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
Custom 6 Tab Fileback Set 36" Wide File Shelving Times 2 Speed Cabinet ACS Sliding Lateral Track
Your Price: $3.18

Add Free Shipping
Your Price: $725.00

Add Free Shipping
Your Price: $4,500.00

Add
Your Price: $6,500.00

Add Free Shipping
<!004>Custom 6 Tab Fileback Set 36 Single Entry Letter Size 4 Post Starter Unit Times 2 Speed Files ACS Lateral Track Movable Shelving Systems
Medi-Clip/Docu-Clip ALLERGY LABEL Outguides Alpha Label Barkley Match
Your Price: $49.95

Add Free Shipping
Your Price: $10.95

Add Free Shipping
Your Price: $79.50

Add Free Shipping
Your Price: $13.95

Add
Docuclip  Fastener ALLERGY LABEL Outguides Barkley FABKM Match
QuickStrip File Folder Labels, 6-up on 8.5 x 11 Sheet 14 pt Manila 2 Ply End Tab Radiology Jacket Custom 6 Tab Divider Set
Your Price: $185.00

Add Free Shipping
Your Price: $56.95

Add Free Shipping
Your Price: $185.00

Add Free Shipping
Your Price: $2.43

Add Free Shipping
QuickStrip File Folder Labels, 6-up on 8.5 x 11 Sheet Heavy Duty 14 pt Manila 2 Ply End Tab Folder Radiology Jacket Non-Color Coded <!004>Custom 6 Tab Divider Set
11 pt Manila 2 Ply End Tab Numeric Label 11 pt 2 Ply Color End Tab Folders Month Label
Your Price: $48.95

Add
Your Price: $22.95

Add Free Shipping
Your Price: $240.00

Add Free Shipping
Your Price: $10.95

Add Free Shipping
Sturdy Rigid 11 pt Manila 2 Ply End Tab Folder Numeric Label 11pt Reinforced Solid Color End Tab Folders Month Label
End Tab Expansion Pockets Bilingual Privacy Patient Sign-In Double Ply Top Tab Pocket Poly Stick-On Pockets
Your Price: $79.00

Add Free Shipping
Your Price: $85.95

Add Free Shipping
Your Price: $79.95

Add Free Shipping
Your Price: $45.95

Add Free Shipping
<!001>End Tab Expansion Pockets Bilingual Privacy Patient Sign-In Double Ply Top Tab Pocket Poly Stick-On Pockets
TAB Match Year Label Custom 8 Tab Poly Divider Set Heavy Duty Vinyl Stick-On Pockets
Your Price: $13.95

Add
Your Price: $4.69

Add Free Shipping
Your Price: $55.95

Add Free Shipping
Year Label <!010>Custom 8  Tab Poly Divider Set Heavy Duty Vinyl 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

Product price is not filled in. This product cannot be purchased.



$7.95
$37.00
$22.95
$14.95