Notice of Privacy Practices Acknowledgement Form Mobile App

This digital form, to acknowledge compliance with HIPAA and HIPAA privacy practices, can be customized by any health insurance or healthcare provider and used by patients directly on a smartphone, tablet or PC. Easy check mark boxes and fillable forms to sign and date will help to streamline patient check-in at hospitals, family medicine practices, dental offices or any health care provider.

Get your patient's acknowledgement of your privacy practices, acts that their doctor may potentially be performing in the future and their understanding that their health information has been taken into account and will be opted by the health care provider if it will be disclosed to other physicians.

Save your digital privacy practice acknowledgement forms to the GoCanvas Cloud as well as a PDF file for your record-keeping ease.

Industry: Health Care & Social Services Patient Management

  • Apple
    iPhone, iPad
  • Android
  • Window

Why Customers Love GoCanvas

Reduces paperwork
Tracks jobs & expenses
Shows real-time data
Affordable plans
How It Works
I’m not a tech guy and I was able to pick this thing up in probably an hour, and actually start to build apps. I’ve done them over lunch when I’ve gotten frustrated with a process that didn’t exist in our company. So for non tech people who’ve got a problem, the support here is awesome and I’d recommend it to anybody, not just in our industry.

Dave Kramer

PennLine Service

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