PRV1 3 Part Notice of Privacy Practices HIPAA Acknowledgment 8 1/2 x 11" QTY 100

$80.72

PRV1 3 Part Notice of Privacy Practices HIPAA Acknowledgment
Size: 8 1/2 x 11"

Document your patients' receipt of your privacy policy.

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.
Meets HIPAA Regulations.
Document patients receipt of privacy policy.
Provides one copy for patient, one for their chart, and one for Privacy Officers file.
Packs of 100.

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