Out of stock
ComplyRight Patient Acknowledgment of Receipt of Privacy Practices Notice (A1354)
Item #:
901-398026
Model #:
A1354
Brand:
ComplyRight
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Product details
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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"
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Out of stock
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Product details
Reviews
Brand
Form Size
Length in Inches
Medical Form Type
Pack Qty
True Color
Width in Inches
Acid Free
HR Form Pack Size
HR Form Type
Medical Form Pack Size
Number of Parts
Print Type
Series or Collection
Made in America
$105.59 pack
When you buy 3+
ComplyRight
8 1/2" x 11"
11
Privacy Practice
1
White
8.5
N/A
N/A
N/A
200
N/A
N/A
Patient Acknowledgment of Receipt
Yes
ComplyRight
8 1/2" x 11"
11
Privacy Practice
1
White
8.5
N/A
N/A
N/A
100
N/A
N/A
N/A
N/A
ComplyRight
N/A
N/A
N/A
1
White
8.5
N/A
50
Employment Applications
N/A
1
N/A
N/A
N/A
ComplyRight
N/A
N/A
N/A
50
White
8.5
N/A
50
Performance Appraisals & Trackers
N/A
1
N/A
N/A
N/A
ComplyRight
12" x 18"
18
Privacy Practice
1
White
12
N/A
N/A
N/A
N/A
N/A
N/A
HIPAA Notice
N/A
ComplyRight
8-1/2" x 11"
11
Dental Claims
1000
White
8.5
Acid free
N/A
N/A
1000
1
Laser
N/A
N/A
ComplyRight
8-1/2" x 11"
11
Dental Claims
2500
White
8.5
Acid Free
N/A
N/A
2500
1
Laser
N/A
N/A
Frequently bought together
Out of stock
Item #: 901-398026
$134.69
1-2 pack
22% off
$105.59
3+ pack
$134.69
+
+
Total
$221.97
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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
Brand
ComplyRight
Form Size
8 1/2" x 11"
Length in Inches
11
Made in America
Yes
Medical Form Pack Size
200
Medical Form Type
Privacy Practice
Pack Qty
1
Series or Collection
Patient Acknowledgment of Receipt
True Color
White
Width in Inches
8.5
