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The Health Insurance Portability & Accountability Act (HIPAA) doesn't mandate a minimum shred size. However, several brands should be considered more in alignment with HIPAA regulations based not only on shred size, but also on speed and the disposal company (such as Shred It).
Also consider that HIPPA mandates privacy of other media formats as well, including floppy disks, CD-ROM, and data DVDs. A good quality shredder will be able to shred these types of formats easily.
Once you've chosen a name brand quality shredder, the next step is to find a reputable disposal company. Seek out a company that values HIPAA regulations and will provide references.