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
End Tab Expansion Pockets 14 pt Manila 2 Ply End Tab Numeric Label Custom 8 Tab Poly Divider Set
Your Price: $79.00

Add Free Shipping
Your Price: $56.95

Add Free Shipping
Your Price: $22.95

Add Free Shipping
Your Price: $4.69

Add Free Shipping
<!001>End Tab Expansion Pockets Heavy Duty 14 pt Manila 2 Ply End Tab Folder Numeric Label <!010>Custom 8  Tab Poly Divider Set
Outguides Medi-Clip/Docu-Clip Month Label Alpha Label Barkley Match
Your Price: $79.50

Add Free Shipping
Your Price: $49.95

Add Free Shipping
Your Price: $10.95

Add Free Shipping
Your Price: $13.95

Add
Outguides Docuclip  Fastener Month Label Barkley FABKM Match
Double Ply Top Tab Pocket 11 pt 2 Ply Color End Tab Folders QuickStrip File Folder Labels, 6-up on 8.5 x 11 Sheet Custom 6 Tab Divider Set
Your Price: $79.95

Add Free Shipping
Your Price: $240.00

Add Free Shipping
Your Price: $185.00

Add Free Shipping
Your Price: $2.43

Add Free Shipping
Double Ply Top Tab Pocket 11pt Reinforced Solid Color End Tab Folders QuickStrip File Folder Labels, 6-up on 8.5 x 11 Sheet <!004>Custom 6 Tab Divider Set
TAB Match Year Label Bilingual Privacy Patient Sign-In 11 pt Manila 2 Ply End Tab 36" Wide File Shelving
Your Price: $13.95

Add
Your Price: $85.95

Add Free Shipping
Your Price: $48.95

Add
Your Price: $725.00

Add Free Shipping
Year Label Bilingual Privacy Patient Sign-In Sturdy Rigid 11 pt Manila 2 Ply End Tab Folder 36 Single Entry Letter Size 4 Post Starter Unit
Heavy Duty Vinyl Stick-On Pockets Times 2 Speed Cabinet ALLERGY LABEL Radiology Jacket
Your Price: $55.95

Add Free Shipping
Your Price: $4,500.00

Add
Your Price: $10.95

Add Free Shipping
Your Price: $185.00

Add Free Shipping
Heavy Duty Vinyl Stick-On Pockets Times 2 Speed Files ALLERGY LABEL Radiology Jacket Non-Color Coded
Poly Stick-On Pockets ACS Sliding Lateral Track Custom 6 Tab Fileback Set
Your Price: $45.95

Add Free Shipping
Your Price: $6,500.00

Add Free Shipping
Your Price: $3.18

Add Free Shipping
Poly Stick-On Pockets ACS Lateral Track Movable Shelving Systems <!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


$995.00
$11.95
$6,200.00