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HIPAA AGREEMENT

  PATIENT PRIVACY PROTECTION AGREEMENT

PROTECTED HEALTH INFORMATION UNDER HIPAA IS INDIVIDUALLY IDENTIFIABLE HEALTH INFORMATION AND ACCEPTANCE OF THE TERMS OF THIS AGREEMENT IS REQUIRED FOR ENTRY INTO THE RESIDENT-TRAINEE AND THE FORUM AREAS OF ePLASTY.  BY REGISTERING THE USER AGREES TO ABIDE BY HIPAA REGULATIONS AS THEY PERTAIN TO INDIVIDUALLY IDENTIFIABLE HEALTH INFORMATION.

 I WARRANT THAT I AM A PHYSICIAN WHO IS LICENSED TO PRACTICE MEDICINE AND THAT I AM FAMILIAR WITH HIPAA REQUIREMENTS. I CERTIFY THAT I AM ELIGIBLE TO RECEIVE INFORMATION THAT IS PROTECTED AND I ALSO WARRANT THAT I WILL MAKE EVERY EFFORT NOT TO DISCLOSE ANY INFORMATION THAT REASONABLY COULD BE EXPECTED TO ALLOW INDIVIDUAL PATIENT IDENTIFICATION.                    

I AGREE to accept HIPAA Agreement
Accept Terms and Conditions