HIPAA Breach Notification Letter Template

Use this HIPAA Breach Notification Letter Template to notify individuals and entities after a PHI breach to meet legal compliance rules and standards.

HIPAA Breach Notification Letter Template



HIPAA Breach Notification

1. The HIPAA Breach Notification Rule requires covered entities to notify certain parties when they suffer an unauthorized breach of PHI.


Photo Comment

2. The HIPAA Breach Notification Rule requires individual notice where covered entities are required to notify affected individuals upon discovering a PHI breach.


Photo Comment

3. The HIPAA Breach Notification Rule requires media notice where if a breach is found to have affected more than 500 residents of a state or jurisdiction, the covered entities responsible must notify prominent media outlets serving the state or jurisdiction.


Photo Comment

4. The HIPAA Breach Notification Rule requires notice to the Secretary where covered entities must notify the Secretary upon discovering a PHI breach.


Photo Comment

5. Based on Adequate risk assessment procedures, entities can prove their due diligence and demonstrate low probability of PHI compromise.


Photo Comment
HIPAA Enforcement Rule

1. The HIPAA Enforcement Rule establishes standards for how to investigate data breaches and outlines a tiered civil money penalty structure imposed on accountable parties.


Photo Comment

Checklist by GoAudits.com – Please note that this checklist is intended as an example. We do not guarantee compliance with the laws applicable to your territory or industry. You should seek professional advice to determine how this checklist should be adapted to your workplace or jurisdiction.

Is this sample what you are looking for?
Sign up to use & customize this template, or create your own custom checklist.

NEW! Try generating a custom checklist with our free AI tool:

Easy inspection app for your digital checklists