training can result in corrective action up to and including termination.

Name*

First Last

Date*