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
Outguides Times 2 Speed Cabinet 11 pt Manila 2 Ply End Tab Alpha Label Barkley Match
Your Price: $79.50

Add Free Shipping
Your Price: $4,500.00

Add
Your Price: $48.95

Add
Your Price: $13.95

Add
Outguides Times 2 Speed Files Sturdy Rigid 11 pt Manila 2 Ply End Tab Folder Barkley FABKM Match
Custom 8 Tab Poly Divider Set 36" Wide File Shelving 14 pt Manila 2 Ply End Tab Bilingual Privacy Patient Sign-In
Your Price: $4.69

Add Free Shipping
Your Price: $725.00

Add Free Shipping
Your Price: $56.95

Add Free Shipping
Your Price: $85.95

Add Free Shipping
<!010>Custom 8  Tab Poly Divider Set 36 Single Entry Letter Size 4 Post Starter Unit Heavy Duty 14 pt Manila 2 Ply End Tab Folder Bilingual Privacy Patient Sign-In
ALLERGY LABEL 11 pt 2 Ply Color End Tab Folders Double Ply Top Tab Pocket TAB Match Year Label
Your Price: $10.95

Add Free Shipping
Your Price: $240.00

Add Free Shipping
Your Price: $79.95

Add Free Shipping
Your Price: $13.95

Add
ALLERGY LABEL 11pt Reinforced Solid Color End Tab Folders Double Ply Top Tab Pocket Year Label
Heavy Duty Vinyl Stick-On Pockets ACS Sliding Lateral Track Custom 6 Tab Divider Set End Tab Expansion Pockets
Your Price: $55.95

Add Free Shipping
Your Price: $6,500.00

Add Free Shipping
Your Price: $2.43

Add Free Shipping
Your Price: $79.00

Add Free Shipping
Heavy Duty Vinyl Stick-On Pockets ACS Lateral Track Movable Shelving Systems <!004>Custom 6 Tab Divider Set <!001>End Tab Expansion Pockets
Month Label Poly Stick-On Pockets Medi-Clip/Docu-Clip QuickStrip File Folder Labels, 6-up on 8.5 x 11 Sheet
Your Price: $10.95

Add Free Shipping
Your Price: $45.95

Add Free Shipping
Your Price: $49.95

Add Free Shipping
Your Price: $185.00

Add Free Shipping
Month Label Poly Stick-On Pockets Docuclip  Fastener QuickStrip File Folder Labels, 6-up on 8.5 x 11 Sheet
Radiology Jacket Custom 6 Tab Fileback Set Numeric Label
Your Price: $185.00

Add Free Shipping
Your Price: $3.18

Add Free Shipping
Your Price: $22.95

Add Free Shipping
Radiology Jacket Non-Color Coded <!004>Custom 6 Tab Fileback Set Numeric 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


$10.91
$19.05
$17.95
$27.95