ComplyRight Patient Acknowledgment of Receipt of Privacy Practices Notice (A1354)
$65.09
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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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Attributes | ComplyRight Patient Acknowledgment of Receipt of Privacy Practices Notice (A1354) | ComplyRight HIPAA Patient Consent and Authorization Form (A1350) | Medical Arts Press® Notice of Privacy Practices | ComplyRight Notice of Privacy Practice, 100/Pack (A1349) | ComplyRight Confidential Employee Medical Records Folder, Pack of 25 (A2211) |
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Your product ComplyRight Patient Acknowledgment of Receipt of Privacy Practices Notice (A1354) Price is $65.09 | |||||
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Delivery Information | Free delivery by Wed, Jun 18 | Free delivery by Wed, Jun 18 | Delivery by Thu, Jun 12 | Free delivery by Wed, Jun 18 | Free delivery by Wed, Jun 18 |
Available in my store | No | No | No | No | No |
Width in Inches | 8.5 | 8.5 | 11 | 8.5 | 9.375 |
Length in Inches | 11 | 11 | 17 | 11 | 11.75 |
Form Size | 8 1 / 2" x 11" | 8 1 / 2" x 11" | 11" x 17" | 8 1 / 2" x 11" | 9.375" x 11.75" |
Medical Form Type | Privacy Practice | Consent | Privacy Practice | Privacy Practice | Medical Records Folders |
Medical Form Pack Size | 200 | 200 | 100 | 100 | 25 |
True Color | White | White | Data not available | White | Data not available |
Pack Qty | 200 | 200 | Data not available | 1 | 1 |
Print Type | Inkjet / Laser | Inkjet / Laser | Data not available | Data not available | Data not available |
Number of Parts | 1 | 1 | Data not available | Data not available | Data not available |
Series or Collection | Patient Acknowledgment of Receipt | HIPAA Patient Consent and Authorization Form | Data not available | Data not available | ComplyRight |
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 |