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
Times 2 Speed Cabinet ALLERGY LABEL TAB Match Year Label 11 pt Manila 2 Ply End Tab
Your Price: $4,500.00

Add
Your Price: $10.95

Add Free Shipping
Your Price: $13.95

Add
Your Price: $48.95

Add
Times 2 Speed Files ALLERGY LABEL Year Label Sturdy Rigid 11 pt Manila 2 Ply End Tab Folder
14 pt Manila 2 Ply End Tab 11 pt 2 Ply Color End Tab Folders Alpha Label Barkley Match 36" Wide File Shelving
Your Price: $56.95

Add Free Shipping
Your Price: $240.00

Add Free Shipping
Your Price: $13.95

Add
Your Price: $725.00

Add Free Shipping
Heavy Duty 14 pt Manila 2 Ply End Tab Folder 11pt Reinforced Solid Color End Tab Folders Barkley FABKM Match 36 Single Entry Letter Size 4 Post Starter Unit
Medi-Clip/Docu-Clip Heavy Duty Vinyl Stick-On Pockets End Tab Expansion Pockets Poly Stick-On Pockets
Your Price: $49.95

Add Free Shipping
Your Price: $55.95

Add Free Shipping
Your Price: $79.00

Add Free Shipping
Your Price: $45.95

Add Free Shipping
Docuclip  Fastener Heavy Duty Vinyl Stick-On Pockets <!001>End Tab Expansion Pockets Poly Stick-On Pockets
Double Ply Top Tab Pocket QuickStrip File Folder Labels, 6-up on 8.5 x 11 Sheet ACS Sliding Lateral Track Outguides
Your Price: $79.95

Add Free Shipping
Your Price: $185.00

Add Free Shipping
Your Price: $6,500.00

Add Free Shipping
Your Price: $79.50

Add Free Shipping
Double Ply Top Tab Pocket QuickStrip File Folder Labels, 6-up on 8.5 x 11 Sheet ACS Lateral Track Movable Shelving Systems Outguides
Custom 6 Tab Divider Set Numeric Label Radiology Jacket Bilingual Privacy Patient Sign-In
Your Price: $2.43

Add Free Shipping
Your Price: $22.95

Add Free Shipping
Your Price: $185.00

Add Free Shipping
Your Price: $85.95

Add Free Shipping
<!004>Custom 6 Tab Divider Set Numeric Label Radiology Jacket Non-Color Coded Bilingual Privacy Patient Sign-In
Custom 8 Tab Poly Divider Set Month Label Custom 6 Tab Fileback Set
Your Price: $4.69

Add Free Shipping
Your Price: $10.95

Add Free Shipping
Your Price: $3.18

Add Free Shipping
<!010>Custom 8  Tab Poly Divider Set Month Label <!004>Custom 6 Tab Fileback Set

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


$10.95
$115.00