MA Fee For Service
Pregnancy Verification Template
Verify the pregnancies of your clinic’s patients easily. Drag and drop to customize your form. Send out copies. Works on desktop, tablet, and mobile devices.
Medical Power of Attorney Form
Create a medical power of attorney form in seconds. Easy to share and embed. Drag and drop to customize. Fill out and sign on any device. No coding required.
HIPAA Release Form Template
HIPAA (Health Insurance Portability and Accountability Act), also known as Public Law 104-191, is a law passed in the United States that protects and safeguards the privacy of medical information and has two main purposes: First, to provide continuous health insurance coverage to workers who switch jobs or lose their jobs; Second, is to standardize the electronic transmission and transactions for security and protection of information. This law was primarily passed due to proliferation of data breaches concerning health information.This HIPAA Release Form PDF Template is a standard release authorization form for disclosure of health information for healthcare and health insurance providers which the subject or person consents on disclosing his health information to a certain healthcare organization. This HIPAA Release Form PDF Template is easy to modify and flexible to use.
Professional Physical Therapy Consent Template
Create a professional physical therapy consent form. Collect e-signatures on any smartphone, tablet, or desktop. Easy to customize and share.
Acupuncture Medical Consent Template
Create a medical consent form for your acupuncture practice. Drag and drop to customize. Works on all mobile, tablet, and desktop devices. Share and embed.
Release of Medical Information Template
Build a release of medicational information form in seconds. Works on any device. Android and iOS compatible. Converts to a PDF. No coding knowledge required.
These templates are suggested forms only. If you're using a form as a contract, or to gather personal (or personal health) info, or for some other purpose with legal implications, we recommend that you do your homework to ensure you are complying with applicable laws and that you consult an attorney before relying on any particular form.