ComplyRight Patient Acknowledgment of Receipt of Privacy Practices Notice (A1354)
$45.39
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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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$45.39
200/pack
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ComplyRight Patient Acknowledgment of Receipt of Privacy Practices Notice (A1354) is Your Product
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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
Frequently bought together
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Price is $36.99
Free delivery by Wed, Jun 24
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Price is $19.59
Unit of measure 100/Pack
Delivery by Wed, Jun 24
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Price is $37.99
Free delivery by Wed, Jun 24
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Price is $96.89
Free delivery by Wed, Jun 24
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Price is $71.99
Free delivery by Wed, Jun 24
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Compare similar items
| Attributes | ComplyRight Patient Acknowledgment of Receipt of Privacy Practices Notice (A1354) | ComplyRight™ HIPAA Notice of Privacy Practices Poster (A2123) | ComplyRight Notice of Privacy Practice, 100/Pack (A1349) | ComplyRight Orthodontic Case Analysis File, 9.5" x 11.75", 25 Folders/Pack (A1048) | ComplyRight Employee Warning Notice, Pack of 50 (A2311) |
|---|---|---|---|---|---|
Your product ComplyRight Patient Acknowledgment of Receipt of Privacy Practices Notice (A1354) Price is $45.39 |  Price is $36.99 |  Price is $19.59 |  Price is $96.89 |  Price is $71.99 | |
| Reviews | |||||
| Delivery Information | Free delivery by Wed, Jun 24 | Free delivery by Wed, Jun 24 | Delivery by Wed, Jun 24 | Free delivery by Wed, Jun 24 | Free delivery by Wed, Jun 24 |
| Available in my store | No | No | No | No | No |
| Width in Inches | 8.5 | 12 | 8.5 | 11.75 | 8.5 |
| Length in Inches | 11 | 18 | 11 | 9.5 | 11 |
| Form Size | 8 1 / 2" x 11" | 12" x 18" | 8 1 / 2" x 11" | 9.5" x 11.75" | 8 1 / 2" x 11" |
| Medical Form Type | Privacy Practice | Privacy Practice | Privacy Practice | Data not available | Data not available |
| Pack Qty | 200 | 1 | 1 | 1 | 1 |
| True Color | White | White | White | Beige | White |
| Medical Form Pack Size | 200 | Data not available | 100 | Data not available | Data not available |
| Number of Parts | 1 | Data not available | Data not available | Data not available | Data not available |
| Print Type | Inkjet / Laser | Data not available | Data not available | Data not available | Data not available |
| Series or Collection | Patient Acknowledgment of Receipt | HIPAA Notice | Data not available | Data not available | Employee Warning Notice |
| Price Per Unit | Data not available | Data not available | Data not available | Data not available | Data not available |
| Add To Cart | Add To Cart | Add To Cart | Add To Cart |
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Page 1 of 3
Price is $49.59
Unit of measure 250/Box
Free delivery by Fri, Jun 19
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Unit of measure 500/Box
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Price is $45.79
Unit of measure 100/Pack
Free delivery by Fri, Jun 19
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Price is $25.89
Unit of measure 50/Pack
Delivery by Fri, Jun 19
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Price is $17.95
Delivery by Wed, Jun 24
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