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Medical Arts Press® Privacy Practices Acknowledgement
$15.79
  • One page
  • 8-1/2x11"
  • Patient Documentation

Medical Arts Press® Privacy Practices Acknowledgement

Item #: 541007Model #: 28984
Final price is $15.79
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"
    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

    Compare similar items

    Product specifications table
    Attributes Medical Arts Press® Privacy Practices Acknowledgement Medical Arts Press® Dental Treatment Consent Form; 1-Sided
    Your product
    Price is $15.79
    Out of Stock
    Delivery Information
    Data not available
    Next-Day Delivery by tomorrow
    Available in my store
    No
    No
    Length in Inches
    11
    11
    Medical Form Type
    Privacy Practice
    Consent
    Form Size
    8 1 / 2" x 11"
    8 1 / 2" x 11"
    Medical Form Pack Size
    200
    250
    Width in Inches
    8.5
    8.5
    True Color
    White
    White
    Add To Cart