Healthcare Patient Confidentiality Statement

Form Template

Health care facilities have a legal and ethical duty to protect the privacy and protected health information of all patients and the confidentiality of their health information.

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The Health Insurance Portability and Accountability Act (HIPPA) was designed to protect confidential health information contained in medical records at health care facilities.

The HIPPA health information confidentiality and authorization form app includes details about the facility's privacy practices, including details about what is and isn't shared in regards to protected health information and other provider details. Having patients read and sign HIPPA forms electronically helps ensure that medical providers are HIPPA compliant and that they have a record of all authorization signatures as required for HIPPA compliant forms.

Features
  • Signature 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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*The Capterra SoftwareAdvice ​and GetApp logos are a service mark of Gartner, Inc. and/or its affiliates and is used herein with permission.*

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