Medical Forms, Health Insurance Claim Forms, CMS1500, UB92, Hospital Claim Forms

HIPAA - PHI Access Log

HIPAA - PHI Access Log

HIPAA - PHI Access Log:

Allows you to track "uses" of PHI in each individual patient medical record. Form includes date, name and title of employee accessing the patient medical record and the reason for access.

Format:
8.5" x 11", 1 Part with black ink- Blue "Void" security background. 5 hole punch left and 2 top for insertion in charts. Packaged in 250's


View Sample
JPEG		HIPAA Access Log
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