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Two-Part Patient Disclosure Authorization HIPAA Form, 8 1/2 x 11"
JDF-DIS100$43.35Protect 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... -
Notice of Privacy Practices HIPAA Form, Padded, Personalized, 8 1/2 x 11" (100 Sheets per Pad)
JDF-PRV3$63.75A 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... -
3-Part Notice of Privacy Practices HIPAA Acknowledgment, 5 1/2 x 8 1/2"
JDF-PRV2$90.10A 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... -
3-Part Notice of Privacy Practices HIPAA Acknowledgment, 8 1/2 x 11"
JDF-PRV1$101.15Document 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... -
HIPAA Requirements Label, 4 x 2"
JDF-HIP01$192.95Document your compliance actions and display patient privacy directives with fast, easy checkboxes. Space for caregiver initials. SIZE: 4 x 2" -
Notice of Privacy Practices HIPAA Trifold Brochure, 8 1/2 x 11"
JDF-FPRV$96.90Inform your patients how important their privacy is to your practice, while helping you meet your HIPAA compliance responsibilities. Shrinkwrapped 50 per pack. Convenient Trifold Brochure. Notice of Privacy Practices HIPAA Trifold Brochure...