ComplyRight Patient Acknowledgment of Receipt of Privacy Practices Notice (A1354)
$45.39
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Highlights
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- Attorney approved form acknowledging patient has received a Notice of Privacy Practices from his or her healthcare provider
- HIPAA compliant
- Size: 8 1/2" x 11"
MADE IN AMERICA
ComplyRight Patient Acknowledgment of Receipt of Privacy Practices Notice (A1354)
Item #: 398026Model #: A1354
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$45.39
200/pack
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About this product
ComplyRight Patient acknowledgment of receipt of privacy practices notice measures 8 1/2" x 11".
ComplyRight Patient acknowledgment of receipt of privacy practices notice is attorney approved form acknowledging patient's information to be released to an authorized third party. Notice measures 8 1/2" x 11".
- Attorney approved form acknowledging patient has received a Notice of Privacy Practices from his or her healthcare provider
- HIPAA compliant
- Size: 8 1/2" x 11"
- Attorney approved form acknowledging patient has received a Notice of Privacy Practices from his or her healthcare provider
- HIPAA compliant
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Compare similar items
| Attributes | ComplyRight Patient Acknowledgment of Receipt of Privacy Practices Notice (A1354) | ComplyRight Notice of Privacy Practice, 100/Pack (A1349) | Cosco Notice of Privacy Practices with Label, English, 8-Part, 250 Forms/Pack (074044) | ComplyRight™ HIPAA Notice of Privacy Practices Poster (A2123) | Cosco Notice of Privacy Practices with Label, Spanish, 8-Part, 250 Forms/Pack (074045) |
|---|---|---|---|---|---|
Your product ComplyRight Patient Acknowledgment of Receipt of Privacy Practices Notice (A1354) Price is $45.39 |  Price is $19.59 |  Price is $152.59 |  Price is $36.99 |  Price is $152.59 | |
| Reviews | |||||
| Delivery Information | Delivery by Wed, Apr 01 | Delivery by Wed, Apr 01 | Free delivery by Wed, Apr 01 | Free delivery by Wed, Apr 01 | Free delivery by Wed, Apr 01 |
| Available in my store | No | No | No | No | No |
| Length in Inches | 11 | 11 | 11 | 18 | 11 |
| Width in Inches | 8.5 | 8.5 | 8.5 | 12 | 8.5 |
| Medical Form Type | Privacy Practice | Privacy Practice | Privacy Practice | Privacy Practice | Privacy Practice |
| Form Size | 8 1 / 2" x 11" | 8 1 / 2" x 11" | 8.5" x 11" | 12" x 18" | 8.5" x 11" |
| Medical Form Pack Size | 100 | 100 | 250 | Data not available | 250 |
| True Color | White | White | Data not available | White | Data not available |
| Print Type | Data not available | Data not available | Laser | Data not available | Digital |
| Number of Parts | Data not available | Data not available | 8 | Data not available | 8 |
| Pack Qty | 1 | 1 | Data not available | 1 | 250 |
| Series or Collection | Data not available | Data not available | Data not available | HIPAA Notice | Data not available |
| Add To Cart | Add To Cart | Add To Cart | Add To Cart |
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