HIPPA Acknowledgment
In accordance with the privacy regulations promulgated under the Health Insurance Portability and Accountability Act, 45 (forty-five) CFR parts 160 and 164 (the “Privacy Regulations”),Nurses Direct, L.L.C., and Nurses Direct Employee understand and agree to abide by the Facility privacy policies and to not use or further disclose a patient’s personal health information except as expressly permitted by the Agreement or as otherwise authorized in writing by the patient through a consent or authorization meeting the requirements of the Privacy Regulations. Nurses Direct, L.L.C. and Nurse Employee may only use a patient’s personal health information for the sole purpose of treatment, and/or health care operations and may not release any information to unauthorized parties. Nurses Direct, L.L.C. and Nurse Employee agree to implement appropriate safeguards to prevent the unauthorized use and disclosure of any patient’s personal health information received by Facility under this Agreement. In addition Nurses Direct, L.L.C. and Nurse Employee shall make available to the Facility the protected health information for amendment purposes, should changes to the information be necessary or to provide an accounting of disclosures of the protection health information.If any unauthorized disclosure of personal health information occurs, Nurses Direct, L.L.C., and Nurse Employee shall immediately contact Facility to inform them of the disclosure and any remedial action taken to prevent further disclosures Nurses Direct, L.L.C., and Nurse Employee understand that any unauthorized disclosure of a patient’s personal health information is grounds for immediate termination of the Agreement and/or a staffing assignment.
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HIPPA Acknowledgment
In accordance with the privacy regulations promulgated under the Health Insurance Portabilityand Accountability Act, 45 (forty-five) CFR parts 160 and 164 (the “Privacy Regulations”),Nurses Direct, L.L.C., and Nurses Direct Employee understand and agree to abide by the Facility privacy policies and to not use or further disclose a patient’spersonal health information except as expressly permitted by the Agreement or as otherwiseauthorized in writing by the patient through a consent or authorization meeting the requirementsof the Privacy Regulations. Nurses Direct, L.L.C. and Nurse Employee may only use a patient’s personal healthinformation for the sole purpose of treatment, and/or health care operations and may not releaseany information to unauthorized parties. Nurses Direct, L.L.C. and Nurse Employee agree toimplement appropriate safeguards to prevent the unauthorized use and disclosure of any patient’spersonal health information received by Facility under this Agreement. In addition NursesDirect, L.L.C. and Nurse Employee shall make available to the Facility the protected healthinformation for amendment purposes, should changes to the information be necessary or toprovide an accounting of disclosures of the protection health information.If any unauthorized disclosure of personal health information occurs, Nurses Direct, L.L.C., andNurse Employee shall immediately contact Facility to inform them of the disclosure and anyremedial action taken to prevent further disclosures Nurses Direct, L.L.C., and NurseEmployee understand that any unauthorized disclosure of a patient’s personal health informationis grounds for immediate termination of the Agreement and/or a staffing assignment.
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I agree to abide by all facility policies in regards to HIPPA.
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