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HIPAA Patient Acknowledgement of Receipt of Privacy Practices

Satisfy HIPAA Compliance Obligations as a Healthcare Provider

Complies with HIPAA Rules


As a health care provider, you are required by HIPAA to adopt policies and procedures to protect the confidentiality of your patients’ health information. This includes giving patients written notice on how you may use and disclose their protected information and having policies in place to address patient privacy complaints. This attorney-approved form satisfies your HIPAA obligations by documenting compliance.

SKU: A1354
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$31.99
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  • Meets all required elements for a valid patient acknowledgement under HIPAA.

Product Specifications:

  • Size: 8 1/2" x 11"
  • Price per pkg/200
  • Meets all required elements for a valid patient acknowledgement under HIPAA.

Product Specifications:

  • Size: 8 1/2" x 11"
  • Price per pkg/200
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