ALL OUR FORMS ARE OF THE HIGHEST QUALITY,  ARE PRINTED IN STRICT COMPLIANCE  WITH GOVERNMENT SPECIFICATIONS AND ARE APPROVED BY MEDICARE, THE HEALTH CARE FINANCE ADMINISTRATION AND THE INSURANCE INDUSTRY.

Medical Insurance Claim Forms is an independent supplier of US Government approved HCFA Forms and NOT an affiliate of HCFA

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NEWEST REVISION CMS-1500 FORMS
(02/12 Version) Now Available

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HCFA 1500
Individual Sheets
Medical Arts Press®
1,000 forms - $48.95
Our Price
2,500 forms - $35.00

WE ACCEPT VISA, MASTERCARD
and AMERICAN EXPRESS

MORE MEDICAL OFFICE FORMS & PRODUCTS FROM OUR ON-LINE STORE

HIPAA COMPLIANCE FORMS

HIPAA Information

HIPAA Compliant Confidential Patient Sign-In System

HIPAA Compliant Confidential Patient Sign-In Sheets with adhesive strips
(HIP02) Blue
(HIP02GN) Green
(HIP02BY) Burgundy
(HIP04) Bi-Lingual, English/Spanish

Confidential Sign-In Logs (Generic)

HIPAA Employee Training Record
(Form #101)


HIPAA Practice Training Record
(Form #102)


Protected Health Information (PHI) Access Log
(Form #103)


Protected Health Information (PHI) Disclosure Log
(Form #104)


 

HIPAA COMPLIANCE FORMS

Patient Request for Amendment of Health Information
(Form #105)


Patient Requests for Accounting of Disclosures
(Form # 106)


Patient Request to Inspect/Review PHI
(Form #107)


Patient Request for Confidential Communications
(Form #108)


Patient Request for Restrictions on Use & Disclosure of PHI
(Form #109)


PHI Tracking Log
(Form #110)


Authorization to Release Information
(Form #111)


Notice of Privacy Practices
(Form #120)


Notice of Privacy Practices
Spanish Version
(Form #120S)

NARCOTIC CONTROL RECORDS

Drug Administration Records
with Pharmacy Receipts
(DNC10)


Drug Administration Records
with Pharmacy Receipts
(DNC25)


Controlled Drug Administration Records
(D150-10)


Controlled Drug Administration Records
(D150-25)


Controlled Drug Administration Records
(D250-10)


Controlled Drug Administration Records
(D250-25)


ENVELOPES
Claim Form Envelopes
for CMS/HCFA-1500, UB 92 & UB04 claim forms


Dental X-Ray Envelopes

Patient Valuables Envelopes

LABORATORY MOUNT SHEETS

Physician's Telephone Orders (DTO4)

Physician's Telephone Messages (DTM4)

Laboratory Reports (DC5)

Laboratory Reports (DD5)

Laboratory Reports (DVT3)

Laboratory Reports (DVT5)

Laboratory Reports (DVT13)

Laboratory Reports (DVT5)

Laboratory Reports (DH3)

Laboratory Reports (DH5)

PHYSICIAN'S ORDER SHEETS
Physician's Order Sheets (DPO3)

Physician's Order Sheets (DPO4)

Physician's Order Sheets (DPO5)

© Since 1998 Medical Insurance Claim Forms

124 Pine Oak Dr., Covington, LA  70433

PHONE:  985-875-0800,   FAX: 985-809-5788    E-MAIL US

HOME  |  HCFA-1500  |  UB-92  |  HCFA-485, 486, 487  |  ENVELOPES

Our Associated Websites:
american hcfa forms.com
hcfa 1500 forms.com
dfl-enterprises.com
hipaa sign-in.com
ub92.net
discountclaimforms.com

Medical Insurance Claim Forms
HCFA forms, CMS forms, HCFA 1500 forms, CMS 1500 forms

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