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3-Part Notice of Privacy Practices HIPAA Acknowledgment

3-Part Notice of Privacy Practices HIPAA Acknowledgment, 8 1/2 x 11"

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$101.15
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JDF-PRV1-3-100
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Description

Document your patients' receipt of your privacy policy. Personalization 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. SIZE: 8 1/2 x 11"

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