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ComplyRight Health Care Forms

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18 items
  • ComplyRight HIPAA Notice of Privacy Practices  Poster
    Item 728245
    Model A2103

    ComplyRight HIPAA Notice of Privacy Practices Poster

    Customer Rating
    ComplyRight HIPAA Notice of Privacy Practices Poster
    0.0stars
    (0  reviews)
    • Communicates mandatory HIPAA rules to patients
    • Laminated
    • Dimesions: 12" W x 18" H
    USD
    Price:
    $23.99
    EACH
    Currently Out of Stock.
  • Confidential Employee Medical Records Folder
    Item 203200
    Model A0606

    Confidential Employee Medical Records Folder

    Customer Rating
    Confidential Employee Medical Records Folder
    0.0stars
    (0  reviews)
    • Store salary information, performance warnings, appraisals and more; virtually any data or paperwork that must remain confidential.
    • Important information such as pension plans, 401K, credit union and other benefits can be noted right on the front of the folder.
    • Inside there's space to record performance appraisals, warnings, and salary history.
    USD
    Price:
    $65.49
    Each
    Currently Out of Stock.
  • ComplyRight Patient Acknowledgment of Receipt of Privacy Practices Notice
    Item 398026
    Model A1354

    ComplyRight Patient Acknowledgment of Receipt of Privacy Practices Notice

    Customer Rating
    ComplyRight Patient Acknowledgment of Receipt of Privacy Practices Notice
    0.0stars
    (0  reviews)
    • 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"
    USD
    Price:
    $35.99
    200/Pack
    Currently Out of Stock.
  • ComplyRight Notice of Privacy Practice
    Item 398024
    Model A1349

    ComplyRight Notice of Privacy Practice

    Customer Rating
    ComplyRight Notice of Privacy Practice
    0.0stars
    (0  reviews)
    • 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 dos and donts
    • Size: 8 1/2" x 11"
    USD
    Price:
    $21.49
    200/Pack
    Currently Out of Stock.
  • ComplyRight HIPAA Protecting Patient Privacy  Poster
    Item 728247
    Model A2105

    ComplyRight HIPAA Protecting Patient Privacy Poster

    Customer Rating
    ComplyRight HIPAA Protecting Patient Privacy Poster
    0.0stars
    (0  reviews)
    • Communicates mandatory HIPAA rules to healthcare employees
    • Laminated
    • Dimensions: 12" W x 18" H
    USD
    Price:
    $23.99
    EACH
    Currently Out of Stock.
  • ComplyRight ADA Self-Seal  Envelope
    Item 728692
    Model 2003ES

    ComplyRight ADA Self-Seal Envelope

    Customer Rating
    ComplyRight ADA Self-Seal Envelope
    0.0stars
    (0  reviews)
    • Envelopes come with security tint to meet HIPAA guidelines
    • Self-Seal Envelope you can use it for 2002, 2004, & 2006 Versions
    • Dimensions: 9.5" W x 4.125" H
    USD
    Price:
    $70.99
    500/Pack
    Currently Out of Stock.
  • ComplyRight HIPAA Employee Information Poster
    Item 203203
    Model AR0953

    ComplyRight HIPAA Employee Information Poster

    Customer Rating
    ComplyRight HIPAA Employee Information Poster
    0.0stars
    (0  reviews)
    • Educate employees on how and when patient's medical information may be used and disclosed and what to do if a breach occurs
    • Poster Size: 12" x 18"
    • Laminated for durability
    USD
    Price:
    $23.99
    Each
    Currently Out of Stock.
  • ComplyRight HIPAA Patient Consent and Authorization Form
    Item 398021
    Model A1350

    ComplyRight HIPAA Patient Consent and Authorization Form

    Customer Rating
    ComplyRight HIPAA Patient Consent and Authorization Form
    0.0stars
    (0  reviews)
    • 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"
    USD
    Price:
    $35.99
    200/Pack
    Currently Out of Stock.
  • ADA Dental Claim Form Laser Cut
    Item 203204
    Model 1200

    ADA Dental Claim Form Laser Cut

    Customer Rating
    ADA Dental Claim Form Laser Cut
    0.0stars
    (0  reviews)
    • 100% Compliant to meet ADA guidelines
    • Laser-Cut Sheet
    • 2500 per case
    USD
    Price:
    $68.99
    Each
    Currently Out of Stock.
  • ComplyRight CMS1500 Self Audit Template
    Item 398017
    Model CMS1500SAT

    ComplyRight CMS1500 Self Audit Template

    Customer Rating
    ComplyRight CMS1500 Self Audit Template
    0.0stars
    (0  reviews)
    • Lay template over CMS form to help alleviate confusion and errors, and helps increase reimbursements
    • Assists with reporting of the National Provider Identifier, which must be used by all HIPAA-covered entities, including health plans, healthcare clearinghouses and healthcare providers
    • Size : 8-1/2" x 11"
    USD
    Price:
    $26.49
    Each
    Currently Out of Stock.
  • ADA Self Seal Envelope for '94
    Item 203205
    Model 1994ES

