APAC: A subsidiary of FPIC Insurance Group, Inc.
Committed to bringing exceptional education, service, and peace of mind





red flags rule

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A | B | C | D | E | F | I | L | M | N | O | P | R | S | T | V | W | X

A
Appointment Reminder Letter
Authorization for Disclosure of HIV Test Results Form

B
Breast Care Progress Note
C
Chart Checklist
Chart Setup
Closing Your Office Practice
Communications Assessment: Medical Assistant
Communications Assessment: Receptionist
Confirm Discharge by Patient
Consent for Medical Care
Consent for Stress Test
Consent for Substitute Physicians
Consent for the Treatment of a Minor
Consent to Taking and Publishing Photographs
Consultation Log Sheet
Consultation/X-ray Log Sheet
D
Departure from Health Plan
Diagnostic Imaging Sheet
E
Emergency Equipment/Crash Cart Log
F
Fair Credit Reporting Act Authorization to Obtain Consumer Report Form
Fair Credit Reporting Act Disclosure to Applicants and Employees Form
Fax Transmittal
Follow-up Appointment Log Sheet
Follow-up Treatment Reminder
I
Immunization History Record
L
Laboratory Log Sheet
Listening Assessment Instrument: Doctor
M
Mammogram referral
Master Medication Sheet
Medical History Update
Monthly Medication Purge Sheet
N
Narcotic Inventory Control Record
New Medical Office Checklist
O
OB/GYN History and Physical
Office Staff Orientation Checklist
P
Parental Authorization for Consent to Care for Their Children
Patient Complaint Report
Patient Health History
Patient History Questionnaire
Patient Information Update
Patient Pain Drawing
Patient Questionnaire
Patient Reminder Letter
Patient Service Evaluation
Patient Survey
Patient Welcome Letter
Patient Who Fails to Follow Advice Letter
Patient Who Fails to Keep Appointment Letter
Pelvic / Pap Evaluation
Practice Compliance Audit Tool
R
Referring Doctor Form
Refusal to Permit Blood Transfusion
Refusal to Submit to Treatment
Release of Patient X-ray
Request for Prescription for Oral Contraceptives
Request for Records Release
Risk Management Referral
S
Sample Compliance Plan for Physicians & Dental Practices
Sample Drugs
Sample Office Form
Sample Patient Progress Form
Sample of Progress Notes: S.O.A.P Format
Self-Survey
Signature Log
Statement of Patient Leaving Hospital Against Medical Advice
Surgery Log Sheet
Surgery Scheduling
Surgical Consent Form
T
Telephone Contact Record
Telephone Routing Guide
Telephone Technique Quiz
Time Flow Study
Triage Form

V
Vaccine Administration Record
Variance Report

W
Withdrawal from Case
X
X-ray & Imaging Appointment Request