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
ACS Sliding Lateral Track Custom 8 Tab Poly Divider Set Times 2 Speed Cabinet Radiology Jacket
Your Price: $6,500.00

Add Free Shipping
Your Price: $4.69

Add Free Shipping
Your Price: $4,500.00

Add
Your Price: $185.00

Add Free Shipping
ACS Lateral Track Movable Shelving Systems <!010>Custom 8  Tab Poly Divider Set Times 2 Speed Files Radiology Jacket Non-Color Coded
Alpha Label Barkley Match 14 pt Manila 2 Ply End Tab Bilingual Privacy Patient Sign-In QuickStrip File Folder Labels, 6-up on 8.5 x 11 Sheet
Your Price: $13.95

Add
Your Price: $56.95

Add Free Shipping
Your Price: $85.95

Add Free Shipping
Your Price: $185.00

Add Free Shipping
Barkley FABKM Match Heavy Duty 14 pt Manila 2 Ply End Tab Folder Bilingual Privacy Patient Sign-In QuickStrip File Folder Labels, 6-up on 8.5 x 11 Sheet
TAB Match Year Label Custom 6 Tab Fileback Set 36" Wide File Shelving 11 pt 2 Ply Color End Tab Folders
Your Price: $13.95

Add
Your Price: $3.18

Add Free Shipping
Your Price: $725.00

Add Free Shipping
Your Price: $240.00

Add Free Shipping
Year Label <!004>Custom 6 Tab Fileback Set 36 Single Entry Letter Size 4 Post Starter Unit 11pt Reinforced Solid Color End Tab Folders
Month Label Outguides Medi-Clip/Docu-Clip Heavy Duty Vinyl Stick-On Pockets
Your Price: $10.95

Add Free Shipping
Your Price: $79.50

Add Free Shipping
Your Price: $49.95

Add Free Shipping
Your Price: $55.95

Add Free Shipping
Month Label Outguides Docuclip  Fastener Heavy Duty Vinyl Stick-On Pockets
ALLERGY LABEL End Tab Expansion Pockets Double Ply Top Tab Pocket Numeric Label
Your Price: $10.95

Add Free Shipping
Your Price: $79.00

Add Free Shipping
Your Price: $79.95

Add Free Shipping
Your Price: $22.95

Add Free Shipping
ALLERGY LABEL <!001>End Tab Expansion Pockets Double Ply Top Tab Pocket Numeric Label
11 pt Manila 2 Ply End Tab Custom 6 Tab Divider Set Poly Stick-On Pockets
Your Price: $48.95

Add
Your Price: $2.43

Add Free Shipping
Your Price: $45.95

Add Free Shipping
Sturdy Rigid 11 pt Manila 2 Ply End Tab Folder <!004>Custom 6 Tab Divider Set Poly Stick-On Pockets

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