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Healthcare and Dental

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  • Two-Part Patient Disclosure Authorization HIPAA Form
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    Two-Part Patient Disclosure Authorization HIPAA Form, 8 1/2 x 11"

    JDF-DIS100
    $43.35
    Protect your practice and avoid privacy disputes with this clear, step-by-step form authorizing release of patient information. Personalization includes: Includes your imprinted practice name, address, and phone number, up to 5 lines. 2-part form...
    Qty in Cart: 0
    Price:
    $43.35
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  • Dental Appointment Card, Imprinted
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    Dental Appointment Card, Imprinted, 4 x 2"

    JDF-AP202
    $130.05
    Patients will hold on to this clever card and keep their appointments! Choice of colors: FL Pink, FL Orange, Tan, Yellow, Pink, White, Green. Personalization includes: Convenient size for purse or wallet. Includes your imprinted practice name, address,...
    Qty in Cart: 0
    Price:
    $130.05
    Subtotal:
  • Envelope, Post Operative Instruction, Dental, Spanish
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    Envelope, Post Operative Instruction, Dental, Spanish, 3 1/2 X 6 1/2

    JDF-26S
    $80.75
    These authoritative post-operative instruction envelopes clearly identify information to be followed for your patients' speedy recovery. Gummed flap: seals securely when moistened. Includes pre-printed instructions: Plus room to write your own notes...
    Qty in Cart: 0
    Price:
    $80.75
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  • Notice of Privacy Practices HIPAA Form, Padded, Personalized
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    Notice of Privacy Practices HIPAA Form, Padded, Personalized, 8 1/2 x 11" (100 Sheets per Pad)

    JDF-PRV3
    $63.75
    A clear, convenient way to inform patients of how their medical information may be used and disclosed! Please note: 100 forms per pad - 5 pad minimum. Personalization includes: Includes up to 5 lines of personalization, plus your privacy officer's...
    Qty in Cart: 0
    Price:
    $63.75
    Subtotal:
  • 3-Part Notice of Privacy Practices HIPAA Acknowledgment
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    3-Part Notice of Privacy Practices HIPAA Acknowledgment, 5 1/2 x 8 1/2"

    JDF-PRV2
    $90.10
    A clear, compact form that documents patient receipt of your privacy policy. Personalization includes: Your imprinted practice name, address, and phone number, up to 5 lines. 3-part form provides copies for patient, chart and privacy officer. Please...
    Qty in Cart: 0
    Price:
    $90.10
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  • 3-Part Notice of Privacy Practices HIPAA Acknowledgment
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    3-Part Notice of Privacy Practices HIPAA Acknowledgment, 8 1/2 x 11"

    JDF-PRV1
    $101.15
    Document your patients' receipt of your privacy policy. Personalization includes: Your imprinted practice name, address, and phone number, up to 5 lines. 3-part form provides copies for patient, chart and privacy officer. 2-hole punched at top. SIZE: 8...
    Qty in Cart: 0
    Price:
    $101.15
    Subtotal:
  • HIPAA Requirements Label
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    HIPAA Requirements Label, 4 x 2"

    JDF-HIP01
    $192.95
    Document your compliance actions and display patient privacy directives with fast, easy checkboxes. Space for caregiver initials. SIZE: 4 x 2"
    Qty in Cart: 0
    Price:
    $192.95
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  • General Exam Record, Without Account Record, Letter Style
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    General Exam Record, Without Account Record, Letter Style, 8 1/4 x 10 3/4"

    JDF-H3811
    $84.15
    Maintain accurate patient documentation with these letter style record forms, featuring a plain ruled front and columns for dates, visits and findings on the back. Color format: Printed in black ink on durable buff ledger stock. Easy to use! 5" x 8"...
    Qty in Cart: 0
    Price:
    $84.15
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  • General Patient Exam Records, Letter, w/o Account Record
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    General Patient Exam Records, Letter, w/o Account Record, 8 1/4 x 10 3/4"

    JDF-H3561
    $84.15
    Rely on our letter-style patient record forms for full, accurate documentation of dates, visits & findings. Durable! 24 lb. buff ledger stock. Please note: Account record not included. Handy records! Columns for dates, visits & findings on back. Format:...
    Qty in Cart: 0
    Price:
    $84.15
    Subtotal:
  • General Patient Exam Records,Folder Style
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    General Patient Exam Records,Folder Style, 9 1/2 x 8" full sheet (5 x 8" folded)

    JDF-H356
    $78.20
    Use our convenient folder-style patient exam records for maintaining detailed, accurate documentation of patient visits and findings. Plain ruled record forms provide ample room for keeping comprehensive patient information. Durable 24 lb. buff ledger...
    Qty in Cart: 0
    Price:
    $78.20
    Subtotal:
  • General Patient Exam Records, Letter Style
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    General Patient Exam Records, Letter Style, 8 1/4 x 10 3/4"

    JDF-H3551
    $84.15
    Use our convenient letter-style patient exam records for maintaining detailed, accurate documentation of patient visits and findings. Shrinkwrapped 50 per pack. Medical record formatting on front and back includes columns for dates, visits, findings and...
    Qty in Cart: 0
    Price:
    $84.15
    Subtotal:
  • General Patient Exam Records, Folder Style
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    General Patient Exam Records, Folder Style, 9 1/2 x 8" full sheet (5 x 8" folded)

    JDF-H355
    $78.20
    Use our convenient folder-style patient exam records for maintaining detailed, accurate documentation of patient visits and findings. Plain ruled record forms provide ample room for keeping comprehensive patient information. Format: Folder style Medical...
    Qty in Cart: 0
    Price:
    $78.20
    Subtotal:
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