Order A HIPAAeasy Kit

1) Enter information about yourself and shipping information.

2) Choose payment by Credit Card or Check

3) Enter Credit Card information or enter Check information

4) Thank you page.

5) Enter personalization information for your forms.

6) Enter location personalization information for your forms.

7) Enter Privacy Administration personalization information for your forms.

8) View information and, optionally, edit.

9) You're done.

1) Shipping address
2) Credit card or check info
3) Practice name if any
4) Physician names and credentials (Deluxe Notices and Kits only)
5) Location name(s) and address(es)
6) Website address if any
7) Email address if any
8) Privacy Administrators name contact information such as phone fax, address, etc.

The Kit and Notice-Only packages are sold in quantities for 500, 1000 or 2000 patients, except where noted. Click on the package you want and you can begin personalizing your HIPAAeasy products.

IMPORTANT: We're in the process of upgrading our shopping cart pages. Please call us at 1-800-995-2001 and a member of our very knowledgable staff will help you with your order.

	BASIC KITS	DELUXE KITS
500	$499	$599
1000	$598	$798
2000	$995	$1495 (2500)

	BASIC - Notices Only	DELUXE - Notices Only
500	$199	$399
1000	$299	$599
2000	$599	$995

NOTE: We include an Acknowledgement of Receipt form with each copy of the Privacy Notice you order.

If you wish to reorder components of the Kit, such as Notices, Acknowledgement of Receipts, or some other component, CLICK HERE.

If you need help deciding which Kit to order, CLICK HERE.