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HIPAA Outreach Volunteer Sign-Off Form (SSM)
Look over SSM's HIPAA powerpoint (
https://docs.google.com/presentation/d/1rmi7CCezYvc4JVcHAGSDdejW8WPS1pyx/edit?usp=sharing&ouid=116104370263665320707&rtpof=true&sd=true
).
Afterwards, read the Confidentiality and Privacy Form below certifying that you have looked over the powerpoint and reviewed the important details regarding patient privacy and confidentiality. Looking over the powerpoint and completing this form are pre-requisites to becoming an outreach volunteer with SSM.
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Read the Confidentiality and Privacy of Patient Information form and sign below.
I certify that I have looked over the HIPAA powerpoint provided to me and have reviewed all pertinent information as it concerns patient privacy. (Sign full name)
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