Health Information Management

Ask the expert: We file copies of patients' signed acknowledgments for the notice of privacy practices in their medical records. If patients are readmitted at a later time, is it necessary for them to sign the acknowledgment again?

HIM-HIPAA Insider, November 13, 2007

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A: Direct treatment providers are required to give a patient a notice of privacy practices and obtain acknowledgment the first time they see the patient. It is unnecessary to reissue the notice and obtain acknowledgment on subsequent occasions unless you make material changes to your notice.

Editor's note:Mary D. Brandt, MBA, RHIA, CHE, CHPS, answered this question. This Q&A was adapted from the November 2007 issue of Briefings on HIPAA. For more information, visit

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