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ComplyRight Patient Acknowledgment of Receipt of Privacy Practices Notice (A1354)

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Item #: 901-398026
  Model #: A1354
Brand: ComplyRight
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ComplyRight Patient Acknowledgment of Receipt of Privacy Practices Notice (A1354)
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Description
ComplyRight Patient acknowledgment of receipt of privacy practices notice measures 8 1/2" x 11". ComplyRight Patient acknowledgment of receipt of privacy practices notice is attorney approved form acknowledging patient's information to be released to an authorized third party. Notice measures 8 1/2" x 11".
  • 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"
  • Attorney approved form acknowledging patient has received a Notice of Privacy Practices from his or her healthcare provider
  • HIPAA compliant
Specifications
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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