ComplyRight HIPAA Patient Consent and Authorization Form (A1350)
Item #:
901-398021
Model #:
A1350
Brand:
ComplyRight
Not yet rated. Be the first to
Write a review!
Free shipping
Customers Also Viewed
ComplyRight Notice of Privacy Practice, 100/Pack (A1349)
Item #: 901-398024
ComplyRight Employee Warning Notice Forms (AR0395)
Item #: 901-712137
ComplyRight Employee Separation Forms (AR0373)
Item #: 901-712163
ComplyRight Payroll Change Notice Forms (AR0394)
Item #: 901-712138
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
Brand
ComplyRight
HR Form Pack Size
200
HR Form Type
Consent
Number of Parts
1
Pack Qty
200
True Color
White
Width in Inches
8.5