How Do I Report a HIPAA Violation?
Instructions
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Write Your Own Complaint
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Write your complaint, including your full name and all of your contact information, along with the names and contact information of everyone your complaint is against. Provide a brief explanation of your complaint and what right(s) you believe were violated.
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2
Go to the Office of Civil Rights of the Health and Human Services department and fill out Health Information Privacy complaint. You may print the form and fill it out or submit it electronically.
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3
Sign your complaint and fax or mail it to the Office of Civil Rights in the area in which the violation occurred. You may also email your complaint to [email protected].
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