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Notice of Privacy Practices (NoPP)

The Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule gives individuals a right to be informed of the privacy practices of their health plans and of most of their health care providers, as well as to be informed of their individual rights with respect to their protected health information (PHI).

Health plans and covered health care providers are required to develop and distribute a notice that provides a clear explanation of these rights and practices. The notice is intended to make individuals aware of privacy issues and concerns, and to prompt them to have discussions with their health plans and health care providers and exercise their rights.

The NoPP requirements as set forth by the HIPAA Privacy Rule are specifically codified at 45 C.F.R. Part 164.520 and further implemented within the Military Health System (MHS) by DoD 6025.18-R.

The Defense Health Agency (DHA) Privacy and Civil Liberties Office has revised and updated the MHS’ NoPP, which was issued 10 years ago. These revisions not only bring the NoPP up-to-date and enhance clarity and readability, but most importantly, reflect the HIPAA Omnibus Final Rule modifications to the HIPAA Privacy, Security, Breach Notification, and Enforcement Rules (“HIPAA Rules”) (published at 78 Fed. Reg. 5566-5702 (Jan. 25, 2013)).

The new MHS NoPP is effective October 1, 2013, concurrent with the stand-up of the DHA on October 1, 2013. Please note that, when the new NoPP goes into effect, the old NoPP (dated April 14, 2003) is no longer authorized for use within the MHS. Links to or use of the old NoPP must be discontinued and the new NoPP must be made available to all new patients at MHS treatment facilities. Upon request, existing patients and beneficiaries can also obtain the new NoPP.

NoPP Acknowledgement Form

The NoPP Acknowledgement Form template is sized to scale and can be reproduced locally on Avery Label #5163, 5263, 2163, 5923, 5963 (size: 2 inches x 4 inches). This label has been revised as part of the step up of the DHA on October 1, 2013.

NoPP Format for Print

DHA has provided a print-ready version of the NoPP for your convenience. After printing out the print-ready version of NoPP, fold the document along the lines to create the tri-fold design. A portrait format of the NoPP is also available.

Print-Ready Version Brochure (Tri-fold format: 8.5 inches x 14 inches, landscape/2-sided)

Print-Ready Version (Portrait format: 8.5 inches x 11 inches, vertical)

Print-Ready Version Poster (Portrait format: 24 inches x 36 inches, vertical)

NoPP Foreign Language Translations for Print

DHA has provided foreign language translations of the NoPP in print-ready versions (Portrait format: 8.5 inches x 11 inches, vertical). Please see below for a list of translations available.


Chinese – Simplified

Chinese – Traditional

French – Canadian

French – European






Portuguese – Brazilian

Portuguese – European


Spanish – Latin American

Spanish – European





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