    ADA Self Seal Envelope for '94

    Customer Rating
    ADA Self Seal Envelope for '94
    0.0stars
    (0  reviews)
    • Send your practice's ADA claims and attending dentist's forms in convenient self-seal envelopes
    • Comes with a security tint to meet HIPAA guidelines
    • Accommodate up to 12 folded ADA claim forms
    USD
    Price:
    $60.99
    Each
    Currently Out of Stock.
  • ComplyRight HIPAA Compliance  Healthcare, 50/Pack
    Item 728250
    Model A1212

    ComplyRight HIPAA Compliance Healthcare, 50/Pack

    Customer Rating
    ComplyRight HIPAA Compliance Healthcare, 50/Pack
    0.0stars
    (0  reviews)
    • Includes reproducible and fillable versions of all the HIPAA compliance materials you need to educate patients and employees on how you may use and disclose protected health information
    • Shows how to respond in the event of a breach
    • Dimensions: CD: 5.38" W x 7.5" H; Poster: 12" W x 18" H
    USD
    Price:
    $195.49
    50/Pack
    Currently Out of Stock.
  • ComplyRight ADA ADA Dental Claim Form, 2-Part Continuous, 1000 Box
    Item 728286
    Model 2602

    ComplyRight ADA ADA Dental Claim Form, 2-Part Continuous, 1000 Box

    Customer Rating
    ComplyRight ADA ADA Dental Claim Form, 2-Part Continuous, 1000 Box
    0.0stars
    (0  reviews)
    • 100% compliant to meet ADA guidelines
    • Accommodates reporting of National Provider Identifier (NPI)
    • Designed for processing on high speed OCR scanning equipment
    USD
    Price:
    $59.29
    1000/Pack
    Currently Out of Stock.
  • ComplyRight HIPAA Compliance Essentials  CD-ROM
    Item 728208
    Model A2267

    ComplyRight HIPAA Compliance Essentials CD-ROM

    Customer Rating
    ComplyRight HIPAA Compliance Essentials CD-ROM
    0.0stars
    (0  reviews)
    • Comply with mandatory HIPAA requirements, including recent changes made by the HITECH Act
    • Ensure that patients’ privacy rights are not violated
    • Includes fillable forms frequently used by the medical office
    USD
    Price:
    $179.99
    EACH
    Currently Out of Stock.
  • ComplyRight HIPAA Administration  System
    Item 728241
    Model A2107

    ComplyRight HIPAA Administration System

    Customer Rating
    ComplyRight HIPAA Administration System
    0.0stars
    (0  reviews)
    • Notice of Privacy Practices
    • Patient Consent and Authorization for Release of PHI
    • Patient Acknowledgement of Receipt of Privacy Practices Notice
    USD
    Price:
    $149.49
    3 Set/50 Each
    Currently Out of Stock.
  • ComplyRight ADA Dental Claim Form, 1-Part Continuous, 1000/Pack
    Item 728273
    Model 26011

    ComplyRight ADA Dental Claim Form, 1-Part Continuous, 1000/Pack

    Customer Rating
    ComplyRight ADA Dental Claim Form, 1-Part Continuous, 1000/Pack
    0.0stars
    (0  reviews)
    • All claim forms officially licensed by the American Dental Association and supported by most popular dental software packages
    • 100% compliant to meet ADA guidelines
    • Accommodates reporting of National Provider Identifier (NPI)
    USD
    Price:
    $31.49
    EACH
    Currently Out of Stock.
  • ComplyRight ADA  Dental Claim Form, 1-Part Continuous, 2500 Box
    Item 728369
    Model 2601

    ComplyRight ADA Dental Claim Form, 1-Part Continuous, 2500 Box

    Customer Rating
    ComplyRight ADA Dental Claim Form, 1-Part Continuous, 2500 Box
    0.0stars
    (0  reviews)
    • 100% compliant to ensure strict adherence to size, type font and layout requirements
    • Accommodates reporting of National Provider Identifier (NPI)
    • Designed for processing on high speed OCR scanning equipment
    USD
    Price:
    $73.99
    2500/Pack
    Currently Out of Stock.
  • ComplyRight ADA Dental Claim Form, Laser-Cut Sheet, 1000/Cartoon
    Item 728276
    Model 12001

    ComplyRight ADA Dental Claim Form, Laser-Cut Sheet, 1000/Cartoon

    Customer Rating
    ComplyRight ADA Dental Claim Form, Laser-Cut Sheet, 1000/Cartoon
    0.0stars
    (0  reviews)
    • All claim forms officially licensed by the American Dental Association and supported by most popular dental software packages
    • 100% compliant to meet ADA guidelines
    • Accommodates reporting of National Provider Identifier (NPI)
    USD
    Price:
    $34.49
    1000/Carton
    Currently Out of Stock.
18 items
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