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

Medical Arts Press® Privacy Practices Acknowledgement

Item #: 541007Model #: 28984
Final price is $14.99
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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    Product specifications table
    Attributes Medical Arts Press® Privacy Practices Acknowledgement Medical Arts Press® Notice of Privacy Practices Medical Arts Press® Dental Treatment Consent Form; 1-Sided Medical Arts Press Dental Registration and Medical History Form, Spanish (20586) Medical Arts Press Chiropractic Forms, Travel Card (21704)
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    Price is $14.99
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    Medical Arts Press® Notice of Privacy Practices~#|#~m002246661_sc7
    Price is $2.39, Regular Price was $17.49, You save 86%
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    Delivery Information
    Data not available
    Delivery by Wed, Jul 02
    Delivery by Wed, Jul 02
    Delivery by Wed, Jul 02
    Delivery by Wed, Jul 02
    Available in my store
    No
    No
    No
    No
    No
    Medical Form Type
    Privacy Practice
    Privacy Practice
    Consent
    Dental Claims
    Privacy Practice
    Medical Form Pack Size
    200
    100
    250
    250
    250
    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
    White
    Data not available
    Pack Qty
    1
    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