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  Home > MEDICAL > Medical Forms and Books > HIPAA Forms >

  HIPAA PHI Disclosure Log
  PHI Disclosure Log
 
Our Price: $68.00

Unit Qty: 250
Unit: pack

Product Code: AW-HIP-104
Qty:

  
Description
 
PHI Disclosure Log - Track to whom disclosures of PHI are made. Includes pertinent information that should be recorded when disclosures are made. Form will be photocopied for patients requesting an “Accounting of Disclosures.” Retain in each patient’s medical record

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