Shop medical arts press hipaa record of disclosures
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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
Medical Arts Press Dental Registration Forms Featuring Updates Section; Sky Blue, Spanish (20743)
Item #: 901-20743
Collects printed name and relationship to patient
Medication list requests correlating diagnosis
Screens for artificial heart valves, artificial joints, heart
Medical Arts Press® Dental Treatment Consent Form; 1-Sided
Item #: 901-20606
Provides your patient complete information about their treatment and its risks
Obtains written consent for your records
Just check off applicable conditions; patient reads explanation, initials and signs
Medical Arts Press Registration Forms without Updates Section ; Brush Silhouette
Item #: 901-21786
Comprehensive form gathers complete insurance information, making it easier for you to process claims
Silhouetted toothbrush design welcomes patients
Printed in 1-color on two sides on 24-lb. white bond paper
Medical Arts Press® Chiropractic Registration and History Form, 250 Forms/Pack (21701)
Item #: 901-21701
Forms ensure reimbursement, improve risk management and document your clinical process
Comprehensive color forms include areas for complete registration and history information, reason for visit, type of pain, site of pain or numbness
Also features areas for severity, onset, effect on daily activities, and co
Medical Arts Press Registration Form; Smile Team
Item #: 901-21784
Comprehensive form gathers complete insurance information, making it easier for you to process claims
Friendly "happy teeth" design welcomes patients
Printed in 2-color on two sides on 24-lb. white bond paper
$80.29
1 pack
($0.32/EACH)
Save 7%
$74.79
2+ pack
($0.30/EACH)
Medical Arts Press Chiropractic Registration and History Forms, Holistic Care
Item #: 901-15165
Forms ensure reimbursement, improve risk management and document your clinical process
Comprehensive color forms include areas for complete registration and history information, reason for visit, type of pain, site of pain or numbness, severity
Also includes areas for onset, effect on daily activities, and conditions
Medical Arts Press® Standard Preprinted Chart Divider Tabs, HIPAA/Privacy, Red
Item #: 901-39964
Red tab
100/box
Titles are printed in black ink on white stock with a color-coded edge
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
Patient Record Labels, Patient Record Confidential, Green, 4x2-1/2", 100 Labels
Item #: 901-33373
Each label measures 2 1/2"H x 4"W
Green
Legend: Patient Record Confidential
Medical Arts Press® Chiropractic Registration and History Form without Updates, Sky Blue, 250 Forms/Pack (20572)
Item #: 901-20572
Forms ensure reimbursement, improve risk management and document your clinical process
Comprehensive color forms include areas for complete registration and history information, reason for visit, type of pain, site of pain or numbness
Also features areas for severity, onset, effect on daily activities, and co
$76.29
1 pack
($0.31/EACH)
Save 6%
$71.99
2+ pack
($0.29/EACH)
Medical Arts Press 2003 Dental Insurance Signature Label, HIPPAA Compliant (20158)
Item #: 901-20158
Patient Signs Several Stickers At First Visit To Your Office
Affix A Sticker to Your Completed Insurance Claim Form & Keep The Rest for Future Use
Size: 3.875 x 1.4375 inch
$35.99
1-3 roll
($0.36/EACH)
Save 6%
$33.99
4+ roll
($0.34/EACH)
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"
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"
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
Dome Notary Public Record Book, 500-Entry, Red (880)
Item #: 901-880
Easy-to-use, compliant, and comprehensive notarial record keeping system for households and individuals
Red cover for incredible look
Sewn and numbered pages for added security
Staples Record Book, Black, 300 Sheets/Book (217919)
Item #: 901-217919
Record book for keeping track of tons of information
Black cover with burgundy spine and corners features gold-stamped title for elegant look
Contains 300 numbered pages, faintly ruled with margin lines, 40 lines per page
TOPS Employee Record Master File, 20/Pack (TOP 3280)
Item #: 901-3280Q
Employee personal file includes all you need to build a complete employee record
20 personal files per pack
Comes in manila color with blue ink
$34.39
1-3 pack
($1.72/EACH)
Save 4%
$32.99
4+ pack
($1.65/EACH)
Patient Record Labels, HIPAA, Fluorescent Red, 0.875 x 1.5 inch, 250 Labels
Item #: 901-38290T
Fluorescent Hipaa Labels Quickly Identify Folders That Are Hipaa Compliant
Fluorescent Red Stickers Printed On Pressure-Sensitive Stock
250/Roll
Patient Record Labels, Confidential, Red, 1x6-1/2", 100 Labels
Item #: 901-33357
100 per roll
Red
Size: 6-1/2x1"
National Brand Canvas Tuff Series Record Book, 7.63" x 12.13", Green, 250 Sheets/Book (A66500R)
Item #: 901-A66500R
Book for records and daily schedules
Canvas hardcover in green
Includes 500 numbered pages with blue ruling and margin
Dome Auto Mileage Log Record Book, 3.25" x 6.25", Gray (770)
Item #: 901-219022
Easy to use log to provide records for those who use their automobile for business purposes
Comes with gray cover
Overall dimensions: 3.25"W x 6.25"H
Staples Record Book, 300 Pages, Black (18658/26510)
Item #: 901-217695
Record book for keeping track of tons of information
Black cover with burgundy spine and corners for elegant look
Contains 300 numbered pages, faintly ruled with margin lines; 33 lines per page
