ComplyRight Patient Acknowledgment of Receipt of Privacy Practices Notice (A1354)
$45.39
1
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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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Your product ComplyRight Patient Acknowledgment of Receipt of Privacy Practices Notice (A1354) Price is $45.39 | |||||
| Reviews | |||||
| Delivery Information | Free delivery by Mon, Jun 08 | Delivery by Mon, Jun 08 | Free delivery by Tue, Jun 09 | Free delivery by Tue, Jun 09 | Free delivery by Mon, Jun 08 |
| Available in my store | No | No | No | No | No |
| Width in Inches | 8.5 | 8.5 | 8.5 | 8.5 | 12 |
| Length in Inches | 11 | 11 | 11 | 11 | 18 |
| Medical Form Type | Privacy Practice | Privacy Practice | Privacy Practice | Privacy Practice | Privacy Practice |
| Form Size | 8 1 / 2" x 11" | 8 1 / 2" x 11" | 8.5" x 11" | 8.5" x 11" | 12" x 18" |
| Medical Form Pack Size | 200 | 100 | 250 | 250 | Data not available |
| True Color | White | White | Data not available | Data not available | White |
| Print Type | Inkjet / Laser | Data not available | Laser | Digital | Data not available |
| Number of Parts | 1 | Data not available | 8 | 8 | Data not available |
| Pack Qty | 200 | 1 | Data not available | 250 | 1 |
| Series or Collection | Patient Acknowledgment of Receipt | Data not available | Data not available | Data not available | HIPAA Notice |
| 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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