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ComplyRight Patient Acknowledgment of Receipt of Privacy Practices Notice

Item: 398026   Model: A1354
$35.99 200/Pack

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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"

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"

HR Form TypeConsent

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