Healthcare Practice Forms and Supplies


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Response for Amendment or Correction of PHI

Our Price: $21.85

Item Number: 18251

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Response for Amendment or Correction of PHI
HIPAA "Response for amendment or correction of PHI" 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: 18251
Unit of Measure: PCKG
Color: White
Size: 8-1/2" W x 11" H
Quantity: 200/Pkg