| Sample Documents |
Provided by the North Carolina
Healthcare Information and Communications Alliance (NCHICA, www.nchica.org)
THESE SAMPLE DOCUMENTS ARE FOR EXAMPLE ONLY. THE DOCUMENTS USED FOR YOUR
ORGANIZATION MUST INCLUDE SPECIFIC REFERENCES TO YOUR POLICIES AND PROCEDURES
AND MUST TAKE INTO ACCOUNT PRIVACY RIGHTS GRANTED TO INDIVIDUALS BY STATE
LAWS AND REGULATIONS IN THE STATE WHERE YOU ARE LOCATED. IN ADDITION, THIS
FORM MAY BE UPDATED PERIODICALLY.
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English
Documents
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Notice of Privacy
Practices (NPP) - English |
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Short* Notice of Privacy
Practices (NPP) - English |
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Business Associate
Agreement - English |
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| Spanish Documents |
Notice of Privacy
Practices (NPP) - Spanish |
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Business Associate
Agreement - Spanish |
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| * Short Notice of Privacy Practices
(NPP) document is primarily suitable for dental offices or physician
offices with less than 5 employees. The NPP should be reviewed
with your attorney. |
