Notice of Privacy Practices and HIPAA Consent Form


What is it? A patient confidentiality and HIPAA authorization form. This form protects patient privacy, private health information (PHI), and activates your professional HIPAA compliance. 

Who is this for? Most medical providers

Why do I need it? This is an office essential. This document protects your business when collecting private health information (PHI) and addresses your privacy policy. Using this form patients and clients consent to your business both collecting and storing their PHI.

When do I use it? This form is important to fill out while on-boarding your patients or clients.