-
Authorization for Use or Disclosure of PHI (HIPAA) - 100/pack
MPH001
Price: $26.10 -
Notice of Privacy Practices/Acknowledgement of Receipt - 100/pack
MPH004
Price: $30.80 As low as: $26.40 -
Confidential Log Sheet Holder
MPH951
Price: $117.60 As low as: $100.70Conditions of Purchase for Confidential Log Sheet Holder
The product you are adding to your cart is non-returnable and non-refundable. If you would like additional information about this product before making a purchase, please contact MED-PASS customer service at 800-438-8884.
For manuals or other products which are protected by copyright, some can be previewed before purchasing. To determine if a product is eligible for preview, look for the Preview link on the product page of this web site or contact MED-PASS customer service.
Additionally, due to the proprietary nature of manuals and other intellectual works protected by copyright, such protected products are provided for use only in and by a single location or facility. By purchasing such a product, you agree that you will not copy, transfer, or otherwise make the product available for use by any person or system except for those required to perform the operating and business functions within the single location or facility the product was purchased for. You further agree that should additional copies or licensing be desired, an additional fee for each facility is due, and you will contact MED-PASS, Inc. to arrange for payment for such copies or licenses.
If you agree to the non-returnable and non-refundable conditions of this product and to any applicable copyright, and wish to continue with your purchase, please confirm by selecting the "I Agree" button below.
-
Signature Log and Acknowledgement Sheets - 100/pack
MPH952
Price: $14.40 As low as: $13.60 -
Appointment Sign-In Sheet - 100/pad
MPH953
Price: $12.00 As low as: $11.40 -
Visitor Sign-In Sheet - 100/pad
MPH954
Price: $16.80 As low as: $15.20