Description: PRV2 3 Part Notice of Privacy Practices HIPAA AcknowledgmentSize: 5 1/2 x 8 1/2" A clear, compact form that documents patient receipt of your privacy policy. Includes your imprinted practice name, address, and phone number, up to 5 lines. 3-part form provides copies for patient, chart and privacy officer. Meets HIPAA Regulations. 25 Forms per pad, 5 Pads minimum. (125 Forms) IMPORTANT: Your order will be on hold until you message us the Imprint you want on the form. PRV2 3 Part Notice of Privacy Practices HIPAA Acknowledgment PRV2 3 Part Notice of Privacy Practices HIPAA AcknowledgmentSize: 5 1/2 x 8 1/2" A clear, compact form that documents patient receipt of your privacy policy. Includes your imprinted practice name, address, and phone number, up to 5 lines. 3-part form provides copies for patient, chart and privacy officer. Meets HIPAA Regulations. 25 Forms per pad, 5 Pads minimum. (125 Forms) IMPORTANT: Your order will be on hold until you message us the Imprint you want on the form. Check our other productsSample product 1$1.00SHOP NOW!Sample product 2$2.00SHOP NOW!Sample product 3$3.00SHOP NOW!Sample product 4$4.00SHOP NOW!
Price: 78.68 USD
Location: Lithia Springs, Georgia
End Time: 2025-01-14T20:28:24.000Z
Shipping Cost: 0 USD
Product Images
Item Specifics
Return shipping will be paid by: Buyer
All returns accepted: Returns Accepted
Item must be returned within: 30 Days
Refund will be given as: Money back or replacement (buyer's choice)
Return policy details:
Brand: 5Forms
MPN: 00810074459808
