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
Radiology Jacket Double Ply Top Tab Pocket Alpha Label Barkley Match ACS Sliding Lateral Track
Your Price: $185.00

Add Free Shipping
Your Price: $79.95

Add Free Shipping
Your Price: $13.95

Add
Your Price: $6,500.00

Add Free Shipping
Radiology Jacket Non-Color Coded Double Ply Top Tab Pocket Barkley FABKM Match ACS Lateral Track Movable Shelving Systems
End Tab Expansion Pockets Times 2 Speed Cabinet Numeric Label QuickStrip File Folder Labels, 6-up on 8.5 x 11 Sheet
Your Price: $79.00

Add Free Shipping
Your Price: $4,500.00

Add
Your Price: $22.95

Add Free Shipping
Your Price: $185.00

Add Free Shipping
<!001>End Tab Expansion Pockets Times 2 Speed Files Numeric Label QuickStrip File Folder Labels, 6-up on 8.5 x 11 Sheet
Poly Stick-On Pockets Outguides Custom 6 Tab Fileback Set ALLERGY LABEL
Your Price: $45.95

Add Free Shipping
Your Price: $79.50

Add Free Shipping
Your Price: $3.18

Add Free Shipping
Your Price: $10.95

Add Free Shipping
Poly Stick-On Pockets Outguides <!004>Custom 6 Tab Fileback Set ALLERGY LABEL
Bilingual Privacy Patient Sign-In 36" Wide File Shelving Custom 8 Tab Poly Divider Set Heavy Duty Vinyl Stick-On Pockets
Your Price: $85.95

Add Free Shipping
Your Price: $725.00

Add Free Shipping
Your Price: $4.69

Add Free Shipping
Your Price: $55.95

Add Free Shipping
Bilingual Privacy Patient Sign-In 36 Single Entry Letter Size 4 Post Starter Unit <!010>Custom 8  Tab Poly Divider Set Heavy Duty Vinyl Stick-On Pockets
14 pt Manila 2 Ply End Tab 11 pt Manila 2 Ply End Tab Custom 6 Tab Divider Set Month Label
Your Price: $56.95

Add Free Shipping
Your Price: $48.95

Add
Your Price: $2.43

Add Free Shipping
Your Price: $10.95

Add Free Shipping
Heavy Duty 14 pt Manila 2 Ply End Tab Folder Sturdy Rigid 11 pt Manila 2 Ply End Tab Folder <!004>Custom 6 Tab Divider Set Month Label
Medi-Clip/Docu-Clip 11 pt 2 Ply Color End Tab Folders TAB Match Year Label
Your Price: $49.95

Add Free Shipping
Your Price: $240.00

Add Free Shipping
Your Price: $13.95

Add
Docuclip  Fastener 11pt Reinforced Solid Color End Tab Folders Year 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


$32.50
$23.95
$6,200.00
$17.95