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ComplyRight Patient Acknowledgment of Receipt of Privacy Practices Notice (A1354)
$66.79
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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
Final price is $66.79
200/pack
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Medical Arts Press Vet Cage Card, Provides a Record of Twice Daily Care, 3 x 5", 250/Pack (20353)~#|#~m002400834_sc7
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Price is $20.59
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Customers bought together
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
Staples 10% Recycled Smooth 2-Pocket Paper Presentation Folder, Gray, 10/Pack (13380-US)~#|#~204AA49C-073C-47D5-A44FA80E63CF2D6C_sc7Staples 10% Recycled Smooth 2-Pocket Paper Presentation Folder, Gray, 10/Pack (13380-US)~#|#~9C3EF1FE-31F9-4FC9-897BFAD515A4563A_sc7
Price is $14.99
Price for both
$81.78
  • 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 Notice of Privacy Practice, 100/Pack (A1349) ComplyRight 2024 ADA Dental Claim Forms, 100 Forms/Pack (20241100) ComplyRight Confidential Employee Medical Records Folder, Pack of 25 (A2211) ComplyRight 2024 ADA Dental Claim Forms, 1,000 Forms/Pack (202411)
    Your product
    Price is $66.79
    Reviews
    No reviews yet
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    No reviews yet
    Delivery Information
    Free delivery by Fri, Nov 07
    Free delivery by Fri, Nov 07
    Delivery by Wed, Nov 05
    Free delivery by Fri, Nov 07
    Free delivery by Wed, Nov 05
    Available in my store
    No
    No
    No
    No
    No
    Width in Inches
    8.5
    8.5
    8.5
    9.375
    8.5
    Length in Inches
    11
    11
    11
    11.75
    11
    Medical Form Type
    Privacy Practice
    Privacy Practice
    Dental Claims
    Medical Records Folders
    Dental Claims
    Form Size
    8 1 / 2" x 11"
    8 1 / 2" x 11"
    8-1 / 2" X 11"
    9.375" x 11.75"
    8-1 / 2" x 11"
    Medical Form Pack Size
    200
    100
    100
    25
    1000
    Pack Qty
    200
    1
    Data not available
    1
    Data not available
    True Color
    White
    White
    White
    Data not available
    White
    Print Type
    Inkjet / Laser
    Data not available
    Laser
    Data not available
    Laser
    Series or Collection
    Patient Acknowledgment of Receipt
    Data not available
    Data not available
    ComplyRight
    Data not available
    Number of Parts
    1
    Data not available
    1
    Data not available
    1
    Price Per Unit
    Data not available
    Data not available
    Data not available
    Data not available
    Data not available
    Add To Cart
    Add To Cart
    Add To Cart
    Add To Cart