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COVERED ENTITY SURVEY
This page serves as a starting point for Executive Branch
agencies to complete the Covered Entity survey. Agencies are required to
print the survey, obtain all required signatures and turn it into the PMO
with an org chart by 9/3.
Before beginning the survey, it may help to know:
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This survey consists of eight sections which, when
completed, will be used to determine your agency's role in future HIPAA
activities.
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A button is provided at the end of each page to progress
through each section of the survey.
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The following information is required when completing the
survey: contact information,
such as the name, address and phone number of your government entity,
components and HIPAA coordinator.
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After completing the survey, you will be provided with the
option of reviewing your responses for errors or printing a copy of the
survey for your records.
CLICK HERE
TO COMPLETE THE COVERED ENTITY SURVEY ONLINE

If you have trouble with the
following PDF documents,
try upgrading to the most current version of Adobe Acrobat Reader.
CLICK HERE TO UPGRADE ACROBAT READER
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