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3-Part Notice of Privacy Practices HIPAA Acknowledgment

Item#: Size:
Quantity 100 200 500 1000 2000
PRV1-3  Imprinted $95.99 $175.99 $405.99 $730.99 $1,459.99
We recommend this quantity.
1.  Quantity

Product Benefits and Features

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.