ComplyRight HIPAA Patient Consent and Authorization Form | Staples®
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ComplyRight HIPAA Patient Consent and Authorization Form

ComplyRight HIPAA Patient Consent and Authorization Form

Item: 398021    Model: A1350

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  • 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 Form41.39USDhttp://www.staples-3p.com/s7/is/image/Staples/s0456533_sc7?$std$http://www.staples-3p.com/s7/is/image/Staples/s0456533_sc7?$thb$http://www.staples-3p.com/s7/is/image/Staples/s0456533/ComplyRight-HIPAA-Patient-Consent-and-Authorization-Form/product_398021
Price:
$41.39
200/Pack

Currently Out of Stock.

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