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ComplyRight HIPAA Patient Consent and Authorization Form (A1350)

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Item #: 901-398021
  Model #: A1350
Brand: ComplyRight
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ComplyRight HIPAA Patient Consent and Authorization Form (A1350)
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Description
ComplyRight Patient consent and authorization form measures 8 1/2" x 11". 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
Specifications
Number of Parts : 1 True Color : White Width in Inches : 8.5 HR Form Pack Size : 200
HR Form Type : Consent Pack Qty : 200 Brand : ComplyRight Customizable : No
Weight : 1.00 lbs. per Pack

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