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HIPAA Forms and Products
See HIPAA Labels Below
Confidential Sign In Sheets
Remove Strips after the Patient has signed in and next patient cannot tell who signed in prior to them.
Available in Blue, Green, and Salmon.
$63.00/pkg of 250
Notice of Privacy Practices
Notice of Privacy Practices required to be given to each patient. One page format (yes it all fits on one page). Can be personalized with your practice information (not necessary). $6.00/100
Not copyrighted so you can take one to Kinko's and make your own.
Patient Acknowledgement and Consent Form
Patient Acknowledgement and Consent Form. Just have patient sign and keep in ther file. Two hole punched, Padded in 100s. $6.00/100
HIPAA Labels
Price Code Price per Roll
H $4,75/roll of 250
V $6.00/roll of 100
M $7.99/roll of 100
L $9.99/roll of 175
I $7.99/roll of 500
SX $7.99/roll of 500
QH $6.99/roll of 250
F $9.99/roll of 420
DL $3.75/roll of 250
DH $4.50/roll of 250
B $6.00/roll of 300
More HIPAA Labels (see price above)
Once the patient has signed the Acknowledgement of having received your Notice of Privacy Practices you place this blue label on the cover of the chart to notify the office staff that they do not have to collect this information again and again.
TO ORDER: 1-800-426-2782
HIPAA Index Divider (red)
Side or bottom tab, two hole punched. $12.89/100

