Notice of Privacy Practices HIPAA Form, Padded, Personalized

Item#: PRV3 Size: 8 1/2 x 11"

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Quantity	5	10	20	50	100
PRV3-1 1-Part/Original	$79.99	$144.99	$258.99	$636.99	$1,266.99
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Product Benefits and Features

A clear, convenient way to inform patients of how their medical information may be used and disclosed!

Please note: 100 forms per pad - 5 pad minimum.
Personalization includes: Includes up to 5 lines of personalization, plus your privacy officer's name/title and notice effective date.