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Accounting of Access, Use & Disclosures of PHI (18244)
Path: Medical Forms Books & Envelopes -> HIPAA Forms -> Accounting of Access, Use & Disclosures of PHI (18244)

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Accounting of Access, Use & Disclosures of Patient Health Information
HIPAA "Accounting of access, use & disclosures of patient health information" form complies with HIPAA standard privacy security transactions. Printed on both sides 20 lb. white stock black ink. Two drill holes on left side of form. 200 forms per package. Overall size 11" W x 8-1/2" H.
Color: White
Size: 8-1/2" W x 11" H

ACS Low Prices
Price is per pack, 200 per pack

1 - 2 : $21.75

3 - 5 : $20.75

6 or more : $19.75

Item #: 18244