ComplyRight HIPAA Patient Consent and Authorization for Release of PHI Form - 200/Pack
$40.49
In stock
SKU
636687
Keep your patients informed with this ComplyRight HIPAA patient consent and authorization for release of PHI form. This form allows healthcare providers to obtain authorization from patients regarding release of their personal health information that is not for treatment, payment, healthcare operations, or otherwise permitted/required by HIPAA privacy law. This patient authorization is a requirement for all healthcare providers and includes all elements that make the authorization valid. This form should be handed out to patients before, during, or after visits. It is attorney approved, ensuring that it is up-to-date and legally compliant. Plus, at 8 1/2" x 11" in size, it can be easily stored in standard file cabinets for quick reference. Overall Dimensions: Length: 11" Width: 8 1/2"
Keep your patients informed with this ComplyRight HIPAA patient consent and authorization for release of PHI form. This form allows healthcare providers to obtain authorization from patients regarding release of their personal health information that is not for treatment, payment, healthcare operations, or otherwise permitted/required by HIPAA privacy law. This patient authorization is a requirement for all healthcare providers and includes all elements that make the authorization valid. This form should be handed out to patients before, during, or after visits. It is attorney approved, ensuring that it is up-to-date and legally compliant. Plus, at 8 1/2" x 11" in size, it can be easily stored in standard file cabinets for quick reference. Overall Dimensions: Length: 11" Width: 8 1/2"
| Item Number | 529A1350 |
|---|---|
| Specifications | Quantity: 200/Pack Shipping Weight: 0.77 lb. Length: 11 Inches Width: 8 1/2 Inches Binding: Unbound Color: White Features: Made in America Language: English Material: Paper Number of Holes: 0 Holes Shape: Rectangle Type: Medical Services Forms |
| Features | Required to be given to patients under HIPAA law, Includes all HIPAA required elements for obtaining authorization to disclose PHI, A patient's written authorization must be obtained for use of protected health information, Standard 8 1/2" x 11 size for easy filing, Promotes safety and compliancy in medical settings |
| Shipping Info | Usually Ships in 5-6 Business Days |
| Brand | ComplyRight |
| UPC | 400015410465 |
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