Updated for the new HIPAA Mega rule! This agreement between a provider and business associates and defines the business associates duties and obligations of confidentiality and compliance with relevant HIPAA laws.
Briggs offers a complete line of HIPAA documentation. Also see: Notice of Privacy Practices / Acknowledgment of Receipt - Updated!(Stock No. 1770) Request to Review or Obtain Copies of Protected Information (Stock No. 1772) Authorization to Release Patient Information (Stock No. 1773 or 1773/2) Request for Amendment of Information (Stock No. 1775) Denial of Amendment (Stock No. 1776) Disclosure Log - Updated!(Stock No. 1779) Confidential Patient Sign-In Log (Stock No. 1791)
11" x 17" (overall) 8 1/2" x 11" (folded), 4 page booklet style form, white paper, black ink, wrapped in 100s.
