ComplyRight Medical Forms<Patient Acknowledgment of Receipt of Privacy Practices Notice (A1354)
$40.87
ComplyRight Patient acknowledgment of receipt of privacy practices notice is attorney approved form acknowledging patien…
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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