HIPAA Compliance Agreement – Editable Employee Acknowledgment Template (Word + PDF)

Protect your healthcare organization or small business with this fully customizable HIPAA Compliance Agreement. Designed for employers who need to ensure staff understand their role in safeguarding patient health information, this editable template is ideal for onboarding or annual compliance documentation.

This agreement helps demonstrate your company’s commitment to patient privacy and protects you in case of a compliance review.

What’s Included:

• HIPAA Employee Acknowledgment Agreement (Editable Word Doc)

• Printable PDF version

• Signature fields for employee and supervisor

• Sections covering confidentiality, access control, security, reporting breaches, and training

 Perfect For:

• Healthcare practices

• Small business owners

• Medical consultants

• HIPAA training providers

• Wellness coaches or therapy offices with patient data

 How It Works:

1. Purchase this listing

2. Instantly download your files

3. Customize with your company details

4. Save, print, or share digitally with new hires

⚠️ Disclaimer:

This Document is designed to support small businesses  It is not a substitute for legal advice. Please consult with a qualified attorney to ensure these materials meet your specific business and compliance needs.