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ComplyRight Patient Acknowledgment of Receipt of Privacy Practices Notice (A1354)
$66.79
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ComplyRight Patient Acknowledgment of Receipt of Privacy Practices Notice (A1354)~#|#~s0456534_sc7
Highlights
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  • Attorney approved form acknowledging patient has received a Notice of Privacy Practices from his or her healthcare provider
  • HIPAA compliant
  • Size: 8 1/2" x 11"
MADE IN AMERICA

ComplyRight Patient Acknowledgment of Receipt of Privacy Practices Notice (A1354)

Item #: 398026Model #: A1354
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Final price is $66.79
200/pack
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ComplyRight Patient Acknowledgment of Receipt of Privacy Practices Notice (A1354)~#|#~s0456534_sc7
ComplyRight Patient Acknowledgment of Receipt of Privacy Practices Notice (A1354) is Your Product
Price is $66.79
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    • About this product

    ComplyRight Patient acknowledgment of receipt of privacy practices notice measures 8 1/2" x 11".

    ComplyRight Patient acknowledgment of receipt of privacy practices notice is attorney approved form acknowledging patient's information to be released to an authorized third party. Notice measures 8 1/2" x 11".

    • Attorney approved form acknowledging patient has received a Notice of Privacy Practices from his or her healthcare provider
    • HIPAA compliant
    • Size: 8 1/2" x 11"
    • Attorney approved form acknowledging patient has received a Notice of Privacy Practices from his or her healthcare provider
    • HIPAA compliant

    Compare similar items

    Product specifications table
    Attributes ComplyRight Patient Acknowledgment of Receipt of Privacy Practices Notice (A1354) ComplyRight Confidential Employee Medical Records Folder, Pack of 25 (A2211) ComplyRight 2024 ADA Dental Claim Forms, 500 Forms/Pack (20241500) ComplyRight 2024 ADA Dental Claim Forms, 2,500 Forms/Pack (20241) ComplyRight™ Expanded Confidential Employee Medical Records Folder, Pack of 25 (A3325)
    Your product
    ComplyRight Patient Acknowledgment of Receipt of Privacy Practices Notice (A1354)
    Price is $66.79
    ComplyRight Confidential Employee Medical Records Folder, Pack of 25 (A2211)
    Price is $165.79
    ComplyRight 2024 ADA Dental Claim Forms, 500 Forms/Pack (20241500)~#|#~8C5CF2B1-C564-4834-B70E58035F19DEAC_sc7
    Price is $43.59
    ComplyRight 2024 ADA Dental Claim Forms, 2,500 Forms/Pack (20241)~#|#~30211E02-A935-406B-A6832AFD0B88E088_sc7
    Price is $133.69
    ComplyRight™ Expanded Confidential Employee Medical Records Folder, Pack of 25 (A3325)
    Price is $112.79
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    Delivery Information
    Free delivery by Fri, Nov 28
    Free delivery by Fri, Nov 28
    Free delivery by Tue, Nov 25
    Free delivery by Tue, Nov 25
    Free delivery by Fri, Nov 28
    Available in my store
    No
    No
    No
    No
    No
    Length in Inches
    11
    11.75
    11
    11
    11
    Width in Inches
    8.5
    9.375
    8.5
    8.5
    9
    Form Size
    8 1 / 2" x 11"
    9.375" x 11.75"
    8-1 / 2" x 11"
    8-1 / 2" x 11"
    9" x 11"
    Medical Form Type
    Privacy Practice
    Medical Records Folders
    Dental Claims
    Dental Claims
    Medical Records Folders
    Medical Form Pack Size
    200
    25
    500
    2500
    25
    Pack Qty
    200
    1
    Data not available
    Data not available
    1
    True Color
    White
    Data not available
    White
    White
    Data not available
    Print Type
    Inkjet / Laser
    Data not available
    Laser
    Laser
    Data not available
    Number of Parts
    1
    Data not available
    1
    1
    Data not available
    Series or Collection
    Patient Acknowledgment of Receipt
    ComplyRight
    Data not available
    Data not available
    ComplyRight
    Add To Cart
    Add To Cart
    Add To Cart
    Add To Cart