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3-part Notice Of Privacy Practices Hipaa Acknowledgment

Size: 8.5" x 11"
Min/QTY: 100
Price: $78.40

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    Item#: PRV1 Size: 8 1/2 X 11

    Product Details

    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.

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