ComplyRight Patient Acknowledgment of Receipt of Privacy Practices Notice (A1354)
$45.39
1
Highlights
View all details
- 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
No reviews yet
Final price is $45.39
200/pack
Free Returns
Online. In store. Always free.
Learn More
1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Over 30
Add to list
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
Page 1 of 1
Price is $48.99, Regular price was $81.99, You save 40%
Unit of measure 5000/Carton
Free delivery by Tue, Apr 07
30-min pickup
1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Over 30
Add to list
Price is $6.19
Delivery by Tue, Apr 07
30-min pickup
1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Over 30
Add to list
TurboTax Deluxe Desktop Edition 2025, Federal Tax Return for 1 User, Windows 11 & Mac 14, Download (INT940800V144) is Online only
Price is $69.99
Delivered Electronically
1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Over 30
Add to list
NeeDoh Dream Drop, Color Chosen at Random (DRDND) is In-store only
Price is $4.99
See alternate delivery items
30-min pickup
Add to list
Price is $16.59, Regular price was $26.19, You save 36%
Unit of measure 1500/Carton
Delivery by Tue, Apr 07
30-min pickup
1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Over 30
Add to list
Price is $299.99, Regular price was $399.99, You save 25%
Delivery fees may apply
30-min pickup
1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Over 30
Add to list
Price is $329.99
Free delivery by Tue, Apr 07
30-min pickup
1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Over 30
Add to list
TurboTax Deluxe Desktop Edition 2025, Federal & State Tax Return for 1 User, Windows 11 & Mac 14, Download (INT940800V145) is Online only
Price is $59.99, Regular price was $79.99, You save 25%
Delivered Electronically
1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Over 30
Add to list
Price is $329.99, Regular price was $469.99, You save 29%
Free delivery by Tue, Apr 07
30-min pickup
1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Over 30
Add to list
Price is $399.99, Regular price was $579.99, You save 31%
Free delivery by Tue, Apr 07
30-min pickup
1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Over 30
Add to list
Price is $139.99, Regular price was $299.99, You save 53%
Free delivery by Tue, Apr 07
30-min pickup
1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Over 30
Add to list
Price is $119.99, Regular price was $189.99, You save 36%
Free delivery by Tue, Apr 07
30-min pickup
1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Over 30
Add to list
NeeDoh Nice Cube, Color Chosen at Random (NCBND) is In-store only
Price is $4.99
See alternate delivery items
30-min pickup
Add to list
Price is $19.99
Unit of measure 100/Box Price per unit $0.20/File Folder
Delivery by Tue, Apr 07
30-min pickup
1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Over 30
Add to list
Price is $139.99, Regular price was $179.99, You save 22%
Free delivery by Tue, Apr 07
30-min pickup
1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Over 30
Add to list
NeeDoh JellySquish, Color Chosen at Random (JSND) is In-store only
Price is $5.99
See alternate delivery items
30-min pickup
Add to list
Price is $41.99, Regular price was $70.59, You save 40%
Unit of measure 4000/Carton
Free delivery by Tue, Apr 07
1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Over 30
Add to list
Price is $179.99, Regular price was $319.99, You save 43%
Free delivery by Tue, Apr 07
30-min pickup
1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Over 30
Add to list
Price is $329.99, Regular price was $529.99, You save 37%
Free delivery by Tue, Apr 07
30-min pickup
1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Over 30
Add to list
Compare similar items
| Attributes | ComplyRight Patient Acknowledgment of Receipt of Privacy Practices Notice (A1354) | ComplyRight Confidential Employee Medical Records Folder, Pack of 25 (A2211) | ComplyRight 2024 ADA Dental Claim Forms, 1,000 Forms/Pack (202411) | ComplyRight 2024 ADA Dental Claim Forms, 2,500 Forms/Pack (20241) | ComplyRight™ Expanded Confidential Employee Medical Records Folder, Pack of 25 (A3325) |
|---|---|---|---|---|---|
Your product ComplyRight Patient Acknowledgment of Receipt of Privacy Practices Notice (A1354) Price is $45.39 |  Price is $165.79 |  Price is $66.89 |  Price is $133.69 |  Price is $115.69 | |
| Reviews | |||||
| Delivery Information | Free delivery by Wed, Apr 15 | Free delivery by Wed, Apr 15 | Free delivery by Tue, Apr 14 | Free delivery by Tue, Apr 14 | Free delivery by Wed, Apr 15 |
| Available in my store | No | No | No | No | No |
| Length in Inches | 11 | 11.75 | 11 | 11 | 11 |
| Width in Inches | 8.5 | 9.375 | 8.5 | 8.5 | 9 |
| Medical Form Type | Privacy Practice | Medical Records Folders | Dental Claims | Dental Claims | Medical Records Folders |
| Form Size | 8 1 / 2" x 11" | 9.375" x 11.75" | 8-1 / 2" x 11" | 8-1 / 2" x 11" | 9" x 11" |
| Medical Form Pack Size | 200 | 25 | 1000 | 2500 | 25 |
| Pack Qty | 200 | 1 | Data not available | Data not available | 1 |
| True Color | White | Data not available | White | White | Data not available |
| Print Type | Inkjet / Laser | Data not available | Laser | Laser | Data not available |
| Number of Parts | 1 | Data not available | 1 | 1 | Data not available |
| Series or Collection | Patient Acknowledgment of Receipt | ComplyRight | Data not available | Data not available | ComplyRight |
| Add To Cart | Add To Cart | Add To Cart | Add To Cart |
