Forms

Embracing The Practice Of Continuous Improvement

ELECTRONIC AGREEMENTS

Please select from the below categories.
These Agreements and Forms are designed to be reviewed,
filled, dated and signed by you electronically.

Non-Disclosure Agreement (“NDA”)

Looking to become a Business Partner. Please fill this out and sign online to get started.

View Form

Business Associate Agreement (“BAA”)

BAA’s are required by law for HIPAA Compliance. Please select the BAA that best applies.

View Form

Patient Authorization Forms

These forms apply to Patients and Guardians. Please click on the icon above to select form(s).

View Form

Employee Forms

Key Employee Forms and Agreements are found here. Please select to view and fill forms.

View Form

Technology Integration Agreement (“TIA”)

Required for software and/or hardware integration that ties into Platform technologies.

View Form

Electronic Funds Transfer ("EFT")

Client electronic payment in lieu of checks in the mail. Please fill out this online form to get started.

View Form

Get in Touch with Us

Our Headquarters are in Irvine,CA

Headquarters:
5319 University, #635
Irvine, CA 92612
Phone: 949-535-3390
Fax: 949-264-8690
Email: info@transcensus.com

We are social