Item #: 398026 | Model #: A1354
ComplyRight Patient Acknowledgment of Receipt of Privacy Practices Notice
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ComplyRight Patient Acknowledgment of Receipt of Privacy Practices Notice

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$35.99
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Product Details
  • 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"
Go to full description & specifications


35.99
35.99
https://www.staples-3p.com/s7/is/image/Staples/s0456534
00015171232938
ComplyRight
ComplyRight Patient Acknowledgment of Receipt of Privacy Practices Notice
Product Description
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
Specifications
HR Form Type Consent
HR Form Pack Size 200
Width in Inches 8.5
True Color White
Pack Qty 1
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