HIPPA Requirements - Outreach Clinics

posted Sep 22, 2014, 8:37 AM by Bruce Kundert   [ updated Oct 21, 2015, 12:36 PM by Hillah Shriners ]
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. 
 

 
Ċ
Bruce Kundert,
Sep 22, 2014, 3:16 PM
Ċ
Bruce Kundert,
Sep 27, 2014, 2:55 PM
Comments