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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
$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 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 Medical Arts Press Anesthesia Record, 125/Pack (13877)
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    Price is $15.39
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    Delivery Information
    Data not available
    Delivery by Mon, Dec 15
    Free delivery by Wed, Dec 17
    Delivery by Wed, Dec 10
    Delivery by Wed, Dec 10
    Available in my store
    No
    No
    No
    No
    No
    Medical Form Type
    Privacy Practice
    Medical Records Folders
    Consent
    Consent
    Veterinary
    Medical Form Pack Size
    200
    100
    200
    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
    Rainbow
    White
    White
    Data not available
    Pack Qty
    1
    Data not available
    200
    Data not available
    Data not available
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    Add To Cart
    Add To Cart
    Add To Cart
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