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Medical Arts Press® Privacy Practices Acknowledgement
$1.18
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  • One page
  • 8-1/2x11"
  • Patient Documentation

Medical Arts Press® Privacy Practices Acknowledgement

Item #: 541007Model #: 28984
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Medical Arts Press® Notice of Privacy Practices~#|#~m002246661_sc7
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Medical Arts Press® Privacy Practices Acknowledgement~#|#~s1014031_sc7
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  • Details

    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"
    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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