CERTIFICATION OF TRAINING I acknowledge that I have received and read the Practice’s HIPAA Privacy Program and HIPAA Training Program. I understand that I should refer directly to the Practice’s system policies and procedures or contact my supervisor for a better understanding of how HIPAA Privacy Regulations may specifically affect my job. I understand that it is my responsibility to sign and return this certification of training to the Privacy Officer within 5 days of receiving this training. (Printed Name)__________________________________ (Signature)_____________________________________ (Date)______________________
Instructions for supervisors: the signed original of this training certificate will be retained in the departmental file for no less than 6 years from the date it is signed.
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