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Medical Arts Press® Privacy Practices Acknowledgement
$15.39
  • One page
  • 8-1/2x11"
  • Patient Documentation

Medical Arts Press® Privacy Practices Acknowledgement

Item #: 541007Model #: 28984
Final price is $15.39
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 Adams Health Insurance Claims (CMS1500CV) Medical Arts Press Periodontal Chart; Rainbow FormFamily (10008) ComplyRight HIPAA Patient Consent and Authorization Form (A1350) Medical Arts Press® Dental Treatment Consent Form; 1-Sided
    Your product
    Price is $15.39
    Out of Stock
    Adams Health Insurance Claims (CMS1500CV)
    Reviews
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    4.44
    9
    4.6
    5
    No reviews yet
    No reviews yet
    Delivery Information
    Data not available
    Pick up in 30 minutes
    Delivery by Thu, Jan 15
    Free delivery by Wed, Jan 21
    Delivery by Tue, Jan 13
    Available in my store
    No
    Yes
    No
    No
    No
    Medical Form Type
    Privacy Practice
    Health Insurance Claims
    Medical Records Folders
    Consent
    Consent
    Medical Form Pack Size
    200
    100
    100
    200
    250
    Length in Inches
    11
    11
    11
    11
    11
    Form Size
    8 1 / 2" x 11"
    9 1 / 2" x 11"
    8 1 / 2" x 11"
    8 1 / 2" x 11"
    8 1 / 2" x 11"
    Width in Inches
    8.5
    9.5
    8.5
    8.5
    8.5
    True Color
    White
    White
    Rainbow
    White
    White
    Pack Qty
    1
    100
    Data not available
    200
    Data not available
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    Add To Cart
    Add To Cart
    Add To Cart
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