Angela Carlsson completed training on the UCLA HIPAA curriculum through the CITI Program. She received a score of 100% on the required module. The report provides her name, email, institution affiliation at UCLA, department, curriculum and course group, and completion date of November 24, 2015. It verifies that she successfully completed all requirements for the UCLA HIPAA course through the CITI Program.

1. COLLABORATIVE INSTITUTIONAL TRAINING INITIATIVE (CITI PROGRAM)
COURSEWORK REQUIREMENTS REPORT*
* NOTE: Scores on this Requirements Report reflect quiz completions at the time all requirements for the course were met. See list below for details.
See separate Transcript Report for more recent quiz scores, including those on optional (supplemental) course elements.
• Name: Angela Carlsson (ID: 5177163)
• Email: angela.carlsson.663@my.csun.edu
• Institution Affiliation: University of California, Los Angeles (UCLA) (ID: 762)
• Institution Unit: PSYCHIATRY/BIOBEHAVIORAL SCI
• Curriculum Group: UCLA HIPAA
• Course Learner Group: Same as Curriculum Group
• Stage: Stage 1 - Stage 1
• Report ID: 17709867
• Completion Date: 11/24/2015
• Expiration Date: N/A
• Minimum Passing: 80
• Reported Score*: 100
REQUIRED AND ELECTIVE MODULES ONLY DATE COMPLETED
UCLA HIPAA (ID: 13861) 11/24/15
For this Report to be valid, the learner identified above must have had a valid affiliation with the CITI Program subscribing institution
identified above or have been a paid Independent Learner.
CITI Program
Email: citisupport@miami.edu
Phone: 305-243-7970
Web: https://www.citiprogram.org

2. COLLABORATIVE INSTITUTIONAL TRAINING INITIATIVE (CITI PROGRAM)
COURSEWORK TRANSCRIPT REPORT**
** NOTE: Scores on this Transcript Report reflect the most current quiz completions, including quizzes on optional (supplemental) elements of the
course. See list below for details. See separate Requirements Report for the reported scores at the time all requirements for the course were met.
• Name: Angela Carlsson (ID: 5177163)
• Email: angela.carlsson.663@my.csun.edu
• Institution Affiliation: University of California, Los Angeles (UCLA) (ID: 762)
• Institution Unit: PSYCHIATRY/BIOBEHAVIORAL SCI
• Curriculum Group: UCLA HIPAA
• Course Learner Group: Same as Curriculum Group
• Stage: Stage 1 - Stage 1
• Report ID: 17709867
• Report Date: 11/24/2015
• Current Score**: 100
REQUIRED, ELECTIVE, AND SUPPLEMENTAL MODULES MOST RECENT
UCLA HIPAA (ID: 13861) 11/24/15
For this Report to be valid, the learner identified above must have had a valid affiliation with the CITI Program subscribing institution
identified above or have been a paid Independent Learner.
CITI Program
Email: citisupport@miami.edu
Phone: 305-243-7970
Web: https://www.citiprogram.org