HIPAA Training Acknowledgment/Certification
I, , hereby certify that, on the date of my
signature below, I have attended the training session regarding HIPAA Privacy and
protected health information and have received the procedures for my office for HIPAA
compliance in administering the state group health plans. I understand that it is my
responsibility to read and comply with these policies and to follow the procedures
outlined in the policies and today’s training. I hereby certify that I will protect the
privacy of the protected health information related to the state group health plans.
Signature
Date
