ComplyRight HIPAA Patient Consent and Authorization Form (A1350)
$43.99
ComplyRight Patient consent and authorization form is attorney approved form acknowledging patient’s information to be released to an authorized third party. Form measures 8 1/2″ x 11″.
- Attorney approved form acknowledging patient’s consent to release his or her protected health information to an authorized third party
- Complies with HIPAA’s authorization requirements
- Size: 8 1/2″ x 11″
- Attorney approved form acknowledging patient’s consent to release his or her protected health information to an authorized third party
- Complies with HIPAAs authorization requirements
| Attribute name | Attribute value |
|---|---|
| Length in Inches Items of a particular grouping, as merchandised and labeled by a manufacturer | HIPAA Patient Consent and Authorization Form |
| Number of Parts The physical dimensions of the form. | 8 1/2″ x 11″ |
| Medical Form Pack Size | 200 |
| Width in Inches Actual manufacturer name for the color of the product. | White |
| Medical Form Type | Inkjet/Laser |
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