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The Seventh National HIPAA Summit September 14-16, 2003 Baltimore Waterfront Marriott, Baltimore, MD Sponsor/Exhibitor Application Company Name: Company Representative: Street Address: City: State:
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The HIPAA (Health Insurance Portability and Accountability Act) registration form is a document that collects information from covered entities and business associates to register with the Office for Civil Rights (OCR) and demonstrate their compliance with HIPAA regulations.
Covered entities and business associates that handle protected health information (PHI) are required to file the HIPAA registration form.
The HIPAA registration form can be filled out online through the OCR portal. It requires providing information such as the entity's name, address, contact information, type of entity, and the type of services provided that involve PHI.
The purpose of the HIPAA registration form is to collect information from covered entities and business associates, allowing the OCR to maintain a database of entities that handle PHI and ensuring compliance with HIPAA regulations.
The registration form for HIPAA requires the reporting of information such as the entity's name, address, contact information, type of entity (covered entity or business associate), and details regarding the services provided that involve protected health information.
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