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ComplyRight Patient Acknowledgment of Receipt of Privacy Practices Notice (A1354)
$65.09
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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 $65.09
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

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    Product specifications table
    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)
    Your product
    Price is $65.09
    Medical Arts Press® Notice of Privacy Practices~#|#~m002246661_sc7
    Price is $1.07, Regular Price was $17.49, You save 93%
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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
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    Add To Cart
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    Add To Cart