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

Sample HIPAA Privacy Notice for RDNs

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

  • Release Date: February 15, 2019
  • 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 information on your privacy practices with your clients, to help protect their health information.

The sample language provided in this document will guide you in developing your own Privacy Notice for your practice and will ensure you consider all the necessary elements to be compliant with HIPAA. A signature page for your clients to acknowledge receipt of your Privacy Notice is also provided.


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  • Release Date: February 15, 2019
  • SKU NSC104-I