https://www.staples-3p.com/s7/is/image/Staples/B81C7CCC-84FC-47B7-BC31D3B79881648D_sc7
Cosco Notice of Privacy Practices with Label, Spanish, 8-Part, 250 Forms/Pack (074045)
$152.59
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
  • 250 sets per pack
  • 8-part form
  • Removable label for patient's folder
MADE IN AMERICA

Cosco Notice of Privacy Practices with Label, Spanish, 8-Part, 250 Forms/Pack (074045)

Item #: 24643944Model #: 074045
Final price is $152.59
 

Free Returns

Online. In store. Always free.

Learn More

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
  • 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.

    • 250 sets per pack
    • 8-part form
    • Removable label for patient's folder
    Specifications table
    Attribute nameAttribute value
    Length in Inches 11
    Medical Form Type Privacy Practice
    Number of Parts 8
    Width in Inches
    8.5
    Form Size
    8.5" x 11"
    Medical Form Pack Size 250
    Pack Qty 250
    Print Type Digital

    Compare similar items

    Product specifications table
    Attributes Cosco Notice of Privacy Practices with Label, Spanish, 8-Part, 250 Forms/Pack (074045) 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 Bilingual Confidential Sign-In Forms, 3-Part, 125 Forms/Pack (074042) Cosco Patient Confidential Sign-In Forms, 3-Part, 125 Forms/Pack (074043)
    Your product
    Price is $152.59
    Reviews
    No reviews yet
    No reviews yet
    Delivery Information
    Free delivery by Wed, Apr 15
    Free delivery by Wed, Apr 15
    Free delivery by Wed, Apr 15
    Free delivery by Wed, Apr 15
    Free delivery by Wed, Apr 15
    Available in my store
    No
    No
    No
    No
    No
    Length in Inches
    11
    11
    11.625
    11.625
    11.624
    Medical Form Type
    Privacy Practice
    Privacy Practice
    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"
    8.5" x 11.625"
    8.5" x 11.625"
    8.5" x 11.625"
    Medical Form Pack Size
    250
    250
    125
    125
    125
    Print Type
    Digital
    Laser
    Digital
    Digital
    Digital
    Number of Parts
    8
    8
    3
    3
    3
    Pack Qty
    250
    Data not available
    125
    125
    125
    Add To Cart
    Add To Cart
    Add To Cart
    Add To Cart