Acknowledgment of Receipt of Notice of Privacy Practices

Ac·knowl·edg·ment of Re·ceipt of No·tice of Pri·va·cy Prac·ti·ces

(ak-nol'ĕj-mĕnt rē-sēt' nō'tis prī'vă-sē prak'tis-ĕz)
A form that patients sign to show they received a notice about privacy from a HIPAA-compliant health care supplier.