Highlights
View Details- 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 (A1354)
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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
| Manufacturer # | A1354 |
| Brand Name | ComplyRight |
| Form Size | 8 1/2" x 11" |
| Length in Inches | 11 |
| Medical Form Pack Size | 200 |
| Medical Form Type | Privacy Practice |
| Number of Parts | 1 |
| Pack Qty | 200 |
| Print Type | Inkjet/Laser |
| Series Or Collection | Patient Acknowledgment of Receipt |
| True Color | White |
| Width in Inches | 8.5 |
Details
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
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