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HIPAA INFORMATION

HIPAA COMPLIANT CONFIDENTIAL PATIENT SIGN-IN SYSTEMS
(HIP01)
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PATIENT'S SLIP

HIPAA CONFIDENTIAL PATIENT SIGN-IN SHEETS WITH ADHESIVE PEEL-OFF STRIPS
(HIP02)

HIPAA CONFIDENTIAL PATIENT SIGN-IN SHEETS
GENERIC
(HIP03)

HIPAA Employee Training Record
HIPAA Form #101

HIPAA Practice Training Record
HIPAA Form #102

Protected Health Information (PHI) Access Log
HIPAA Form #103

Protected Health Information (PHI)
Disclosure Log
HIPAA Form #104

Patient Request for Amendment of
Health Information
HIPAA Form #105

Patient Requests for Accounting of Disclosures
HIPAA Form #106

Patient Request to Inspect / Review PHI
HIPAA Form #107

Patient Request for Confidential
Communications
HIPAA Form #108

Patient Request for Restrictions on Use
& Disclosure of PHI
HIPAA Form #109

Protected Health Insurance (PHI) Tracking Log
HIPAA Form #110

Authorization to Release Information
HIPAA Form #111

Notice of Privacy Practices
HIPAA Form #120

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CMS/HCFA-1500 FORMS
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Patient's Slip

At patient sign-in

Make one HIPAA privacy worry

Here's a simple answer to
patient confidentiality at sign-in.

Patients no longer see the previous patients' names when signing-in.
Office personnel have the option to refer to patients by number rather than by name.

When the patient signs in, the information is transferred via carbonless paper to a master log sheet for office use.

The patient takes the sign-in slip.

The patient's confidential information is concealed behind the carbonless paper. The log also tracks the number on the patient's slip.

When the patient is called, the attendant reads the log and calls the patient by the slip's number.

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Each patient prints his/her name, appt/arrival time and "Name of Healthcare Professional" on a numbered line. Once the label has been removed, the information is protected behind part one, available only for office use.

The front deskattendant calls each patient by number or name

Each package contains 125 forms, numbered 1-25, or enough forms to see 3,125 patients.

Description

Quantity/Case

Price/Case

Secure Order

Confidential Sign In Log
with Adhesive Peel-Off Strips
(HIP02)

125

$49.95

Confidential Sign In Log, 2-part snap set with carbon, part one is label material with 20 horizontal slits to peel off each line to put in patient Chart.  Everything images through to second part for complete record of all patients who have visited on that day.

Description

Quantity/Case

Price/Case

Secure Order

Confidential Sign In Log
Generic
(HIP03)

200

$76.00

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