Customers also Purchased
Customers also Purchased...
HIPAA Patient Consent and Authorization for Release of Protected Health Information. 8-1/2" x 11" - 200 per Pack
Item Number: A1350
Pricing:
| Price per Pack of 200 | 2+ Pack | 5+ Pack | 10+ Pack | 20+ Pack |
| $39.05 | $35.79 | $33.26 | $33.12 | $32.63 |
| Volume Savings | 8.3% | 14.8% | 15.2% | 16.4% |
| Need 30+ Pack? Click here for Pricing | ||||
- HIPAA Compliant
- 8-1/2" x 11"
- 200 per Pack
- Patient consent and authorization
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Customers also Purchased
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Description:
ComplyRight Patient consent and authorization form is attorney approved form acknowledging patient's information to be released to an authorized third party. Form measures 8 1/2" x 11" - 200 per Pack
Specifications:
| Background Color: | White | Brand: | TFP Data Systems | |
|---|---|---|---|---|
| Color: | White | Condition: | New | |
| Currency: | USD | Package Height: | 11 in | |
| Package Weight: | 2.00 LB | Package Width: | 8-1/2 in | |
| Material: | Paper | Country of Origin: | USA | |
| Manufacturer Part Number: | A1350 | Number of Items: | 200 | |
| Paper Size: | 8-1/2" x 11" | Paper Type: | Laser Paper | |
| Sheet Length: | 11 in | Sheet Size: | 8-1/2 x 11 in | |
| Sheet Width: | 8-1/2 in | Ships in: | 4 to 5 Business Days (Plus time in transit) | |
| Size: | 8-1/2 x 11 in |
| Background Color: | White |
|---|---|
| Brand: | TFP Data Systems |
| Color: | White |
| Condition: | New |
| Currency: | USD |
| Package Height: | 11 in |
| Package Weight: | 2.00 LB |
| Package Width: | 8-1/2 in |
| Material: | Paper |
| Country of Origin: | USA |
| Manufacturer Part Number: | A1350 |
| Number of Items: | 200 |
| Paper Size: | 8-1/2" x 11" |
| Paper Type: | Laser Paper |
| Sheet Length: | 11 in |
| Sheet Size: | 8-1/2 x 11 in |
| Sheet Width: | 8-1/2 in |
| Ships in: | 4 to 5 Business Days (Plus time in transit) |
| Size: | 8-1/2 x 11 in |
Reviews:
We’re currently collecting product reviews for this item. In the meantime, here are some from our past customers sharing their overall shopping experience:
4.8
Out of 5.0
Overall Rating
97%
of customers that buyfrom this merchant give
them a 4 or 5-Star rating.
April 5, 2024 by R.B. (Wisconsin, United States)
“Been pleased with the products and prices are comparable or better than other suppliers.”
December 27, 2023 by DESIREE S
“Very easy to reorder”
December 18, 2023 by Rose Ann E
“Clicked on the link, ordered what I wanted and was done in less than 5 minutes. Great site.”
December 14, 2023 by Stephen Alan E
“good job”
November 26, 2023 by Kevin M
“very easy quick like a snap”
