ComplyRight™ Patient Acknowledgment of Receipt of Privacy Practices Notice

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

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

Miscellaneous

Brand :

ComplyRight

Country of Origin :

USA

Weight

Weight :

1.00 lbs. per Pack