
Get the free Designated Contact Person(s)
Show details
This form is used to designate individuals in group health plan administration who are authorized to receive protected health information (PHI) in compliance with the HIPAA Privacy Rule.
We are not affiliated with any brand or entity on this form
Get, Create, Make and Sign designated contact persons

Edit your designated contact persons form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.

Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.

Share your form instantly
Email, fax, or share your designated contact persons form via URL. You can also download, print, or export forms to your preferred cloud storage service.
Editing designated contact persons online
To use our professional PDF editor, follow these steps:
1
Register the account. Begin by clicking Start Free Trial and create a profile if you are a new user.
2
Prepare a file. Use the Add New button to start a new project. Then, using your device, upload your file to the system by importing it from internal mail, the cloud, or adding its URL.
3
Edit designated contact persons. Add and replace text, insert new objects, rearrange pages, add watermarks and page numbers, and more. Click Done when you are finished editing and go to the Documents tab to merge, split, lock or unlock the file.
4
Save your file. Select it from your records list. Then, click the right toolbar and select one of the various exporting options: save in numerous formats, download as PDF, email, or cloud.
pdfFiller makes working with documents easier than you could ever imagine. Register for an account and see for yourself!
Uncompromising security for your PDF editing and eSignature needs
Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
How to fill out designated contact persons

How to fill out Designated Contact Person(s)
01
Identify the individual(s) responsible for communication regarding the project.
02
Ensure that the designated contact person(s) have the necessary authority to make decisions.
03
Gather their contact information, including phone numbers and email addresses.
04
Clearly outline their roles and responsibilities in relation to the project.
05
Submit the contact information in the required format, ensuring accuracy.
Who needs Designated Contact Person(s)?
01
Organizations managing significant projects or collaborations.
02
Teams needing a point of contact for external communication.
03
Regulatory bodies requiring designated representatives for compliance.
04
Companies that need to establish clear communication channels with stakeholders.
Fill
form
: Try Risk Free
People Also Ask about
What is the designation of a contact person?
Designated contact person means the Primary Contact or Alternate contact identified on the face page of this Agreement, either of which may be changed upon written notice from licensee, who shall be responsible for Service Request on behalf of all users at Licensee's site.
What does designation mean in a contract?
It establishes clarity about who is assigned to perform specific duties or represent a party in the execution of the agreement. For example, a company may designate a "Project Manager" to oversee the implementation of a contract, ensuring all tasks are completed on time and within budget.
What is the designation of a person?
something that designates; a distinctive name or title; appellation. nomination, appointment, or election to an office, position, etc.. His designation as treasurer has been confirmed.
What are contact persons?
contact person (plural contact persons or contact people) A person in an organization or group that non-members can contact in order to interact with the group; a representative whose contact details are made public.
What is the meaning of contact person position?
A Contact Person is a professional who serves as the primary point of contact for clients, customers, or other stakeholders. They are responsible for answering questions, providing information, and addressing concerns related to a particular product, service, or organization.
For pdfFiller’s FAQs
Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.
What is Designated Contact Person(s)?
A Designated Contact Person(s) refers to an individual or individuals designated to communicate and handle matters related to a specific process or compliance requirement.
Who is required to file Designated Contact Person(s)?
Organizations or entities that must comply with specific regulatory requirements are typically required to file Designated Contact Person(s). This could include businesses, non-profits, and governmental agencies.
How to fill out Designated Contact Person(s)?
To fill out the Designated Contact Person(s), provide the full name, contact information, role, and any relevant qualifications of the designated individual(s) as required by the filing guidelines.
What is the purpose of Designated Contact Person(s)?
The purpose of Designated Contact Person(s) is to ensure there is a specific point of contact for communication and compliance issues, facilitating clear and efficient interactions with regulatory bodies.
What information must be reported on Designated Contact Person(s)?
The information that must be reported typically includes the name, title, contact number, email address, and any relevant organization affiliations of the Designated Contact Person(s).
Fill out your designated contact persons online with pdfFiller!
pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Designated Contact Persons is not the form you're looking for?Search for another form here.
Relevant keywords
Related Forms
If you believe that this page should be taken down, please follow our DMCA take down process
here
.
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.