A covered healthcare provider with a direct treatment relationship with an individual need not:

A.
provide the notice no later than the date of the first service delivery, including service delivered
electronically

B.
have the notice available at the service delivery site for individuals to request and keep

C.
get a acknowledgement of the notice from each individual on stamped paper

D.
post the notice in a clear and prominent location where it is reasonable to expect individuals
seeking service from the covered healthcare provider to be able to read it

Explanation:
Notice Distribution.A covered health care provider with a direct treatmentrelationship with
individuals must have delivered a privacy practices notice to patients starting April 14, 2003 as
follows:
http://www.hhs.gov/ocr/privacy/hipaa/understanding/summary/index.html