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FORM A FLINT HILLS COMMUNITY HEALTH CENTER Dear Parent or Guardian: Flint Hills Community Health Center (FCC) in cooperation with the Kansas State Department of Health and Environment would like to
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Form A Rev2HIPAADoc is a document used to report HIPAA breaches.
Covered entities and business associates are required to file form A Rev2HIPAADoc.
Form A Rev2HIPAADoc can be filled out online or by mailing a physical copy to the appropriate regulatory body.
The purpose of form A Rev2HIPAADoc is to report any breaches of Protected Health Information (PHI) as required by HIPAA regulations.
Form A Rev2HIPAADoc must include details of the breach, including when it occurred, what information was compromised, and steps taken to address it.
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