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ComplyRight Patient Acknowledgment of Receipt of Privacy Practices Notice (A1354)
$66.79
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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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$66.79
200/pack
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Medical Arts Press Log of Hospital Visits, Pocket-sized, 1-Part~#|#~m002400844_sc7
Price is $56.39
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Customers bought together
ComplyRight Patient Acknowledgment of Receipt of Privacy Practices Notice (A1354)~#|#~s0456534_sc7
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) Medical Arts Press Log of Hospital Visits, Pocket-sized, 1-Part ComplyRight 2024 ADA Dental Claim Forms, 2,500 Forms/Pack (20241) ComplyRight UB-04 Hospital Claim Form, 500 Forms/Pack (UB04LC5) ComplyRight Confidential Employee Medical Records Folder, Pack of 25 (A2211)
    Your product
    ComplyRight Patient Acknowledgment of Receipt of Privacy Practices Notice (A1354)
    Price is $66.79
    Medical Arts Press Log of Hospital Visits, Pocket-sized, 1-Part~#|#~m002400844_sc7
    Price is $56.39
    ComplyRight 2024 ADA Dental Claim Forms, 2,500 Forms/Pack (20241)~#|#~30211E02-A935-406B-A6832AFD0B88E088_sc7
    Price is $133.69
    ComplyRight UB-04 Hospital Claim Form, 500 Forms/Pack (UB04LC5)~#|#~BEEB25B0-3006-416D-A7EB845F6AB6205B_sc7
    Price is $29.39
    ComplyRight Confidential Employee Medical Records Folder, Pack of 25 (A2211)
    Price is $165.79
    Reviews
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    1
    Delivery Information
    Free delivery by Tue, Nov 18
    Free Next-Day eligible by Mon, Nov 10
    Free delivery by Fri, Nov 14
    Delivery by Wed, Nov 19
    Free delivery by Tue, Nov 18
    Available in my store
    No
    No
    No
    No
    No
    Width in Inches
    8.5
    5.75
    8.5
    8.5
    9.375
    Length in Inches
    11
    3.375
    11
    11
    11.75
    Form Size
    8 1 / 2" x 11"
    5 3 / 4" x 3 3 / 8"
    8-1 / 2" x 11"
    Data not available
    9.375" x 11.75"
    Medical Form Type
    Privacy Practice
    Data not available
    Dental Claims
    Health Insurance Claims
    Medical Records Folders
    Medical Form Pack Size
    200
    Data not available
    2500
    500
    25
    Pack Qty
    200
    Data not available
    Data not available
    Data not available
    1
    True Color
    White
    Data not available
    White
    Data not available
    Data not available
    Number of Parts
    1
    1
    1
    Data not available
    Data not available
    Series or Collection
    Patient Acknowledgment of Receipt
    Log of Hospital Visits
    Data not available
    Data not available
    ComplyRight
    Print Type
    Inkjet / Laser
    Data not available
    Laser
    Laser
    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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    Add To Cart
    Add To Cart
    Add To Cart