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ComplyRight Patient Acknowledgment of Receipt of Privacy Practices Notice (A1354)
$45.39
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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"
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ComplyRight Patient Acknowledgment of Receipt of Privacy Practices Notice (A1354)

Item #: 398026Model #: A1354
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$45.39
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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 Confidential Employee Medical Records Folder, Pack of 25 (A2211) ComplyRight 2024 ADA Dental Claim Forms, 100 Forms/Pack (20241100) ComplyRight 2024 ADA Dental Claim Forms, 1,000 Forms/Pack (202411)
    Your product
    ComplyRight Patient Acknowledgment of Receipt of Privacy Practices Notice (A1354)
    Price is $45.39
    ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Box of 1,000 (CMS12LC1)
    Price is $85.89
    ComplyRight Confidential Employee Medical Records Folder, Pack of 25 (A2211)
    Price is $165.79
    ComplyRight 2024 ADA Dental Claim Forms, 100 Forms/Pack (20241100)~#|#~652ADB45-0A5E-495C-B7A6ABBF7660E69C_sc7
    Price is $16.79
    ComplyRight 2024 ADA Dental Claim Forms, 1,000 Forms/Pack (202411)~#|#~4A9BEC59-372C-4BA2-98230C384214A03F_sc7
    Price is $66.89
    Reviews
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    Delivery Information
    Free delivery by Tue, Mar 24
    Free delivery by Tue, Mar 24
    Free delivery by Wed, Apr 01
    Delivery by Mon, Mar 30
    Free delivery by Mon, Mar 30
    Available in my store
    No
    No
    No
    No
    No
    Length in Inches
    11
    11
    11.75
    11
    11
    Form Size
    Data not available
    Data not available
    9.375" x 11.75"
    8-1 / 2" X 11"
    8-1 / 2" x 11"
    Width in Inches
    8.5
    8.5
    9.375
    8.5
    8.5
    Medical Form Type
    Health Insurance Claims
    Health Insurance Claims
    Medical Records Folders
    Dental Claims
    Dental Claims
    Medical Form Pack Size
    1000
    1000
    25
    100
    1000
    Pack Qty
    1000
    1000
    1
    Data not available
    Data not available
    True Color
    White / Red
    White / Red
    Data not available
    White
    White
    Number of Parts
    1
    1
    Data not available
    1
    1
    Print Type
    Laser
    Laser
    Data not available
    Laser
    Laser
    Series or Collection
    Data not available
    Data not available
    ComplyRight
    Data not available
    Data not available
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    Add To Cart
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