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ComplyRight™ Patient Acknowledgment of Receipt of Privacy Practices Notice

Item # 901-A1354  Model # A1354
• Form Type: HIPAA • Format: Privacy Practices Form • Sheet Size: 8 1/2" x 11"
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$29.99
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$29.99 Total Price

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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"
  • 200 per pack

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