Home > MEDICAL / CHIROPRACTIC > Medical Forms > HIPAA Forms >

HIPAA PHI Disclosure Log
PHI Disclosure Log
 
FREE SHIPPING!
Buy 3 packs of this Item and get FREE SHIPPING!
Less than 3 packs Flat Shipping Rate $9.95
List Price: $105.00
Your Price: $78.00
You Save $27.00!
Unit Qty: 250
Unit: pack


Product Code: AW-HIP-104
Qty:

Description Freight, Returns & Sales Tax Policies
 
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

Products Frequently Bought Together
11 pt Manila 2 Ply End Tab Numeric Label Medi-Clip/Docu-Clip Month Label
Your Price: $48.95

Add
Your Price: $22.95

Add Free Shipping
Your Price: $49.95

Add Free Shipping
Your Price: $10.95

Add Free Shipping
Sturdy Rigid 11 pt Manila 2 Ply End Tab Folder Numeric Label Docuclip  Fastener Month Label
Bilingual Privacy Patient Sign-In Alpha Label Barkley Match Radiology Jacket TAB Match Year Label
Your Price: $85.95

Add Free Shipping
Your Price: $13.95

Add
Your Price: $185.00

Add Free Shipping
Your Price: $13.95

Add
Bilingual Privacy Patient Sign-In Barkley FABKM Match Radiology Jacket Non-Color Coded Year Label
Outguides QuickStrip File Folder Labels, 6-up on 8.5 x 11 Sheet Custom 6 Tab Divider Set Poly Stick-On Pockets
Your Price: $79.50

Add Free Shipping
Your Price: $185.00

Add Free Shipping
Your Price: $2.43

Add Free Shipping
Your Price: $45.95

Add Free Shipping
Outguides QuickStrip File Folder Labels, 6-up on 8.5 x 11 Sheet <!004>Custom 6 Tab Divider Set Poly Stick-On Pockets
Custom 8 Tab Poly Divider Set 14 pt Manila 2 Ply End Tab 36" Wide File Shelving Double Ply Top Tab Pocket
Your Price: $4.69

Add Free Shipping
Your Price: $56.95

Add Free Shipping
Your Price: $725.00

Add Free Shipping
Your Price: $79.95

Add Free Shipping
<!010>Custom 8  Tab Poly Divider Set Heavy Duty 14 pt Manila 2 Ply End Tab Folder 36 Single Entry Letter Size 4 Post Starter Unit Double Ply Top Tab Pocket
Times 2 Speed Cabinet Custom 6 Tab Fileback Set End Tab Expansion Pockets 11 pt 2 Ply Color End Tab Folders
Your Price: $4,500.00

Add
Your Price: $3.18

Add Free Shipping
Your Price: $79.00

Add Free Shipping
Your Price: $240.00

Add Free Shipping
Times 2 Speed Files <!004>Custom 6 Tab Fileback Set <!001>End Tab Expansion Pockets 11pt Reinforced Solid Color End Tab Folders
ACS Sliding Lateral Track Heavy Duty Vinyl Stick-On Pockets ALLERGY LABEL
Your Price: $6,500.00

Add Free Shipping
Your Price: $55.95

Add Free Shipping
Your Price: $10.95

Add Free Shipping
ACS Lateral Track Movable Shelving Systems Heavy Duty Vinyl Stick-On Pockets ALLERGY LABEL

Share your knowledge of this product with other customers... Be the first to write a review

Browse for more products in the same category as this item:

MEDICAL / CHIROPRACTIC
MEDICAL / CHIROPRACTIC > Medical Forms
DENTAL > Dental Forms
Medical Forms and Books
OFFICE PRODUCTS > Forms and Books
MEDICAL / CHIROPRACTIC > Medical Forms > HIPAA Forms
DENTAL > Dental Forms > HIPAA
Medical Forms and Books > HIPAA Forms
OFFICE PRODUCTS > Forms and Books > HIPAA Forms
MEDICAL / CHIROPRACTIC > HIPAA Compliant Products


$189.00
$18.50
$14.95