• One page
  • 8-1/2x11"
  • Patient Documentation

Medical Arts Press® Privacy Practices Acknowledgement

Item #: 541007Model #: 28984
200/pack

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    About this product

    Documents the patient's acknowledgement that they have received and reviewed the Notice of Privacy Practices (#28998)

    Documents the patient’s acknowledgement that they have received and reviewed the Notice of Privacy Practices (#28998). One page; 8-1/2x11".

    • One page
    • 8-1/2x11"
    • Patient Documentation
    • One page; 8-1/2x11"

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    Specifications
    Specifications table
    Attribute nameAttribute value
    Length in Inches 11
    Pack Qty 1
    Medical Form Type Privacy Practice
    Form Size
    8 1/2" x 11"
    Medical Form Pack Size 200
    Width in Inches
    8.5
    True Color
    White
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    Product specifications table
    Attributes Medical Arts Press® Privacy Practices Acknowledgement Medical Arts Press® Notice of Privacy Practices Medical Arts Press Dental Registration and Medical History Form, Spanish (20586) Medical Arts Press Chiropractic Forms, Travel Card (21704) Medical Arts Press Continuation Notes (20132)
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    Price is $14.99
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    Medical Arts Press® Notice of Privacy Practices~#|#~m002246661_sc7
    93% off of Medical Arts Press® Notice of Privacy Practices
    Price is $1.07, Regular Price was $17.49, You save 93%
    Medical Arts Press Continuation Notes (20132)~#|#~E5C25868-7A06-45FF-AE05E0445A2093FC_sc7
    Delivery Information
    Data not available
    Delivery by Wed, May 21
    Delivery by Wed, May 21
    Delivery by Wed, May 21
    Delivery by Wed, May 21
    Available in my store
    No
    No
    No
    No
    No
    Medical Form Type
    Privacy Practice
    Privacy Practice
    Dental Claims
    Privacy Practice
    Medical Records Folders
    Medical Form Pack Size
    200
    100
    250
    250
    500
    Length in Inches
    11
    17
    11
    11
    11
    Form Size
    8 1 / 2" x 11"
    11" x 17"
    8 1 / 2" x 11"
    8 1 / 2" x 11"
    8 1 / 2" x 11"
    Width in Inches
    8.5
    11
    8.5
    8.5
    8.5
    True Color
    White
    Data not available
    White
    Data not available
    Yellow
    Pack Qty
    1
    Data not available
    Data not available
    Data not available
    Data not available
    Add To Cart
    Add To Cart
    Add To Cart
    Add To Cart