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What happens if a client refuses to sign acknowledgement of HIPAA Privacy Rule?

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What happens if a client refuses to sign acknowledgement of HIPAA Privacy Rule?

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(A) We are required to make a good faith attempt to secure written authorization that a person has been provided the opportunity to review the DMH Notice of Privacy Practices. That process may be suspended in an emergency/when consumer is incapacitated. That documentation will be on the applicable intake document and/or by rubber stamp in the medical record. If unable to secure such acknowledgement, staff are to document same (e.g.

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