Patient Bill of Rights Receipt - Generic Template

Form Template

This Patient Bill of Rights Receipt mobile app can be used to gain informed consent after discussing HIPAA privacy rules, collection of patient records, and the rights and responsibilities of the patient.

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Language: English
Country: United States of America

You can easily capture the signature or the patient or legal guardian.

All signed medical records and medical information are securely stored in the GoCanvas Cloud. They can be printed or emailed as a PDF if you need to send them to another health care professional, health insurance company, or family member. This app can be downloaded to an iPhone, iPad, or Android device.

Features
  • Image Capture
  • Submission Editing
  • Reference Data
  • Dispatch
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Platforms
  • iPhone
  • iPad
  • Android
  • Windows
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Integrations
  • Quickbooks
  • Salesforce
  • Google Docs
  • Dropbox
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Dave Kramer, PennLine Service

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