HIPAA refers to the US legislation which centers on focusing on protecting and securing medical information. The purpose of this law is to ensure that only authorized individuals can read or acquire specific medical records and data of a patient or an individual. In addition, this law applies to anyone living in the US.

What Is a HIPAA Employee Acknowledgment Form?

A HIPAA employee acknowledgment form is used by companies and organizations to document an employee’s agreement and affirmation towards being knowledgeable about the HIPAA rules and regulations, as well as in every procedure and the range of information protected under the legislation. Most often, HIPAA employee acknowledgment forms are created by companies to document that their employees have attended HIPAA training sessions and seminars essential for their job roles and positions.

HIPAA Employee Acknowledgment Form Sample

Details
File Format
  • PDF

Size: 63 KB

Download

Types of HIPAA Employee Acknowledgment Forms

Below are the types of HIPAA employee acknowledgment forms that companies can use for their employees:

HIPAA Compliance Training Employee Acknowledgment Form – Companies who conduct HIPAA awareness training sessions must have this type of acknowledgment form prepared. Specifically, the purpose of this form is to document the signature of the employee who participated and completed the training sessions as well as his name, the department that he is representing in, the date of the training session, and a set of questions to fully determine and verify the participation and affirmation of the employee in the training. In addition, the form also contains an acknowledgment statement which explains the usage or the objective of using the acknowledgment form which must be read and understood by the employee before filling out his information and signature into the form.

HIPAA Compliance Training Employee Acknowledgment Form

Details
File Format
  • PDF

Size: 78 KB

Download

HIPAA Employee Staff Acknowledgment Form – Aside from acknowledging the employee’s or a staff’s participation in a relevant training seminar, a HIPAA acknowledgment form can also be used for acknowledging that the one who is using the form has received the necessary tools, documents, and manual books in relation to the HIPAA training. Furthermore, a HIPAA employee staff acknowledgment form will also document the topics which had been discussed during the training along with the confirmation of the employee or staff member towards performing at work based on the HIPAA rules and regulations or policies. And in order to complete this type of form, both the staff or employee and the trainer should affix their signatures in the allotted areas with the dates when they have signed the acknowledgment form.

HIPAA Employee Staff Acknowledgment Form

Details
File Format
  • DOC

Size: 6 KB

Download

HIPAA Employee Training Acknowledgment Form – There are three sections in a HIPAA employee training acknowledgment form. The first section explains the purpose of the acknowledgment form which is then followed by the policies to be obeyed and adhered by the employee in the second section. And lastly, the third section collects the signature of the employee to indicate that the employee has read, understood, and have agreed to comply with the stated policies.

HIPAA Employee Training Acknowledgment Form

Details
File Format
  • DOC

Size: 5 KB

Download

HIPAA Volunteer Non-Employee Acknowledgment Form – Companies and organizations who will be accepting volunteers to serve for specific periods of time where the medical information of clients may be accessed should use this type of form. Basically, a HIPAA volunteer non-employee acknowledgment form will document the participation of a non-employee in the company’s HIPAA orientation. This form can also be used by temporary employees and registry employees of the company for as long as they are participating in the company. The information which will be collected in this form would include the name of the non-employee with his signature and the date when he signed the form, as well as the department or organization he is working for, the name of his supervisor or immediate head, and the name and contact information of his organization.

HIPAA Volunteer Non-Employee Acknowledgment Form

Details
File Format
  • PDF

Size: 125 KB

Download

Privacy and HIPAA Employee Acknowledgment Form – There are two acknowledgment statements in this type of form. The first acknowledgment statement is solely for acknowledging that the employee has received the orientation brochure provided by the company while the second statement is allotted for non-employees who have been informed about the privacy and HIPAA policies.

Privacy and HIPAA Employee Acknowledgment Form

Details
File Format
  • PDF

Size: 100 KB

Download

How to Use Our HIPAA Employee Acknowledgment Forms

Our HIPAA employee acknowledgment forms are easy to use. The first step into using our forms is to choose which among the varieties suits the needs and the preferences of the company or organization who will be providing the acknowledgment form to their employees. Once the choice is finalized, the download button beside the image of the chosen variety of form should be clicked in order to begin downloading the form.

A ZIP file will be downloaded wherein the form is inside and must be extracted. The method of extracting the form from the ZIP file depends on the type of device used. Most often, the extraction can be done by opening the ZIP file then clicking on the form, and finally saving the form in a different location in the device or clicking the extract button option in the collapsible menu by right-clicking on the mouse.

After extracting the form, it can then be customized or edited in order to incorporate the details of the company or organization. In addition, the contents of the form should also be changed or be updated, specifically in the sections where the HIPAA policies are stated. Once customized, the form should be saved then it can be used immediately by the company depending on their preferred usage method, either electronically or by printing out the form.

HIPAA Orientation Employee Acknowledgment Form

Details
File Format
  • PDF

Size: 70 KB

Download

How to Get a HIPAA Employee Acknowledgment Form

For employees, HIPAA employee acknowledgment forms are not to be requested, rather the company is only the one who will be providing the forms during or after HIPAA orientations and training sessions. Upon receiving the form, the employee must fill it out and submit the completed form back to the company.

Furthermore, if there are concerns or questions, the employee must raise it to the company’s authorized representatives in order to receive answers. In addition, it is essential that the employees who will be using the form will read thoroughly before indicating answers or disclosing any type of personal information in the form’s entry fields.

Related Posts