Register for General HIPAA Awareness Training

Please complete this form to register for all HIPAA training courses.

This form can be used to request any HIPAA training course we offer.  Specific courses may be noted in the "Comments" section below. Courses are assigned based upon the information you provide in this form, and if applicable, any previous HIPAA training you have completed.  HIPAA training will not automatically appear on your blackboard, please complete the form below so we may enroll you. Then, watch for an email from the Privacy Office Service Account with instructions to complete the course(s).

FULL NAME (i.e.: John B Doe or John Bryan Doe) [First] [Middle OR Middle Initial] [Last]
Affiliation with University of Louisville
How are you affiliated with the University? Please select one.

Provide the department or school for which you are required to complete HIPAA training.
Access to Protected Health Information?
Are you, or will you be, involved in research on human subjects or have access to their protected health information?

Provide details or explain ALL "Other" answers above. Also tell us why you need to take HIPAA training at the University of Louisville.

Complete the form above and click "SUBMIT".

IMPORTANT NOTE: If you do not see a confirmation page AND receive an email copy of the submission, WE ALSO DO NOT RECEIVE YOUR SUBMISSION.  Please review your responses, correct all errors and click submit again, until you do see the confirmation screen.

If you are not contacted by the Privacy Office within 3 full business days, please call 502-852-3803 or email privacy(@) .