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WHIP110 PHI Tracking Log
Click image to enlarge
| P R O D U C T D E T A I L S |
| Product Info: | Health Portability and Accounting Act (HIPAA) form that meets the Protected Health Information (PHI) requirements.
This comprehensive log allows your practice to track the status of each request the patient may have.
It summarizes all forms that will be completed by the patient that are filed in the medical records: Request To Inspect/Copy, Request For Restrictions, Request For Confidential Communications, Request for Amendment, and Request For Accounting Of Disclosures.
The use of this log will eliminate the need to look through the entire record to determine if the patient has exercised nay of his privacy rights.
All information is on this one form. |
| P R O D U C T P R I C I N G |
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Parts |
| Quantity |
1 |
| 100 | 20.00 | | 200 | 39.00 | | 300 | 63.00 | | 400 | 69.00 | | 500 | 87.00 | | 600 | 103.00 | | 700 | 121.00 | | 800 | 120.00 | | 900 | 135.00 | | 1000 | 149.00 | | 1100 | 165.00 | | 1200 | 166.00 | | 1300 | 180.00 | | 1400 | 193.00 | | 1500 | 205.00 |
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