Privacy Breach Notification Policy

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Breach notification letters to affected clients and to the Heath and Human Services Department are required when a breach of unsecured Personal Health Information (PHI) has occurred. Unsecured PHI is PHI that is not ecrypted or has not been otherwise physically destroyed.

This form includes the breach notification policy, as well as form letters for all of the required notifications that must be made to the Department of Health and Human Services and the affected individuals.

This form is also a part of the INTAKE AND HIPAA FORMS set. If you’re buying multiple forms save money by buying them together!

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About Therapist 2 Go

At Therapist 2 Go we create organization and information management tools for psychotherapists that are straightforward and easy to use. We believe that forms do not have to be complicated to be functional and efficient and to capture the client information that you need to provide effective therapeutic treatment. Our goal is to help you run an efficient, profitable business, allowing you to spend more time focused on the therapeutic process and less time on routine administrative tasks.