Daily Care Support Services, LLC
Compliance Records Department

I, Jordan Myers, acknowledge that on October 24, 2026, I received and reviewed the agency's Notice of Privacy Practices. I understand my responsibilities under the Health Insurance Portability and Accountability Act (HIPAA) regarding the use and disclosure of client protected health information (PHI), and I agree to report any suspected privacy or security incident to my supervisor immediately.

☑ Notice of Privacy Practices reviewed

☑ HIPAA responsibilities acknowledged

☑ Incident reporting obligation acknowledged