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 Heavy Duty Vinyl Stick-On Pockets 11 pt Manila 2 Ply End Tab Times 2 Speed Cabinet
Your Price: $79.50

Add Free Shipping
Your Price: $55.95

Add Free Shipping
Your Price: $48.95

Add
Your Price: $4,500.00

Add
Outguides Heavy Duty Vinyl Stick-On Pockets Sturdy Rigid 11 pt Manila 2 Ply End Tab Folder Times 2 Speed Files
Custom 8 Tab Poly Divider Set Poly Stick-On Pockets Medi-Clip/Docu-Clip End Tab Expansion Pockets
Your Price: $4.69

Add Free Shipping
Your Price: $45.95

Add Free Shipping
Your Price: $49.95

Add Free Shipping
Your Price: $79.00

Add Free Shipping
<!010>Custom 8  Tab Poly Divider Set Poly Stick-On Pockets Docuclip  Fastener <!001>End Tab Expansion Pockets
Bilingual Privacy Patient Sign-In TAB Match Year Label Double Ply Top Tab Pocket Month Label
Your Price: $85.95

Add Free Shipping
Your Price: $13.95

Add
Your Price: $79.95

Add Free Shipping
Your Price: $10.95

Add Free Shipping
Bilingual Privacy Patient Sign-In Year Label Double Ply Top Tab Pocket Month Label
14 pt Manila 2 Ply End Tab QuickStrip File Folder Labels, 6-up on 8.5 x 11 Sheet Alpha Label Barkley Match 11 pt 2 Ply Color End Tab Folders
Your Price: $56.95

Add Free Shipping
Your Price: $185.00

Add Free Shipping
Your Price: $13.95

Add
Your Price: $240.00

Add Free Shipping
Heavy Duty 14 pt Manila 2 Ply End Tab Folder QuickStrip File Folder Labels, 6-up on 8.5 x 11 Sheet Barkley FABKM Match 11pt Reinforced Solid Color End Tab Folders
Numeric Label ACS Sliding Lateral Track 36" Wide File Shelving ALLERGY LABEL
Your Price: $22.95

Add Free Shipping
Your Price: $6,500.00

Add Free Shipping
Your Price: $725.00

Add Free Shipping
Your Price: $10.95

Add Free Shipping
Numeric Label ACS Lateral Track Movable Shelving Systems 36 Single Entry Letter Size 4 Post Starter Unit ALLERGY LABEL
Radiology Jacket Custom 6 Tab Fileback Set Custom 6 Tab Divider Set
Your Price: $185.00

Add Free Shipping
Your Price: $3.18

Add Free Shipping
Your Price: $2.43

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


$12.95
$12.95
$88.00
$9.95