ComplyRight HIPAA Patient Consent and Authorization Form (A1350)
Item #:
901-398021
Model #:
A1350
Brand:
ComplyRight
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ComplyRight HIPAA Patient Consent and Authorization Form (A1350)
Description
ComplyRight Patient consent and authorization form measures 8 1/2" x 11".
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".
- Attorney approved form acknowledging patient's consent to release his or her protected health information to an authorized third party
- Complies with HIPAA’s authorization requirements
- Size: 8 1/2" x 11"
- Attorney approved form acknowledging patient's consent to release his or her protected health information to an authorized third party
- Complies with HIPAAs authorization requirements
Specifications
Brand
ComplyRight
Form Size
8 1/2" x 11"
Length in Inches
11
Made in America
Yes
Medical Form Pack Size
200
Medical Form Type
Consent
Number of Parts
1
Pack Qty
1
Series or Collection
HIPAA Patient Consent and Authorization Form
True Color
White
Width in Inches
8.5