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ComplyRight Patient Acknowledgment of Receipt of Privacy Practices Notice (A1354)

Original price was: $61.00.Current price is: $45.99.

SKU: SKU398026 Categories: Forms, Medical Forms, Paper Tag: ComplyRight Brand: ComplyRight

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ComplyRight Patient acknowledgment of receipt of privacy practices notice is attorney approved form acknowledging patient’s information to be released to an authorized third party. Notice measures 8 1/2″ x 11″.

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″
Attorney approved form acknowledging patient has received a Notice of Privacy Practices from his or her healthcare provider
HIPAA compliant

Specifications table
Attribute name	Attribute value
Length in Inches	Privacy Practice
Number of Parts The physical dimensions of the form.	8 1/2″ x 11″
Medical Form Pack Size	200
Width in Inches Items of a particular grouping, as merchandised and labeled by a manufacturer	Patient Acknowledgment of Receipt
True Color	Inkjet/Laser

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ComplyRight Patient Acknowledgment of Receipt of Privacy Practices Notice (A1354)

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