Healthcare Practice Forms and Supplies


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Accouting of Access, Use & Disclosures of Patient Health Information

Our Price: $26.60

Item Number: 18244

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Accouting of Access, Use & Disclosures of Patient Health Information
HIPAA "Accouting 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.

SKU: 18244
Unit of Measure: PCKG
Color: White
Size: 8-1/2" W x 11" H
Quantity: 200/Pkg