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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"

    Compare similar items

    Product specifications table
    Attributes Medical Arts Press® Privacy Practices Acknowledgement Cosco Privacy Sign-In Sheets, 3-Part, 125 Forms/Pack (074040) Medical Arts Press® Dental Treatment Consent Form; 1-Sided Medical Arts Press Periodontal Chart; Rainbow FormFamily (10008)
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    Price is $15.39
    Out of Stock
    Reviews
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    4.6
    5
    Delivery Information
    Data not available
    Free delivery by Mon, Feb 09
    Delivery by Wed, Feb 04
    Delivery by Thu, Feb 05
    Available in my store
    No
    No
    No
    No
    Length in Inches
    11
    11.625
    11
    11
    Medical Form Type
    Privacy Practice
    Privacy Sign-In Sheets
    Consent
    Medical Records Folders
    Form Size
    8 1 / 2" x 11"
    8.5" x 11.625"
    8 1 / 2" x 11"
    8 1 / 2" x 11"
    Medical Form Pack Size
    200
    125
    250
    100
    Width in Inches
    8.5
    8.5
    8.5
    8.5
    True Color
    White
    Green
    White
    Rainbow
    Pack Qty
    1
    125
    Data not available
    Data not available
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    Add To Cart
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