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Shop complyright hipaa patient consent and authorization form

(12 items found)
All filters 12 items found
ComplyRight HIPAA Patient Consent and Authorization Form (A1350)
ComplyRight HIPAA Patient Consent and Authorization Form (A1350)
Item #: 901-398021
Attorney approved form acknowledging patient's consent to release his or her protected health information to an authorized third party
Complies with HIPAA’s authorization requirements
Size: 8 1/2" x 11"
$72.49
Per pack
ComplyRight™ HIPAA Notice of Privacy Practices Poster (A2123)
ComplyRight™ HIPAA Notice of Privacy Practices Poster (A2123)
Item #: 901-728245
Communicates mandatory HIPAA rules to patients
Laminated
Informs patients of their rights and responsibilities under HIPAA regulations
$43.49
Per each
ComplyRight Patient Acknowledgment of Receipt of Privacy Practices Notice (A1354)
ComplyRight Patient Acknowledgment of Receipt of Privacy Practices Notice (A1354)
Item #: 901-398026
Attorney approved form acknowledging patient has received a Notice of Privacy Practices from his or her healthcare provider
HIPAA compliant
Size: 8 1/2" x 11"
$87.99
1-2 pack
Save 23%
$67.99
3+ pack
ComplyRight™ HIPAA Protecting Patient Privacy Poster (A2126)
ComplyRight™ HIPAA Protecting Patient Privacy Poster (A2126)
Item #: 901-728247
Communicates mandatory HIPAA rules to healthcare employees
Educates employees on how and when patient's medical information may be disclosed and what to do if a breach occurs
Poster size 12 x 18"
$39.99
1-4 each
Save 5%
$37.89
5+ each
ComplyRight 2024 ADA Dental Claim Forms, 100 Forms/Pack (20241100)ComplyRight 2024 ADA Dental Claim Forms, 100 Forms/Pack (20241100)
ComplyRight 2024 ADA Dental Claim Forms, 100 Forms/Pack (20241100)
Item #: 901-24602229
Forms conform to the Health Insurance Portability and Accountability Act (HIPAA)
Forms provide a common format for reporting dental services to a patient's dental benefit plan
ADA policy promotes use and acceptance latest version ADA Dental Claim Forms by dentists and payers
$19.09
Per each
Medical Arts Press® Dental Registration and History Form; Tooth Border, 250 Sheets/Pack (20596)Medical Arts Press® Dental Registration and History Form; Tooth Border, 250 Sheets/Pack (20596)
Medical Arts Press® Dental Registration and History Form; Tooth Border, 250 Sheets/Pack (20596)
Item #: 901-20596
HIPAA compliant insurance authorization
Help ensure reimbursement and improve risk management
Collects printed name and relationship to patient
ComplyRight 2024 ADA Dental Claim Forms, 500 Forms/Pack (20241500)ComplyRight 2024 ADA Dental Claim Forms, 500 Forms/Pack (20241500)
ComplyRight 2024 ADA Dental Claim Forms, 500 Forms/Pack (20241500)
Item #: 901-24602228
Forms conform to the Health Insurance Portability and Accountability Act (HIPAA)
Forms provide a common format for reporting dental services to a patient's dental benefit plan
ADA policy promotes use and acceptance latest version ADA Dental Claim Forms by dentists and payers
$45.99
1-2 each
Save 7%
$42.99
3+ each
ComplyRight Notice of Privacy Practice, 100/Pack (A1349)
ComplyRight Notice of Privacy Practice, 100/Pack (A1349)
Item #: 901-398024
Describes how medical information about patients may be used and disclosed
Includes a Tip Sheet in each package that explains the purpose of the form, relevant laws, definitions and do's and don'ts
Size: 8 1/2" x 11"
$35.39
Per pack
ComplyRight 2024 ADA Dental Claim Forms, 1,000 Forms/Pack (202411)ComplyRight 2024 ADA Dental Claim Forms, 1,000 Forms/Pack (202411)
ComplyRight 2024 ADA Dental Claim Forms, 1,000 Forms/Pack (202411)
Item #: 901-24602227
Forms conform to the Health Insurance Portability and Accountability Act (HIPAA)
Forms provide a common format for reporting dental services to a patient's dental benefit plan
ADA policy promotes use and acceptance latest version ADA Dental Claim Forms by dentists and payers
$67.99
Per each
ComplyRight 2024 ADA Dental Claim Forms, 2,500 Forms/Pack (20241)ComplyRight 2024 ADA Dental Claim Forms, 2,500 Forms/Pack (20241)
ComplyRight 2024 ADA Dental Claim Forms, 2,500 Forms/Pack (20241)
Item #: 901-24602226
Forms conform to the Health Insurance Portability and Accountability Act (HIPAA)
Forms provide a common format for reporting dental services to a patient's dental benefit plan
ADA policy promotes use and acceptance latest version ADA Dental Claim Forms by dentists and payers
$132.29
Per each
Cosco HIPAA Notice of Privacy Practices Forms with Acknowledgment Label, English, 8-Part, 250/Pack (074044)Cosco HIPAA Notice of Privacy Practices Forms with Acknowledgment Label, English, 8-Part, 250/Pack (074044)
Cosco HIPAA Notice of Privacy Practices Forms with Acknowledgment Label, English, 8-Part, 250/Pack (074044)
Item #: 901-24644899
Stay HIPAA compliant with confidence – Includes required patient privacy notice and acknowledgment documentation
Save staff time – Built-in detachable acknowledgment label simplifies filing and recordkeeping
Streamline patient intake – 8-part format captures important patient documentation in one step
$174.19
Per each
ComplyRight™ Application for EmploymentComplyRight™ Application for Employment
ComplyRight™ Application for Employment
Item #: 901-AR0374
Front has applicants personal information
Back covers previous employment and plain-language disclosures
Each form includes a free tip sheet with do's and don'ts for proper usage
$74.19
1-2 pack
($1.48/EACH)
Save 15%
$62.99
3+ pack
($1.26/EACH)

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