ComplyRight Patient Acknowledgment of Receipt of Privacy Practices Notice (A1354)
$65.09
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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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$65.09
200/pack
Free Returns
Online. In store. Always free.
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Price is $20.99
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Customers bought together
Price for all 4
$110.72
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
Frequently bought together
Price is $0.50, Regular price was $3.09, You save 83%
Unit of measure 8/Pack Price per unit $0.06/Pencil
Delivery by Tue, Jul 15
1-hr pickup
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Price is $16.99, Regular price was $20.59, You save 17%
Unit of measure 100/Box Price per unit $0.17/File Folder
Delivery by Tue, Jul 15
1-hr pickup
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Over 30
Price is $1.00, Regular price was $3.79, You save 73%
Unit of measure 3/Pack Price per unit $0.33/Eraser
Delivery by Tue, Jul 15
1-hr pickup
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Price is $1.99, Regular price was $4.29, You save 53%
Unit of measure 5/Pack Price per unit $0.40/Highlighter
Delivery by Tue, Jul 15
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Over 30
Price is $0.50, Regular price was $2.19, You save 77%
Unit of measure Dozen Price per unit $0.04/Eraser
Delivery by Tue, Jul 15
1-hr pickup
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Price is $9.99, Regular price was $12.69, You save 21%
Unit of measure Dozen Price per unit $0.83/Marker
Delivery by Tue, Jul 15
1-hr pickup
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Over 30
Price is $15.99, Regular price was $19.49, You save 17%
Unit of measure 10/Pack Price per unit $1.60/Correction Tape
Delivery by Tue, Jul 15
1-hr pickup
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Over 30
Price is $6.99, Regular price was $8.69, You save 19%
Unit of measure 60/Pack Price per unit $0.12/Pen
Delivery by Tue, Jul 15
1-hr pickup
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Over 30
Price is $0.25, Regular price was $0.79, You save 68%
Delivery by Tue, Jul 15
1-hr pickup
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Over 30
Price is $15.69
Unit of measure Dozen Price per unit $0.01/Post-it® Note
Delivery by Tue, Jul 15
1-hr pickup
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Over 30
Price is $16.99, Regular price was $19.59, You save 13%
Unit of measure Dozen Price per unit $1.42/Pad
Delivery by Tue, Jul 15
1-hr pickup
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Over 30
Price is $6.99, Regular price was $8.19, You save 14%
Unit of measure 4/Pack Price per unit $1.75/Correction Tape
Delivery by Tue, Jul 15
1-hr pickup
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Over 30
Price is $9.99
Unit of measure 1000/Pack Price per unit $0.01/Paper Clip
Delivery by Tue, Jul 15
1-hr pickup
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Over 30
Price is $4.29, Regular price was $7.29, You save 41%
Unit of measure 18/Pack Price per unit $0.24/Pencil
Delivery by Tue, Jul 15
1-hr pickup
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Over 30
Price is $27.99, Regular price was $31.69, You save 11%
Unit of measure 250/Box Price per unit $0.11/File Folder
Delivery by Tue, Jul 15
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Price is $0.55, Regular price was $2.49, You save 77%
Price per unit $0.55/Folder
Delivery by Tue, Jul 15
1-hr pickup
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Price is $0.55, Regular price was $2.59, You save 78%
Price per unit $0.55/Folder
Delivery by Tue, Jul 15
1-hr pickup
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Price is $8.69
Unit of measure 12/Pack Price per unit $0.72/Binder Clip
Delivery by Tue, Jul 15
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Over 30
Price is $13.99, Regular price was $20.49, You save 31%
Unit of measure Dozen Price per unit $1.17/Pen
Delivery by Tue, Jul 15
1-hr pickup
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Over 30
Price is $2.49, Regular price was $7.19, You save 65%
Unit of measure 4/Pack Price per unit $0.62/Highlighter
Delivery by Tue, Jul 15
1-hr pickup
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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) | ComplyRight Confidential Employee Medical Records Folder, Pack of 25 (A2211) | ComplyRight 2024 ADA Dental Claim Forms, 2,500 Forms/Pack (20241) | ComplyRight 2024 ADA Dental Claim Forms, 500 Forms/Pack (20241500) |
|---|---|---|---|---|---|
Your product ComplyRight Patient Acknowledgment of Receipt of Privacy Practices Notice (A1354) Price is $65.09 |  Price is $22.49 |  Price is $149.69 |  Price is $130.39 |  Price is $42.49 | |
| Reviews | |||||
| Delivery Information | Free delivery by Wed, Jul 23 | Delivery by Wed, Jul 23 | Free delivery by Wed, Jul 23 | Free delivery by Tue, Jul 22 | Free delivery by Tue, Jul 22 |
| Available in my store | No | No | No | No | No |
| Width in Inches | 8.5 | 8.5 | 9.375 | 8.5 | 8.5 |
| Length in Inches | 11 | 11 | 11.75 | 11 | 11 |
| Form Size | 8 1 / 2" x 11" | 8 1 / 2" x 11" | 9.375" x 11.75" | 8-1 / 2" x 11" | 8-1 / 2" x 11" |
| Medical Form Type | Privacy Practice | Privacy Practice | Medical Records Folders | Dental Claims | Dental Claims |
| True Color | White | White | Data not available | White | White |
| Medical Form Pack Size | 200 | 100 | 25 | 2500 | 500 |
| Pack Qty | 200 | 1 | 1 | Data not available | Data not available |
| Print Type | Inkjet / Laser | Data not available | Data not available | Laser | Laser |
| Series or Collection | Patient Acknowledgment of Receipt | Data not available | ComplyRight | Data not available | Data not available |
| Number of Parts | 1 | Data not available | Data not available | 1 | 1 |
| Price Per Unit | Data not available | Data not available | Data not available | Data not available | Data not available |
| Add To Cart | Add To Cart | Add To Cart | Add To Cart |
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Unit of measure 50/Pack
Delivery by Fri, Jul 18
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Unit of measure 100/Pack
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Unit of measure 25/Pack
Free delivery by Fri, Jul 18
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Unit of measure 100/Pack
Delivery by Fri, Jul 18
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Over 30
Price is $21.95
Delivery by Wed, Jul 23
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