HIPAA/Privacy Concerns or Violations Form

Please submit HIPAA and Privacy violations or concerns that you observed someone else do, or that occurred as a result of something you did. You are required to share HIPAA violations that occurred, if you do not it is a Level 4 HIPAA violation. By sharing it, we are able to take necessary and legally required steps to protect our clients. Please see HIPAA Information Page for more information on the levels and reporting requirements.

Concern and Violation Form

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