Please print this order form and mail completed form along with a check to:

The Coalition of Behavioral Health Agencies
Attn: Patricia Gallo Goldstein
90 Broad Street, 8th Floor
New York, NY 10004

HIPAA Toolkit               __ $230.00 Member  __ $305.00 Non-member
HIPAA Privacy Rule Video    __ $ 54.95 Member  __ $104.95 Non-member
HIPAA Privacy Officer Video __ $ 54.95 Member  __ $104.95 Non-membe