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Acknowledgement of Receipt of Notice (18243)
Path: Medical Forms Books & Envelopes -> HIPAA Forms -> Acknowledgement of Receipt of Notice (18243)

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Acknowledgement of Receipt of Notice
HIPAA "Acknowledgement of receipt of notice" form complies with HIPAA standard privacy security transactions. Printed on one side 20 lb. white stock black ink. Two drill holes on top. 200 forms per package. Overall size 8-1/2" W x 11" H.
Color: White
Size: 8-1/2" W x 11" H

ACS Low Prices
Price is per pack, 200 per pack

1 - 2 : $18.75

3 - 5 : $17.75

6 or more : $16.75

Item #: 18243