3-Part Notice of Privacy Practices HIPAA Acknowledgment - 5 pads of 25 forms each
3-Part Notice of Privacy Practices HIPAA Acknowledgment - 5 pads of 25 forms each

3-Part Notice of Privacy Practices HIPAA Acknowledgment - 5 pads of 25 forms each

Your Price: $42.42
In Stock.
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Part Number:PRV2-3
Quantity Pricing
Quantity
Price
  • 2 - 4
  • $41.15
  • 5 - 9
  • $40.30
  • 10+
  • $38.18

A clear, compact form that documents patient receipt of your privacy policy.

  • Please note: 25 forms per pad - 5 pad minimum.
  • 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.

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