Privacy Notice Receipt - Generic Template

Form Template

Medical Privacy Notice and Patient Bill of Rights documents are key documents in health care.

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Language: English
Country: United States of America

These are required by law under HIPAA privacy rules and regulations.

Though they are required in every health care facility, that does not mean that these documents have to be a pain to complete and maintain. There are digital alternatives to the paper forms traditionally used for this paperwork.

Use the Medical Privacy Notice/Patient Bill of Rights Receipt mobile app template to replace paper forms you are currently using. This app is fully customizable and includes a signature capture feature which allows you to have the patient sign off on the documents right then and there. It includes fields covering all pertinent information about disclosures, HIPAA privacy regarding medical records and patient rights.

Whether you are a women's health physician, medical examiner, mental health psychiatrist, elderly care supervisor or work in another health care field, using mobile apps to replace manual paperwork can save you great deal of time and money.

  • Image Capture
  • Submission Editing
  • Reference Data
  • Dispatch
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  • iPhone
  • iPad
  • Android
  • Windows
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  • Quickbooks
  • Salesforce
  • Google Docs
  • Dropbox
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*The Capterra SoftwareAdvice ​and GetApp logos are a service mark of Gartner, Inc. and/or its affiliates and is used herein with permission.*

Don't take our word for it...

“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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