ADA HIPAA Tool-Kit

Click here to purchase the ADA HIPAA Tool Kit

The Academy of Doctors of Audiology (ADA) has commissioned our legal counsel, Robert Gippin, Esq and the law firm of Roderick, Linton and Belfance LLP to create HIPAA Compliance documents and forms that can be purchased by our members. The cost of purchase is $199 for ADA members and $499 for non-members. The package includes:

  • Notice of Privacy Practices
  • Acknowledgement of Notice of Privacy Practices (comprehensive and truncated)
  • Business Associate Agreement
  • Use and Disclosure form
  • Marketing Acknowledgement

Please note:
  • At the advice of legal counsel, this document package (with the exception of the truncated Acknowledgement of the Notice of Privacy Policies, which could be added to your patient registration or intake document and the Business Associate agreement) has been created as .pdf documents in Adobe Acrobat.
  • As a result, the ADA staff, as part of the purchase fee, will upload your logo, name, address and privacy policy officer information into the documents at no additional charge. The document package will then be sent to you via email within five business days of your order.
  • Any substantive changes in content to any of these forms and documents should only be made with the assistance and guidance of your own legal counsel. ADA will not customize or modify documents beyond what is outlined above and will only customize documents for use in the purchaser’s practice.
  • Practices will still need to create the following policies on their own:
    • HIPAA Security Policy
    • Documentation of Training

Click here to purchase the ADA HIPAA Tool Kit