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ComplyRight Patient Acknowledgment of Receipt of Privacy Practices Notice (A1354)
$40.99
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ComplyRight Patient Acknowledgment of Receipt of Privacy Practices Notice (A1354)

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Item #: 398026 Model #: A1354

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Highlights
  • 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"
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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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