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Privacy PolicyLehigh University Health and Wellness Center Notice of Privacy Policies and Procedures Effective Date: May 17, 2018, Amended: November 03, 2021, THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION
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How to fill out notice of privacy practices
How to fill out notice of privacy practices
01
Read the notice of privacy practices provided by your healthcare provider.
02
Fill out your personal information, such as name, address, and contact information.
03
Sign and date the form to acknowledge that you have received and understand the notice of privacy practices.
Who needs notice of privacy practices?
01
Every individual who receives healthcare services or engages with a healthcare provider is required to receive a notice of privacy practices.
02
This includes patients, employees, contractors, and anyone else who may have access to protected health information.
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What is notice of privacy practices?
It is a document that explains how a healthcare provider or organization handles patients' protected health information.
Who is required to file notice of privacy practices?
Healthcare providers, health plans, and healthcare clearinghouses are required to file notice of privacy practices.
How to fill out notice of privacy practices?
The notice should be filled out with detailed information on how the organization uses and discloses protected health information.
What is the purpose of notice of privacy practices?
The purpose is to inform patients about their rights regarding their health information and how it is used and disclosed.
What information must be reported on notice of privacy practices?
Information such as how health information is used, patients' rights, and contact information for privacy concerns must be included.
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