5Forms PRV2 3 Part Notice of Privacy Practices HIPAA Acknowledgment 5 1/2 x 8 1/2" Qty 125
Asin: B0CY6HLNZS | Model: PRV2 | PartNumber: PRV2
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- Includes your imprinted practice name, address, and phone number, up to 5 lines. 3-part form provides copies for patient, chart and privacy officer. 25 forms per pad. 5 pad minimum. Meets HIPAA Regulations.
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Brand: 5Forms | Manufacturer: NEBS
Warranty: 90 DAYS
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