5Forms PRV1 3 Part Notice of Privacy Practices HIPAA Acknowledgment 8 1/2 x 11" Qty 100
Asin: B0CY6FRZYT | Model: PRV1 | PartNumber: PRV1
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- Includes your imprinted practice name, address, and phone number, up to 5 lines. Imprint area: 4 x 1" 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.
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Brand: 5Forms | Manufacturer: NEBS
Warranty: 90 DAYS
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