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DFL Enterprises, Inc.
CMS/HCFA Forms
UB-04 Forms
HIPAA Compliance Forms
Envelopes
Printing Services
Login Account
0
0
CMS/HCFA Forms
UB-04 Forms
HIPAA Compliance Forms
Envelopes
Printing Services
Login Account
HIPAA Compliance Forms HIPAA compliant Notice of Privacy Practices in Spanish. (HIP120S)
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HIPAA compliant Notice of Privacy Practices in Spanish. (HIP120S)

$140.00

Spanish Version - Written Notice of Privacy Practices must be provided to patients on or before the first encounter and to other persons upon request. The Notice notifies the patient of all uses and disclosures of his or her protected health information. In addition, this form has a removable label that provides practices with a written acknowledgement that the patient received the Privacy Notice, as required to be HIPAA compliant.

  • 250 Per Case

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Spanish Version - Written Notice of Privacy Practices must be provided to patients on or before the first encounter and to other persons upon request. The Notice notifies the patient of all uses and disclosures of his or her protected health information. In addition, this form has a removable label that provides practices with a written acknowledgement that the patient received the Privacy Notice, as required to be HIPAA compliant.

  • 250 Per Case

Spanish Version - Written Notice of Privacy Practices must be provided to patients on or before the first encounter and to other persons upon request. The Notice notifies the patient of all uses and disclosures of his or her protected health information. In addition, this form has a removable label that provides practices with a written acknowledgement that the patient received the Privacy Notice, as required to be HIPAA compliant.

  • 250 Per Case

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ALL OUR FORMS ARE OF THE HIGHEST QUALITY, ARE PRINTED IN STRICT COMPLIANCE WITH GOVERNMENT SPECIFICATIONS AND ARE APPROVED BY CENTERS FOR MEDICARE AND MEDICAID SERVICES AND THE INSURANCE INDUSTRY.OUR FORMS HAVE BEEN APPROVED BY THE GOVERNMENT.
The American HCFA Forms division of DFL Enterprises, Inc. is an independent supplier of US Government approved claim forms and NOT an affiliate of CMS (www.cms.gov)

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