Medical Forms*ComplyRight Patient Acknowledgment of Receipt of Privacy Practices Notice (A1354)
Original price was: $61.00.$42.89Current price is: $42.89.
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
| Attribute name | Attribute value |
|---|---|
| Length in Inches | Privacy Practice |
| Number of Parts The physical dimensions of the form. | 8 1/2″ x 11″ |
| Medical Form Pack Size | 200 |
| Width in Inches Items of a particular grouping, as merchandised and labeled by a manufacturer | Patient Acknowledgment of Receipt |
| True Color | Inkjet/Laser |
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