Highlights
View Details- 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 HIPAA Patient Consent and Authorization Form (A1350)
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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"
- Attorney approved form acknowledging patient's consent to release his or her protected health information to an authorized third party
- Complies with HIPAAs authorization requirements
| Manufacturer # | A1350 |
| Brand Name | ComplyRight |
| Form Size | 8 1/2" x 11" |
| Length in Inches | 11 |
| Medical Form Pack Size | 200 |
| Medical Form Type | Consent |
| Number of Parts | 1 |
| Pack Qty | 200 |
| Print Type | Inkjet/Laser |
| Series Or Collection | HIPAA Patient Consent and Authorization Form |
| True Color | White |
| Width in Inches | 8.5 |
Details
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"
- Attorney approved form acknowledging patient's consent to release his or her protected health information to an authorized third party
- Complies with HIPAAs authorization requirements
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