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Smoking Complaint Form I. V. Your Information. Are you a n Employee/worker Customer Visitor Other specify VI. Please provide your contact information. If filing a formal complaint please sign the form. Print first and last name Address Phone Email May we contact you No Yes If yes what is the best time to contact you Signature VII. Please tell us about the smoking issue. Please include the name of the business/place and the name of any authority of that business or place with whom you spoke. For...
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FAQs
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Are health clubs, gyms and other public businesses that require customers and clients to fill out health and/or medical forms or releases required to protect that information under HIPAA?
This does not fall under HIPAA. Under the HIPAA regulations, the entities that must comply with the rules are defined as "covered entities" which are: health care plans, health care providers, and health care clearinghouses. So health clubs or gyms do not meet this definition and are therefore not subject to HIPAA. However, depending on your state, there may be laws which protect the sharing of this type of information.
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