Healthcare Practice Forms and Supplies


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Request for Access to Protected Health Information

Our Price: $21.85

Item Number: 18240

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Request for Access to Protected Health Information
HIPAA "Request for access to protected health information" 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.

SKU: 18240
Unit of Measure: PCKG
Color: White
Size: 8-1/2" W x 11" H
Quantity: 200/Pkg