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ComplyRight Patient Acknowledgment of Receipt of Privacy Practices Notice (A1354)
$45.39
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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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$45.39
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 HIPAA Patient Consent and Authorization Form (A1350) ComplyRight Notice of Privacy Practice, 100/Pack (A1349) Cosco HIPAA Notice of Privacy Practices Forms with Acknowledgment Label, English, 8-Part, 250/Pack (074044) Cosco HIPAA Notice of Privacy Practices Forms with Acknowledgment Label, Spanish, 8-Part, 250/Pack (074045)
    Your product
    ComplyRight Patient Acknowledgment of Receipt of Privacy Practices Notice (A1354)
    Price is $45.39
    ComplyRight HIPAA Patient Consent and Authorization Form (A1350)~#|#~s0456533_sc7
    Price is $54.19
    ComplyRight Notice of Privacy Practice, 100/Pack (A1349)
    Price is $19.59
    Cosco HIPAA Notice of Privacy Practices Forms with Acknowledgment Label, English, 8-Part, 250/Pack (074044)~#|#~68DF0C8B-CFCC-4A0B-841308949DC20F7F_sc7
    Price is $152.59
    Cosco HIPAA Notice of Privacy Practices Forms with Acknowledgment Label, Spanish, 8-Part, 250/Pack (074045)~#|#~B81C7CCC-84FC-47B7-BC31D3B79881648D_sc7
    Price is $152.59
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    Delivery Information
    Free delivery by Wed, Jun 17
    Free delivery by Wed, Jun 17
    Delivery by Wed, Jun 17
    Free delivery by Thu, Jun 18
    Free delivery by Thu, Jun 18
    Available in my store
    No
    No
    No
    No
    No
    Length in Inches
    11
    11
    11
    11
    11
    Width in Inches
    8.5
    8.5
    8.5
    8.5
    8.5
    Medical Form Type
    Privacy Practice
    Consent
    Privacy Practice
    Privacy Practice
    Privacy Practice
    Form Size
    8 1 / 2" x 11"
    8 1 / 2" x 11"
    8 1 / 2" x 11"
    8.5" x 11"
    8.5" x 11"
    Medical Form Pack Size
    200
    200
    100
    250
    250
    True Color
    White
    White
    White
    Data not available
    Data not available
    Print Type
    Inkjet / Laser
    Inkjet / Laser
    Data not available
    Laser
    Digital
    Number of Parts
    1
    1
    Data not available
    8
    8
    Pack Qty
    200
    200
    1
    Data not available
    250
    Series or Collection
    Patient Acknowledgment of Receipt
    HIPAA Patient Consent and Authorization Form
    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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