ComplyRight™ HIPAA Patient Consent and Authorization Form

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" 200 per pack

Product Information

Form Type :

HIPAA

Format :

Privacy Practices Form

Sheet Size :

8 1/2" x 11"

Lines :

No Lines

Form Size :

8-1/2" x 11"

Media Quantity :

200 Sheets

Binding Type :

Wrapped

Paper Color :

White

Number of Parts :

1

Carbonless :

No

# Up Per Sheet/Page :

1

NCR Paper :

No

Numbered :

No

Holes Punched :

2

Personalization :

No

Security Features :

No

Environmental Information

Certifications & Standards :

FSC Forest Stewardship Concil

Miscellaneous

Brand :

ComplyRight

Country of Origin :

USA

Weight

Weight :

1.00 lbs. per Pack