PATIENT INFORMATION Address: City, State, Zip Code Name: Fill out & sign online

Here's how it works

01. Edit your form online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send it via email, link, or fax. You can also download it, export it or print it out.

How to rapidly redact PATIENT INFORMATION Address: City, State, Zip Code Name online

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Dochub is the greatest editor for changing your paperwork online. Adhere to this straightforward guide to redact PATIENT INFORMATION Address: City, State, Zip Code Name in PDF format online free of charge:

Sign up and sign in. Register for a free account, set a strong password, and go through email verification to start managing your templates.
Upload a document. Click on New Document and select the file importing option: upload PATIENT INFORMATION Address: City, State, Zip Code Name from your device, the cloud, or a protected URL.
Make changes to the sample. Utilize the upper and left panel tools to redact PATIENT INFORMATION Address: City, State, Zip Code Name. Add and customize text, images, and fillable areas, whiteout unneeded details, highlight the significant ones, and comment on your updates.
Get your paperwork done. Send the sample to other people via email, create a link for faster file sharing, export the sample to the cloud, or save it on your device in the current version or with Audit Trail included.

Discover all the advantages of our editor today!

See more PATIENT INFORMATION Address: City, State, Zip Code Name versions

We've got more versions of the PATIENT INFORMATION Address: City, State, Zip Code Name form. Select the right PATIENT INFORMATION Address: City, State, Zip Code Name version from the list and start editing it straight away!

Versions	Form popularity	Fillable & printable
2021	4.7 Satisfied (22 Votes)
2019	4.6 Satisfied (36 Votes)
2017	4.4 Satisfied (27 Votes)

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Contact us

Is a zip code a patient identifier?

18 HIPAA PHI Identifiers Name of the patient or individual. Address this includes any geographical subdivisions smaller than the state of residence, including street address, city, county, zip code, precinct, and equivalent geocodes. There are additional criteria for identifying zip codes which can be found here.

Is an address a patient identifier?

The Department of Health and Human Services (HHS) lists the 18 HIPAA identifiers as follows: Patient names. Geographical elements (such as a street address, city, county, or zip code)

What are considered patient identifiers?

Age, for instance, is not a unique identifier, even in combination with the patients name, while the date of birth is. Another unacceptable form of identification is a patients bed or room number.

What Cannot be used as a patient identifier?

These may include: patient name (family and given names) date of birth gender address medical record number Individual Healthcare Identifier. Identifiers such as room or bed number should not be used as they are frequently changed and are not unique to an individual patient.

Is a zip code a HIPAA identifier?

The glossary of the accreditation manual defines a patient identifier as Information directly associated with an individual that reliably identifies the individual as the person for whom the service or treatment is intended.