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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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$66.79
200/pack
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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 CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Box of 1,000 (CMS12LC1) ComplyRight Notice of Privacy Practice, 100/Pack (A1349) Cosco Notice of Privacy Practices with Label, English, 8-Part, 250 Forms/Pack (074044) ComplyRight™ HIPAA Notice of Privacy Practices Poster (A2123)
    Your product
    ComplyRight Patient Acknowledgment of Receipt of Privacy Practices Notice (A1354)
    Price is $66.79
    ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Box of 1,000 (CMS12LC1)
    Price is $85.89
    ComplyRight Notice of Privacy Practice, 100/Pack (A1349)
    Price is $21.09
    Cosco Notice of Privacy Practices with Label, English, 8-Part, 250 Forms/Pack (074044)~#|#~68DF0C8B-CFCC-4A0B-841308949DC20F7F_sc7
    Price is $199.99
    ComplyRight™ HIPAA Notice of Privacy Practices Poster (A2123)
    Price is $35.29
    Reviews
    No reviews yet
    4.8
    82
    No reviews yet
    No reviews yet
    4.4
    5
    Delivery Information
    Free delivery by Thu, Jan 29
    Free delivery by Wed, Jan 21
    Delivery by Thu, Jan 29
    Free delivery by Thu, Jan 29
    Free delivery by Thu, Jan 29
    Available in my store
    No
    No
    No
    No
    No
    Length in Inches
    11
    11
    11
    11
    18
    Width in Inches
    8.5
    8.5
    8.5
    8.5
    12
    Medical Form Type
    Privacy Practice
    Health Insurance Claims
    Privacy Practice
    Privacy Practice
    Privacy Practice
    Form Size
    8 1 / 2" x 11"
    Data not available
    8 1 / 2" x 11"
    8.5" x 11"
    12" x 18"
    Medical Form Pack Size
    200
    1000
    100
    250
    Data not available
    True Color
    White
    White / Red
    White
    Data not available
    White
    Print Type
    Inkjet / Laser
    Laser
    Data not available
    Laser
    Data not available
    Number of Parts
    1
    1
    Data not available
    8
    Data not available
    Pack Qty
    200
    1000
    1
    Data not available
    1
    Series or Collection
    Patient Acknowledgment of Receipt
    Data not available
    Data not available
    Data not available
    HIPAA Notice
    Add To Cart
    Add To Cart
    Add To Cart
    Add To Cart
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