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PATIENT REQUEST FOR CONFIDENTIAL COMMUNICATION FORMS (100/CASE)


THE PATIENT MAY REQUEST ALTERNATE MEANS OF COMMUNICATION. FOR EXAMPLE, A PATIENT MAY REQUEST THAT THEY NOT BE PHONED AT HOME OR THAT MAIL BE SENT TO AN ALTERNATE ADDRESS. IN CASES SUCH AS THIS, THE PATIENT WILL BE ASKED TO COMPLETE THIS FORM THAT REQUIRES THE PATIENT TO OUTLINE SPECIFIC COMMUNICATION REQUESTS.
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 Other Items from HIPAA Forms (Style B)

  HIPAA STARTERS KIT - 
  NOTICE OF PRIVACY PRACTICES (250/CASE) - 
  PROTECTED HEALTH INFORMATION ACCESS LOGS (250/CASE) - 
  PROTECTED HEALTH INFORMATION DISCLOSURE LOGS (250/CASE) - 
  PATIENT REQUEST FOR AMENDMENT OF HEALTH INFORMATION FORMS (100/CASE) - 
  PATIENT REQUEST FOR ACCOUNTING OF DISCLOSURES (100/CASE) - 
  PATIENT REQUEST TO INSPECT PROTECTED HEALTH INFORMATION FORMS(100/CASE) - 
  PATIENT REQUEST FOR CONFIDENTIAL COMMUNICATION FORMS (100/CASE) - 
  PATIENT REQUEST FOR RESTRICTIONS ON USE & DISCLOSURE FORMS (100/CASE) - 
  PROTECTED HEALTH INFORMATION TRACKING LOGS (100/CASE) - 
  AUTHORIZATION TO RELEASE INFORMATION FORMS (100/CASE) - 

 
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