PLEASE BE ADVISED THAT ANY PERSONAL CONTACT WITH PATIENTS
OR FAMILIES YOU MUST UNDER STAND THE "HIPPA" LAWS OF INTERNATIONAL SHRINE. THE
ATTACHMENT INCLUDED IN THIS TRANSMISSION CONCERNS WITH YOU AND YOUR RELATIONSHIP
WITH HOSPITALS AND THE CHILDREN IF YOU HAVE A QUESTION PLEASE CONTACT THE ILL SIR BRUCE AT THE SHRINE CENTER PASS THIS E-MAIL TO OUR BROTHERS/NOBLES/SISTERS WITH-OUT E-MAIL SERVICE THANK YOU ILL SIR JACK ADAMS PP (HILLAH 2008) When working at the outreach clinics or other activities involving children, the HIPPA Form below must be filled out, signed and on file in the Hillah Office prior to any participation that involving children. If you have not completed this form and filed it at the Hillah Office, please click on the file below, download, printout, fill it out, sign and turn in this form to a Hillah Divan member or representative prior to working an event. |
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