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  • Don't lose sleep over your project. Get an accurate quote and rest easy.

  • Ordering has never been easier. Plus, you're going to love the finished product.

  • Have your file sent to us online before you've even had the chance to finish your coffee.

  • Welcome back! Have a seat and reorder in a breeze.

Monday - Friday
8:00AM - 5:30PM

Phone: (559) 237-7468
Toll-Free: (800) 654-7468
Fax: (559) 237-4929
South Valley (559) 686-8354

Chiropractic Forms

  • Don't lose sleep over your project. Get an accurate quote and rest easy.

  • Ordering has never been easier. Plus, you're going to love the finished product.

  • Have your file sent to us online before you've even had the chance to finish your coffee.

  • Welcome back! Have a seat and reorder in a breeze.

To place an order or request an estimate simply enter your desired quantity and complete the form below. Your account representative will process the request and contact you as soon as possible.

If you would like to view any file listed, click on the document's name to download a PDF file. You will need to have Adobe Acrobat installed.

Health Insurance Portability & Accountability Act (HIPAA)

#W-HIP120

Provides patient with information on usage, rights and access of medical information in a nine page document with acknowledgement sign-off label for your patient's chart. 250 per package.

#W-HIP103

8-1/2" X 11" Single sheet forms with security background and holes for binder and/or file archiving. 250 per package.

#W-HIP104

8-1/2" X 11" Single sheet forms with security background and holes for binder and/or file archiving. 250 per package.

#W-HIP105

8-1/2" X 11" Single sheet forms with security background and holes for binder and/or file archiving. 100 per package.

#W-HIP106

8-1/2" X 11" Single sheet forms with security background and holes for binder and/or file archiving. 100 per package.

#W-HIP107

8-1/2" X 11" Single sheet forms with security background and holes for binder and/or file archiving. 100 per package.

#W-HIP108

8-1/2" X 11" Single sheet forms with security background and holes for binder and/or file archiving. 100 per package.

#W-HIP109

8-1/2" X 11" Single sheet forms with security background and holes for binder and/or file archiving. 100 per package.

#W-HIP110

8-1/2" X 11" Single sheet forms with security background and holes for binder and/or file archiving. 100 per package.

#W-HIP111

8-1/2" X 11" 2-Part NCR form with Office Copy/Patient Copy, with security background and file holes. 100 per package.

#W-HIP101

8-1/2" X 11" Single sheet forms with security background. 25 per package.

#W-HIP102

8-1/2" X 11" Single sheet forms with security background. 25 per package.

HIPAA Starter Kit

HIP-STARTA

KIT INCLUDES:

250 Notice of Privacy Practices Forms,

100 Protected Health Information (PHI) Access Logs,

100 Protected Health Information (PHI) Disclosure Logs,

50 Patient Requests for Amendment of Health Info Forms,

50 Patient Requests for Accounting of Disclosures,

50 Patient Requests to Inspect Protected Health Info Forms,

50 Patient Requests for Confidential Communications Forms,

50 Patient Requests for Restrictions on PHI Use & Disclosure Forms,

50 Protected Health Information (PHI) Tracking Logs,

50 Authorization to Release Information Forms,

5 HIPAA Employee Training Record Logs,

5 HIPAA Practice Training Record Logs,

  • Adobe
    Adobe
  • Heidelberg
    Heidelberg
  • Konica
    Konica
  • Ricoh
    Ricoh

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