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The Notice of Privacy Practices form must be given to patients. The notice must describe how the covered entity (CE) may and may not use protected health information (PHI), and what the patients rights and obligations with respect to the PHI are.
NOTICE REQUIREMENT The Privacy Notice must be written in plain language and must: Explain how the health plan may use and disclose an individuals PHI; Describe the individuals rights with respect to his or her PHI; and Summarize the health plans legal duties with respect to the PHI.
Your notice must include, where it applies to you, the following information: Categories of information collected. For example, nonpublic personal information obtained from an application or a third party such as a consumer reporting agency. Categories of information disclosed.
​​​​Notice of Privacy Practices Individuals have the right to know how their protected health information may be used and disclosed, and what their privacy rights are. The Notice of Privacy Practices (NPP) provides individuals with this information.
The Privacy Rule protects all individually identifiable health information held or transmitted by a covered entity or its business associate, in any form or media, whether electronic, paper, or oral. The Privacy Rule calls this information protected health information (PHI).

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The HIPAA Privacy Rule requires a covered health care provider with direct treatment relationships with individuals to give the notice to every individual no later than the date of first service delivery to the individual and to make a good faith effort to obtain the individuals written acknowledgment of receipt of
By signing this form, you acknowledge that you have received our Notice of Privacy Practices (the Notice). This Notice describes in detail how we might use or disclose your protected health information. The Notice also discusses your rights and our duties with respect to your protected health information.
The HIPAA Privacy Rule requires a covered health care provider with direct treatment relationships with individuals to give the notice to every individual no later than the date of first service delivery to the individual and to make a good faith effort to obtain the individuals written acknowledgment of receipt of

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