DIS100 Two Part Patient Disclosure Authorization HIPAA Form 8 1/2 x 11" QTY 50

DIS100 Two Part Patient Disclosure Authorization HIPAA Form 8 1/2 x 11" QTY 50DIS100 Two Part Patient Disclosure Authorization HIPAA FormSize: 8 1 2 x 11" Protect your practice and avoid privacy disputes with this clear, step by step form authorizing release of patient information. Includes your imprinted practice name, address, and phone number, up to 5 lines. 2 part form provides a patient copy and a 2 hole punched permanent record. Available in 2 parts only: Yellow, White. Meets HIPAA Regulations. Carbonless. IMPORTANT: Your

Includes register

#131 & #132

No addressing needed

1348 End Tab Diagonal Cut File Pocket Manila 14 pt No expansion Size: 12 1/4 x 9 1/2" Easily retrieve important documents from these file pockets

Additional registers (128051N) available bound at the top in tablet form

Recipient's address shows clearly through envelope window

Size: 5 x 8"

7/8" from left

ALL IMPRINT WILL BE IN BLACK INK

106100N Vinyl Folding Board Size: 12 1/2  x 10 7/8" The inexpensive way to protect checks and journal sheets

Preprinted time cards have ample space to record jobs worked on

Close every envelope quickly & cleanly with self-seal flap