“Confidential Information” consists of PHI as well as proprietary information relating to Provider’s business, including but not limited to: medical and financial records, revenues, identification and account numbers and names, PINs, and passwords, or other information conveyed in writing or in a discussion that is indicated to be confidential. Therefore, unless authorization has been granted, any intentional accessing of PHI, or circumvention of PHI security protocols, is prohibited. HIPAA permits access to PHI on a “need to know” basis. PHI is protected by the Health Insurance Portability and Accountability Act (“HIPAA”). PHI may consist of medical records, billing, and financial records or any individually identifiable health information. The parties agree as follows:ĭuring the course of employment, Employee may have access to personal health information (‘PHI”) relating to clients or patients of Provider. The Agreement is intended to prevent the unauthorized disclosure of Confidential Information (as defined below) by Employee. This HIPAA (employee) non-disclosure agreement (the “Agreement”) is made between _ (“Provider”) and _ (“Employee”) and is effective _. Sample HIPAA (EMPLOYEE) NON-DISCLOSURE AGREEMENT Employers that are regulated by HIPAA should have employees execute a HIPAA NDA to guarantee the employee is aware of restrictions on patient data and to establish documentation of the employer’s diligence. “Health information” refers to patient medical records, billing, and financial records or any individually identifiable health information. The Health Insurance Portability and Accountability Act (HIPAA) ( Public Law 104-191), sets forth regulations for medical personnel, hospitals, insurance companies and other healthcare providers who transmit health information in electronic form. Our plugin makes things easy by allowing you to simply check a box next to a specific form built with Caldera or Gravity and instantly making your Caldera or Gravity forms HIPAA compliant forms.The HIPAA (employee) non-disclosure agreement (NDA) is intended for employees of healthcare professionals. Fortunately our HIPAA Forms plugin & API service solves these complex compliance issues enabling you to take electronic health information over your website securely, easily & affordably. There are a lot of factors to consider when it comes to taking patient health information or “E-PHI” over online forms from a website, complying with all regulations except one means you’re still not HIPAA compliant. Even if you do get a BAA in place with your hosting provider, encrypt your forms & encrypt your database you still need to ensure that accessing the data is secured behind login protection AND ensure that it’s logged each time someone accesses it. If you configure your forms to save to a database instead of sending through email you still won’t be HIPAA compliant if that database is not encrypted & if you don’t have a BAA in place with your hosting provider.
Traditional forms are designed to email the form data on submission, this is how most form builders are setup for WordPress & is NOT HIPAA compliant.
If you intend to take health information over a website you need HIPAA compliant forms!
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