Hipaa training certification form 2026

1. Click ‘Get Form’ to open the HIPAA Training Certification Form in the editor.
2. Print the form for your records and review the materials available at http://privacy.med.miami.edu/hips/ that are relevant to your work duties.
3. In the designated column, check the boxes next to each course title you have reviewed, and enter the corresponding date for each.
4. Sign the form. Ensure you include your printed name, signature, home department, employee/student ID or SSNo, and your supervisor’s name.
5. Once completed, send the form to the Privacy Office at P.O. Box 019132 (M-879), Miami FL 33101. Note that faxes are not acceptable.

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