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ComplyRight HIPAA Patient Consent and Authorization Form

Item: 398021   Model: A1350
$41.39 200/Pack

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  • 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"

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"

HR Form TypeConsent

HR Form Pack Size200

Width in Inches8.5

Number of Parts1

True ColorWhite

Pack Qty1

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