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
QuickStrip File Folder Labels, 6-up on 8.5 x 11 Sheet Bilingual Privacy Patient Sign-In 11 pt Manila 2 Ply End Tab ACS Sliding Lateral Track
Your Price: $185.00

Add Free Shipping
Your Price: $85.95

Add Free Shipping
Your Price: $48.95

Add
Your Price: $6,500.00

Add Free Shipping
QuickStrip File Folder Labels, 6-up on 8.5 x 11 Sheet Bilingual Privacy Patient Sign-In Sturdy Rigid 11 pt Manila 2 Ply End Tab Folder ACS Lateral Track Movable Shelving Systems
Medi-Clip/Docu-Clip End Tab Expansion Pockets 11 pt 2 Ply Color End Tab Folders Alpha Label Barkley Match
Your Price: $49.95

Add Free Shipping
Your Price: $79.00

Add Free Shipping
Your Price: $240.00

Add Free Shipping
Your Price: $13.95

Add
Docuclip  Fastener <!001>End Tab Expansion Pockets 11pt Reinforced Solid Color End Tab Folders Barkley FABKM Match
Custom 8 Tab Poly Divider Set Month Label Heavy Duty Vinyl Stick-On Pockets ALLERGY LABEL
Your Price: $4.69

Add Free Shipping
Your Price: $10.95

Add Free Shipping
Your Price: $55.95

Add Free Shipping
Your Price: $10.95

Add Free Shipping
<!010>Custom 8  Tab Poly Divider Set Month Label Heavy Duty Vinyl Stick-On Pockets ALLERGY LABEL
Custom 6 Tab Fileback Set Poly Stick-On Pockets 36" Wide File Shelving Custom 6 Tab Divider Set
Your Price: $3.18

Add Free Shipping
Your Price: $45.95

Add Free Shipping
Your Price: $725.00

Add Free Shipping
Your Price: $2.43

Add Free Shipping
<!004>Custom 6 Tab Fileback Set Poly Stick-On Pockets 36 Single Entry Letter Size 4 Post Starter Unit <!004>Custom 6 Tab Divider Set
TAB Match Year Label Times 2 Speed Cabinet Radiology Jacket 14 pt Manila 2 Ply End Tab
Your Price: $13.95

Add
Your Price: $4,500.00

Add
Your Price: $185.00

Add Free Shipping
Your Price: $56.95

Add Free Shipping
Year Label Times 2 Speed Files Radiology Jacket Non-Color Coded Heavy Duty 14 pt Manila 2 Ply End Tab Folder
Outguides Double Ply Top Tab Pocket Numeric Label
Your Price: $79.50

Add Free Shipping
Your Price: $79.95

Add Free Shipping
Your Price: $22.95

Add Free Shipping
Outguides Double Ply Top Tab Pocket 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


$62.00
$12.95
$39.95
$11.95