Spanish HIPAA Acknowledgement

Spanish HIPAA Acknowledgement

The Spanish HIPAA Acknowledgement is what your Spanish-speaking patients sign to indicate they have reviewed and received a copy of you Spanish Notice of Privacy Practices.

Order 5 or more and receive 10% off. Order 10 or more and receive 15% off.
Your Price:$19.95
Part Number:T303HAS
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Spanish Version
The Acknowledgement of Receipt of Privacy Notice is given to each patient along with the Notice of Privacy Practices form. After reviewing your Notice of Privacy Practices, this form documents your patients acknowledgement of HIPAA mandated laws. 
The acknowledgement must be signed by the patient or their representative to prove that they did in fact receive the Notice.

Tablets of 100 single-sided sheets, pre-punched and cut to fit.






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