Description
PRV1 3 Part Notice of Privacy Practices HIPAA AcknowledgmentSize: 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,...
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.
- IMPORTANT: Your order will be on hold until you message us the Imprint you want on the form.