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Training Record

Training Record. Please print this form and complete the required information to acknowledge that you have received this training material and reviewed for understanding of compliance requirements. Make a copy for your records and return the completed form to:

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Training Record

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  1. Training Record Please print this form and complete the required information to acknowledge that you have received this training material and reviewed for understanding of compliance requirements. Make a copy for your records and return the completed form to: DPH Human Resources/HIPAA Coordinator 1930 Mail Service Center Raleigh, NC 27699-1930. Training: “NC DPH Privacy Basic Training” DateCompleted: _____________________________ Print Name: _____________________________ Signature: _____________________________ Section: _____________________________

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