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ComplyRight HIPAA Patient Consent and Authorization Form
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ComplyRight HIPAA Patient Consent and Authorization Form

Item: 398021    Model: A1350

  • Attorney approved form acknowledging patient's consent to release his or her protected health information to an authorized third party
  • Complies with HIPAA’s authorization requirements
  • Size: 8 1/2" x 11"
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Attorney approved form acknowledging patient's consent to release his or her protected health information to an authorized third partyComplies with HIPAA’s authorization requirementsSize: 8 1/2" x 11"200/PackAttorney approved form acknowledging patient's consent to release his or her protected health information to an authorized third partyComplies with HIPAA’s authorization requirementsSize: 8 1/2" x 11"ComplyRight HIPAA Patient Consent and Authorization Formhttp://s7d5.scene7.com/is/image/Staples/s0456533_sc7?$std$http://s7d5.scene7.com/is/image/Staples/s0456533_sc7?$thb$http://s7d5.scene7.com/is/image/Staples/s0456533/ComplyRight-HIPAA-Patient-Consent-and-Authorization-Form/product_398021ComplyRight HIPAA Patient Consent and Authorization Form0.00
Price:
$29.99
200/Pack

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Product Details
  • Attorney approved form acknowledging patient's consent to release his or her protected health information to an authorized third party
  • Complies with HIPAA’s authorization requirements
  • Size: 8 1/2" x 11"