Health Portability and Accounting Act (HIPAA) form that meets the Protected Health Information (PHI) requirements.
Written Notice Of Privacy Practices (includes acknowledgement) must be provided to patients on or before the first encounter and to other persons on request. The Notice notifies the patient of all uses and disclosures of their protected health information. In addition, this form has a removable label that provides your practice with a written acknowledgement that the patient received that Privacy Notificatin, as required to be HIPAA compliant.
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