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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200/pack
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Price is $1.07, Regular price was $17.49, You save 93%
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ComplyRight Patient Acknowledgment of Receipt of Privacy Practices Notice (A1354) is Your Product
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Price is $65.09
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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
Frequently bought together
Price is $21.19
Unit of measure 100/Box Price per unit $0.21/File Folder
Delivery by Fri, May 16
1-hr pickup
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21% off of Sharpie Permanent Marker, Fine Tip, Black, 12/Pack (30001)
Price is $9.99, Regular price was $12.69, You save 21%
Unit of measure Dozen Price per unit $0.83/Marker
Delivery by Fri, May 16
1-hr pickup
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Price is $15.69
Unit of measure Dozen Price per unit $0.01/Post-it® Note
Delivery by Fri, May 16
1-hr pickup
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13% off of Staples Notepads, 8.5" x 11.75", Wide Ruled, White, 50 Sheets/Pad, Dozen (ST57339M/57339)
Price is $16.99, Regular price was $19.59, You save 13%
Unit of measure Dozen Price per unit $1.42/Pad
Delivery by Fri, May 16
1-hr pickup
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Price is $19.49
Unit of measure 10/Pack Price per unit $1.95/Correction Tape
Delivery by Fri, May 16
1-hr pickup
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Price is $8.69
Unit of measure 60/Pack Price per unit $0.14/Pen
Delivery by Fri, May 16
1-hr pickup
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Price is $10.79
Unit of measure 1000/Pack Price per unit $0.01/Paper Clip
Delivery by Fri, May 16
1-hr pickup
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Price is $8.19
Unit of measure 4/Pack Price per unit $2.05/Correction Tape
Delivery by Fri, May 16
1-hr pickup
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11% off of Staples 30% Recycled File Folders, 1/3-Cut Tab, Letter Size, Manila, 250/Box (ST56673-CC)
Price is $27.99, Regular price was $31.69, You save 11%
Unit of measure 250/Box Price per unit $0.11/File Folder
Delivery by Fri, May 16
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16% off of Staples Notepads, 5" x 8", Narrow Ruled, White, 50 Sheets/Pad, Dozen (ST57338)
Price is $9.99, Regular price was $11.99, You save 16%
Unit of measure 12/Pack Price per unit $0.83/Pad
Delivery by Fri, May 16
1-hr pickup
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Price is $20.49
Unit of measure 10/Pack Price per unit $2.05/Roll
Delivery by Fri, May 16
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Price is $11.19
Unit of measure 144/Pack Price per unit $0.08/Binder Clip
Delivery by Fri, May 16
1-hr pickup
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Price is $8.69
Unit of measure 12/Pack Price per unit $0.72/Binder Clip
Delivery by Fri, May 16
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17% off of Pilot G2 Retractable Gel Pens, Fine Point, 0.7mm, Black Ink, Dozen (31020)
Price is $16.99, Regular price was $20.49, You save 17%
Unit of measure Dozen Price per unit $1.42/Pen
Delivery by Fri, May 16
1-hr pickup
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Price is $7.59
Unit of measure 24/Pack Price per unit $0.32/Binder Clip
Delivery by Fri, May 16
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11% off of Sharpie Permanent Marker, Fine Tip, Black, 36/Pack (1884739)
Price is $25.99, Regular price was $29.49, You save 11%
Unit of measure 36/Pack Price per unit $0.72/Marker
Delivery by Fri, May 16
1-hr pickup
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Over 30
Price is $17.89
Unit of measure 1000/Pack Price per unit $0.02/Paper Clip
Delivery by Fri, May 16
1-hr pickup
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Price is $18.29
Unit of measure 12/Pack Price per unit $1.52/Roll
Delivery by Fri, May 16
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33% off of Staples Recycled Notes, 3" x 3", Sunshine Collection, 100 Sheet/Pad, 18 Pads/Pack (S-33YR18/52569)
Price is $7.99, Regular price was $11.99, You save 33%
Unit of measure 18/Pack
Delivery by Fri, May 16
1-hr pickup
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Price is $30.79
Unit of measure 10/Pack Price per unit $3.08/Box
Delivery by Fri, May 16
1-hr pickup
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Compare similar items
| Attributes | ComplyRight Patient Acknowledgment of Receipt of Privacy Practices Notice (A1354) | Medical Arts Press® Notice of Privacy Practices | ComplyRight Notice of Privacy Practice, 100/Pack (A1349) | ComplyRight™ HIPAA Notice of Privacy Practices Poster (A2123) | ComplyRight 2024 ADA Dental Claim Forms, 100 Forms/Pack (20241100) |
|---|---|---|---|---|---|
Your product ComplyRight Patient Acknowledgment of Receipt of Privacy Practices Notice (A1354) Price is $65.09 |  93% off of Medical Arts Press® Notice of Privacy Practices Price is $1.07, Regular Price was $17.49, You save 93% |  Price is $38.09 |  Price is $34.39 |  Price is $16.39 | |
| Reviews | |||||
| Delivery Information | Free delivery by Tue, May 27 | Delivery by Tue, May 20 | Free delivery by Tue, May 27 | Delivery by Tue, May 27 | Delivery by Fri, May 23 |
| Available in my store | No | No | No | No | No |
| Width in Inches | 8.5 | 11 | 8.5 | 12 | 8.5 |
| Length in Inches | 11 | 17 | 11 | 18 | 11 |
| Medical Form Type | Privacy Practice | Privacy Practice | Privacy Practice | Privacy Practice | Dental Claims |
| Form Size | 8 1 / 2" x 11" | 11" x 17" | 8 1 / 2" x 11" | 12" x 18" | 8-1 / 2" X 11" |
| Medical Form Pack Size | 200 | 100 | 100 | Data not available | 100 |
| True Color | White | Data not available | White | White | White |
| Pack Qty | 200 | Data not available | 1 | 1 | Data not available |
| Print Type | Inkjet / Laser | Data not available | Data not available | Data not available | Laser |
| Number of Parts | 1 | Data not available | Data not available | Data not available | 1 |
| Series or Collection | Patient Acknowledgment of Receipt | Data not available | Data not available | HIPAA Notice | Data not available |
| 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 |
Featured Products
Price is $21.95
Delivery by Tue, May 27
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Price is $33.39
Unit of measure 50/Pack
Delivery by Wed, May 21
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Price is $20.19
Delivery by Tue, May 27
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Price is $37.99
Unit of measure 100/Pack
Free delivery by Wed, May 21
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Price is $32.09
Unit of measure 50/Pack
Delivery by Wed, May 21
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Price is $32.09
Unit of measure 100/Pack
Delivery by Wed, May 21
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Over 30
Price is $45.79
Unit of measure 25/Pack
Free delivery by Wed, May 21
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Price is $40.19
Unit of measure 50/Pack
Free delivery by Wed, May 21
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Price is $120.19
Free delivery by Tue, May 27
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Price is $40.19
Unit of measure 50/Pack
Free delivery by Wed, May 21
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Price is $37.79
Unit of measure 25/Pack
Free delivery by Wed, May 21
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Price is $45.79
Unit of measure 100/Pack
Free delivery by Wed, May 21
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Over 30
Price is $63.59
Unit of measure 25/Pack
Free delivery by Wed, May 21
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Price is $34.99
Unit of measure 50/Pack
Delivery by Wed, May 21
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Price is $37.99
Unit of measure 100/Pack
Free delivery by Wed, May 21
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