HIPAA Breach Notification to Individuals Letter

Form/Letter
Benefits
Recordkeeping

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We are writing to you today, because of a recent security incident at [name of organization].

  • Describe what happened in general terms.
  • Include the date of the breach and the date of discovery.
  • Describe specifically what kind of personal information was involved (such as whether full name, social security number, date of birth, home address, account number, diagnosis, disability code, or other types of information were involved)
  • Describe what the organization is doing in response
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