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ComplyRight Patient Acknowledgment of Receipt of Privacy Practices Notice (A1354)
$68.99
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ComplyRight Patient Acknowledgment of Receipt of Privacy Practices Notice (A1354)~#|#~s0456534_sc7
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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$68.99
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

    Compare similar items

    Product specifications table
    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 UB-04 Hospital Claim Form, 500 Forms/Pack (UB04LC5) ComplyRight 2024 ADA Dental Claim Forms, 1,000 Forms/Pack (202411)
    Your product
    ComplyRight Patient Acknowledgment of Receipt of Privacy Practices Notice (A1354)
    Price is $68.99
    ComplyRight Notice of Privacy Practice, 100/Pack (A1349)
    Price is $21.09
    ComplyRight Confidential Employee Medical Records Folder, Pack of 25 (A2211)
    Price is $165.79
    ComplyRight UB-04 Hospital Claim Form, 500 Forms/Pack (UB04LC5)~#|#~BEEB25B0-3006-416D-A7EB845F6AB6205B_sc7
    Price is $29.39
    ComplyRight 2024 ADA Dental Claim Forms, 1,000 Forms/Pack (202411)~#|#~4A9BEC59-372C-4BA2-98230C384214A03F_sc7
    Price is $66.89
    Reviews
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    Delivery Information
    Free delivery by Tue, Mar 03
    Delivery by Tue, Mar 03
    Free delivery by Tue, Mar 03
    Delivery by Thu, Mar 05
    Free delivery by Tue, Mar 03
    Available in my store
    No
    No
    No
    No
    No
    Medical Form Type
    Privacy Practice
    Privacy Practice
    Medical Records Folders
    Health Insurance Claims
    Dental Claims
    Width in Inches
    8.5
    8.5
    9.375
    8.5
    8.5
    Length in Inches
    11
    11
    11.75
    11
    11
    Medical Form Pack Size
    200
    100
    25
    500
    1000
    Form Size
    8 1 / 2" x 11"
    8 1 / 2" x 11"
    9.375" x 11.75"
    Data not available
    8-1 / 2" x 11"
    Pack Qty
    200
    1
    1
    Data not available
    Data not available
    True Color
    White
    White
    Data not available
    Data not available
    White
    Print Type
    Inkjet / Laser
    Data not available
    Data not available
    Laser
    Laser
    Number of Parts
    1
    Data not available
    Data not available
    Data not available
    1
    Series or Collection
    Patient Acknowledgment of Receipt
    Data not available
    ComplyRight
    Data not available
    Data not available
    Price Per Unit
    Data not available
    Data not available
    Data not available
    Data not available
    Data not available
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