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- One page
- 8-1/2x11"
- Patient Documentation
Medical Arts Press® Privacy Practices Acknowledgement
Item #: 541007Model #: 28984
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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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| Attributes | Medical Arts Press® Privacy Practices Acknowledgement | Medical Arts Press® Dental Treatment Consent Form; 1-Sided | Medical Arts Press Continuation Notes (20132) | Medical Arts Press Chiropractic Forms, Travel Card (21704) | Medical Arts Press Anesthesia Record, 125/Pack (13877) |
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Your product Medical Arts Press® Privacy Practices Acknowledgement Price is $14.99 Out of Stock |  Price is $20.29 |  Price is $29.99 |  Price is $28.49 |  Price is $16.09 | |
| Reviews | |||||
| Delivery Information | Data not available | Delivery by Fri, Sep 19 | Delivery by Fri, Sep 19 | Delivery by Tue, Nov 25 | Delivery by Fri, Sep 19 |
| Available in my store | No | No | No | No | No |
| Medical Form Type | Privacy Practice | Consent | Medical Records Folders | Privacy Practice | Veterinary |
| Medical Form Pack Size | 200 | 250 | 500 | 250 | 125 |
| Length in Inches | 11 | 11 | 11 | 11 | Data not available |
| Form Size | 8 1 / 2" x 11" | 8 1 / 2" x 11" | 8 1 / 2" x 11" | 8 1 / 2" x 11" | Data not available |
| Width in Inches | 8.5 | 8.5 | 8.5 | 8.5 | Data not available |
| True Color | White | White | Yellow | Data not available | Data not available |
| 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 |
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