MNT Business Practice Tools: Sample HIPAA Privacy Notice for RDs in Private Practice

Sample HIPAA Privacy Notice for RDNs

Use this template to develop a HIPAA Privacy Notice for your practice.

  • SKU NSC104-I
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If you provide MNT services as part of your private practice and share information electronically (e.g., claims), then you must be in compliance with the HIPAA Privacy Rules. One of the provisions is that you share with your clients information on your privacy practices to help protect their health information.

This template will guide you in developing your practice's Privacy Notice to ensure you include all the necessary elements to be compliant with HIPAA. It also includes a signature page for your clients to acknowledge receipt of your Privacy Notice.



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  • SKU NSC104-I