ComplyRight Patient Acknowledgment of Receipt of Privacy Practices Notice (A1354)
$66.79
1
Highlights
View all details
- 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
No reviews yet
$66.79
200/pack
Free Returns
Online. In store. Always free.
Learn More
1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Over 30
Compare similar items
| Attributes | ComplyRight Patient Acknowledgment of Receipt of Privacy Practices Notice (A1354) | ComplyRight™ HIPAA Notice of Privacy Practices Poster (A2123) | Cosco Notice of Privacy Practices with Label, English, 8-Part, 250 Forms/Pack (074044) | Cosco Notice of Privacy Practices with Label, Spanish, 8-Part, 250 Forms/Pack (074045) | ComplyRight Notice of Privacy Practice, 100/Pack (A1349) |
|---|---|---|---|---|---|
Your product ComplyRight Patient Acknowledgment of Receipt of Privacy Practices Notice (A1354) Price is $66.79 | |||||
| Reviews | |||||
| Delivery Information | Free delivery by Thu, Dec 18 | Free delivery by Thu, Dec 18 | Free delivery by Wed, Dec 17 | Free delivery by Wed, Dec 17 | Free delivery by Thu, Dec 18 |
| Available in my store | No | No | No | No | No |
| Length in Inches | 11 | 18 | 11 | 11 | 11 |
| Width in Inches | 8.5 | 12 | 8.5 | 8.5 | 8.5 |
| Form Size | 8 1 / 2" x 11" | 12" x 18" | 8.5" x 11" | 8.5" x 11" | 8 1 / 2" x 11" |
| Medical Form Type | Privacy Practice | Privacy Practice | Privacy Practice | Privacy Practice | Privacy Practice |
| Medical Form Pack Size | 200 | Data not available | 250 | 250 | 100 |
| True Color | White | White | Data not available | Data not available | White |
| Number of Parts | 1 | Data not available | 8 | 8 | Data not available |
| Print Type | Inkjet / Laser | Data not available | Laser | Digital | Data not available |
| Pack Qty | 200 | 1 | Data not available | 250 | 1 |
| Series or Collection | Patient Acknowledgment of Receipt | HIPAA Notice | Data not available | Data not available | Data not available |
| Add To Cart | Add To Cart | Add To Cart | Add To Cart |
Featured Products
Page 1 of 3