2017-655 Health - MOU with Dept of Family Medicine FIT program

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ATTACHMENT A CONTACT INFORMATION To report to Covered Entity any use or disclosure of Protected Health Information not in compliance with the terms of this Agreement that might be considered a privacy breach, Business Associate should contact the Privacy Officer at the applicable entity. To report to Covered Entity any Security Incident (as defined in the Agreement), Business Associate should contact Carla Julian (919) 245 -2434, or the Security Officer at The Orange County Health Department. {00102 384.DUCX}