Acknowledgement of HIPAA Training

Acknowledgement of HIPAA training by Employee, Student, Volunteer or Contractor

  1.  I understand that St. Mary’s Medical Center has a legal and ethical responsibility to safeguard the privacy of all patients and to protect the confidentiality of their health information.

  2.  I am aware that, as part of the organization’s responsibilities described in the paragraph above, St. Mary’s Medical Center provides privacy training to its staff.

  3.  I acknowledge that I have received HIPAA Privacy and Security training provided by St. Mary’s Medical Center.

  4.  I certify that I am familiar with St. Mary’s Medical Center’s policies and procedures regarding the privacy of health information, and I agree to follow those policies and procedures.

  5.  I agree to attend future HIPAA training sessions, as and when requested by St. Mary’s Medical Center.

  6.  I further agree that I will report promptly any known or suspected violations of the St. Mary’s Medical Center’s policies and procedures regarding the privacy of health information to the organization’s Privacy Official or designee.

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