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ComplyRight Patient Acknowledgment of Receipt of Privacy Practices Notice (A1354)
$66.79
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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
Final price is $66.79
200/pack
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ComplyRight Patient Acknowledgment of Receipt of Privacy Practices Notice (A1354) is Your Product
Price is $66.79
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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) Cosco Notice of Privacy Practices with Label, Spanish, 8-Part, 250 Forms/Pack (074045) Cosco Notice of Privacy Practices with Label, English, 8-Part, 250 Forms/Pack (074044) ComplyRight™ HIPAA Notice of Privacy Practices Poster (A2123)
    Your product
    Price is $66.79
    Reviews
    No reviews yet
    No reviews yet
    No reviews yet
    No reviews yet
    4.4
    5
    Delivery Information
    Free delivery by Fri, Jan 23
    Free delivery by Fri, Jan 23
    Free delivery by Thu, Jan 22
    Free delivery by Thu, Jan 22
    Free delivery by Fri, Jan 23
    Available in my store
    No
    No
    No
    No
    No
    Length in Inches
    11
    11
    11
    11
    18
    Width in Inches
    8.5
    8.5
    8.5
    8.5
    12
    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"
    8.5" x 11"
    12" x 18"
    Medical Form Pack Size
    200
    100
    250
    250
    Data not available
    True Color
    White
    White
    Data not available
    Data not available
    White
    Print Type
    Inkjet / Laser
    Data not available
    Digital
    Laser
    Data not available
    Number of Parts
    1
    Data not available
    8
    8
    Data not available
    Pack Qty
    200
    1
    250
    Data not available
    1
    Series or Collection
    Patient Acknowledgment of Receipt
    Data not available
    Data not available
    Data not available
    HIPAA Notice
    Add To Cart
    Add To Cart
    Add To Cart
    Add To Cart
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