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ComplyRight Patient Acknowledgment of Receipt of Privacy Practices Notice (A1354)
$66.79
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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"
MADE IN AMERICA

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

Item #: 398026Model #: A1354
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Final price is $66.79
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

    Compare similar items

    Product specifications table
    Attributes ComplyRight Patient Acknowledgment of Receipt of Privacy Practices Notice (A1354) ComplyRight HIPAA Patient Consent and Authorization Form (A1350) ComplyRight Notice of Privacy Practice, 100/Pack (A1349) ComplyRight Confidential Employee Medical Records Folder, Pack of 25 (A2211) ComplyRight 2024 ADA Dental Claim Forms, 100 Forms/Pack (20241100)
    Your product
    ComplyRight Patient Acknowledgment of Receipt of Privacy Practices Notice (A1354)
    Price is $66.79
    ComplyRight HIPAA Patient Consent and Authorization Form (A1350)~#|#~s0456533_sc7
    Price is $66.79
    ComplyRight Notice of Privacy Practice, 100/Pack (A1349)
    Price is $36.19
    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
    Reviews
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    Delivery Information
    Free delivery by Mon, Jan 12
    Free delivery by Mon, Jan 12
    Free delivery by Mon, Jan 12
    Free delivery by Mon, Jan 12
    Delivery by Wed, Jan 07
    Available in my store
    No
    No
    No
    No
    No
    Medical Form Type
    Privacy Practice
    Consent
    Privacy Practice
    Medical Records Folders
    Dental Claims
    Width in Inches
    8.5
    8.5
    8.5
    9.375
    8.5
    Length in Inches
    11
    11
    11
    11.75
    11
    Form Size
    8 1 / 2" x 11"
    8 1 / 2" x 11"
    8 1 / 2" x 11"
    9.375" x 11.75"
    8-1 / 2" X 11"
    Medical Form Pack Size
    200
    200
    100
    25
    100
    True Color
    White
    White
    White
    Data not available
    White
    Pack Qty
    200
    200
    1
    1
    Data not available
    Print Type
    Inkjet / Laser
    Inkjet / Laser
    Data not available
    Data not available
    Laser
    Number of Parts
    1
    1
    Data not available
    Data not available
    1
    Series or Collection
    Patient Acknowledgment of Receipt
    HIPAA Patient Consent and Authorization Form
    Data not available
    ComplyRight
    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
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