Description
PRV2 3 Part Notice of Privacy Practices HIPAA AcknowledgmentSize: 5 1/2 x 8 1/2" A clear, compact form that documents patient receipt of your privacy policy. Includes your imprinted practice name, address, and phone number, up to 5 lines. 3-part...
PRV2 3 Part Notice of Privacy Practices HIPAA Acknowledgment
Size: 5 1/2 x 8 1/2"
A clear, compact form that documents patient 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.
- Meets HIPAA Regulations.
- 25 Forms per pad, 5 Pads minimum. (125 Forms)
- IMPORTANT: Your order will be on hold until you message us the Imprint you want on the form.