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MANAGING PATIENTS

Model Tool: Notice to educate patients

Why you need this model notice:

HHS advises providers to “engage in a dialogue” with patients about this new patient right to request PHI not be disclosed to their health plan. You can do that using our model patient notice. You can adapt this notice to also address aspects specific to your operations.

How this model notice helps you:

This model notice helps you convey the information to patients.

How to use this model notice:

Review this information to make sure it is appropriate for your practice, and insert the name of your practice and contact information. Present this notice to patients who request non-disclosure to their healthcare plans.

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PASSWORD
EMAIL ADDRESS

FIRST NAME

LAST NAME

TITLE

COMPANY

PHONE

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