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Home :: Forms By Service :: Health Care Forms :: 3-part Notice Of Privacy Practices Hipaa Acknowledgment

3-part Notice Of Privacy Practices Hipaa Acknowledgment

3-part Notice Of Privacy Practices Hipaa Acknowledgment

Item#: PRV1 

  • Size: 8.5" x 11"
  • Min/QTY: 100
  • Price: $109.76
1

SELECT PRINT OPTIONS

 
Cost:
$109.76
Product Cost:
$109.76

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Document your patients' receipt of your privacy policy.

  • Personalization includes: Your imprinted practice name, address, and phone number, up to 5 lines. 3-part form provides copies for patient, chart and privacy officer. 2-hole punched at top.

Item#: PRV1 Size: 8 1/2 X 11

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