• One page
  • 8-1/2x11"
  • Patient Documentation

Medical Arts Press® Privacy Practices Acknowledgement

Item #: 541007Model #: 28984
200/pack

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    About this product

    Documents the patient's acknowledgement that they have received and reviewed the Notice of Privacy Practices (#28998)

    Documents the patient’s acknowledgement that they have received and reviewed the Notice of Privacy Practices (#28998). One page; 8-1/2x11".

    • One page
    • 8-1/2x11"
    • Patient Documentation
    • One page; 8-1/2x11"

    Frequently bought together

    Specifications
    Specifications table
    Attribute nameAttribute value
    Length in Inches 11
    Pack Qty 1
    Medical Form Type Privacy Practice
    Form Size
    8 1/2" x 11"
    Medical Form Pack Size 200
    Width in Inches
    8.5
    True Color
    White
    Reviews

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    Product specifications table
    Attributes Medical Arts Press® Privacy Practices Acknowledgement Medical Arts Press® Notice of Privacy Practices Medical Arts Press® Dental Treatment Consent Form; 1-Sided Medical Arts Press Chiropractic Forms, Travel Card (21704) Medical Arts Press Continuation Notes (20132)
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    Price is $14.99
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    Medical Arts Press® Notice of Privacy Practices~#|#~m002246661_sc7
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    Price is $1.07, Regular Price was $17.49, You save 93%
    Medical Arts Press Continuation Notes (20132)~#|#~E5C25868-7A06-45FF-AE05E0445A2093FC_sc7
    Delivery Information
    Data not available
    Delivery by Tue, May 13
    Delivery by Tue, May 13
    Delivery by Tue, May 13
    Delivery by Tue, May 13
    Available in my store
    No
    No
    No
    No
    No
    Length in Inches
    11
    17
    11
    11
    11
    Medical Form Type
    Privacy Practice
    Privacy Practice
    Consent
    Privacy Practice
    Medical Records Folders
    Form Size
    8 1 / 2" x 11"
    11" x 17"
    8 1 / 2" x 11"
    8 1 / 2" x 11"
    8 1 / 2" x 11"
    Medical Form Pack Size
    200
    100
    250
    250
    500
    Width in Inches
    8.5
    11
    8.5
    8.5
    8.5
    True Color
    White
    Data not available
    White
    Data not available
    Yellow
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