Sample HIPAA Privacy Notice

This is a sample of a Notice of Privacy Practices appropriate for psychiatrists in solo practice or small group practice. Your state may require disclosures that are not on this notice, so consult with your state psychiatric society before adapting this notice for your practice.

HIPAA Acknowledgement

Have your patients sign this to ensure they received and understand your privacy notice.

Sample HIPAA Privacy Summary

This is a one-page summary of your privacy practices, which you can post next to your official Notice. While this summary is not required by HIPAA, it’s nice to post something that your patients can quickly read.