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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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Compare similar items
| Attributes | Medical Arts Press® Privacy Practices Acknowledgement | ComplyRight HIPAA Patient Consent and Authorization Form (A1350) | Medical Arts Press® Dental Treatment Consent Form; 1-Sided | Medical Arts Press Chiropractic Forms, Travel Card (21704) | Medical Arts Press Dental Consent Form; Rainbow FormFamily (10039) |
|---|---|---|---|---|---|
Your product Medical Arts Press® Privacy Practices Acknowledgement Price is $14.99 Out of Stock | Price is $65.09 |  Price is $20.29 |  Price is $28.49 |  Price is $20.99 | |
| Reviews | |||||
| Delivery Information | Data not available | Free delivery by Wed, Sep 24 | Delivery by Thu, Sep 18 | Delivery by Mon, Nov 24 | Delivery by Thu, Sep 18 |
| Available in my store | No | No | No | No | No |
| Medical Form Type | Privacy Practice | Consent | Consent | Privacy Practice | Medical Records Folders |
| Medical Form Pack Size | 200 | 200 | 250 | 250 | 100 |
| Length in Inches | 11 | 11 | 11 | 11 | 11 |
| Form Size | 8 1 / 2" x 11" | 8 1 / 2" x 11" | 8 1 / 2" x 11" | 8 1 / 2" x 11" | 8 1 / 2" x 11" |
| Width in Inches | 8.5 | 8.5 | 8.5 | 8.5 | 8.5 |
| True Color | White | White | White | Data not available | White |
| Pack Qty | 1 | 200 | 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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