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HIPAA PHI Disclosure Log – 104

PHI Disclosure Log-104

HIPAA PHI Disclosure Log – 104

$45.69

HIPAA PHI Disclosure Log 104

250 sheets to a package – Sold by the package

Product Description

HIPAA PHI Disclosure Log – 104

HIPAA Form #104

As required by HIPAA, you must track to whom disclosures of PHI are made. This form, retained in each patient’s medical record, includes the pertinent information that should be recorded when disclosures are made. This form will be photocopied for patients who request an “Accounting of Disclosures.”

Additional Information

Weight 4 lbs
Dimensions 12 x 8 x 1 in