Privacy & Confidentiality Agreement
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)
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.