• 250 sets per pack
  • 8-part form
  • Removable label for patient's folder
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Cosco Notice of Privacy Practices with Label, English, 8-Part, 250 Forms/Pack (074044)

Item #: 24644899Model #: 074044
Final price is $199.99

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  • About this product

    Written Notice of Privacy Practices must be provided to patients on or before the first encounter and to other persons on request. The Notice notifies the patient of all uses and disclosures of his or her protected health information and outlines all the legal duties of the practice.

    Form is over seven pages, completely comprehensive and includes all of the key elements required by HIPAA and more! The form also contains a removable label which provides practices with a written acknowledgement that the patient received the Privacy Notice (as required to be HIPAA compliant). No need for practice to make copies and file additional paperwork, simply place the label onto the patient folder. Form is also available in Spanish.

    • 250 sets per pack
    • 8-part form
    • Removable label for patient's folder

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    Product specifications table
    Attributes Cosco Notice of Privacy Practices with Label, English, 8-Part, 250 Forms/Pack (074044) Cosco Privacy Sign-In Sheets, 3-Part, 125 Forms/Pack (074040) Cosco Patient Confidential Sign-In Forms, 3-Part, 125 Forms/Pack (074041) Cosco Patient Confidential Sign-In Forms, 3-Part, 125 Forms/Pack (074039) Cosco Patient Confidential Sign-In Forms, 3-Part, 125 Forms/Pack (074043)
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    Price is $199.99
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    Delivery Information
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    Free delivery by Tue, Jun 17
    Free delivery by Tue, Jun 17
    Free delivery by Tue, Jun 17
    Free delivery by Tue, Jun 17
    Available in my store
    No
    No
    No
    No
    No
    Length in Inches
    11
    11.625
    11.625
    11.625
    11.624
    Medical Form Type
    Privacy Practice
    Privacy Sign-In Sheets
    Privacy Sign-In Sheets
    Privacy Sign-In Sheets
    Privacy Sign-In Sheets
    Width in Inches
    8.5
    8.5
    8.5
    8.5
    8.5
    Form Size
    8.5" x 11"
    8.5" x 11.625"
    8.5" x 11.625"
    8.5" x 11.625"
    8.5" x 11.625"
    Medical Form Pack Size
    250
    125
    125
    125
    125
    Print Type
    Laser
    Digital
    Digital
    Digital
    Digital
    Number of Parts
    8
    3
    3
    3
    3
    Acid Free
    Non Acid Free
    Data not available
    Data not available
    Data not available
    Data not available
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    Add To Cart
    Add To Cart
    Add To Cart