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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
    Delivery by Tue, Apr 07
    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