{"title":"HIPAA Products","description":"","products":[{"product_id":"102182-privacy-stamp-self-inking-2-x-3-4","title":"102182 Privacy Stamp Self-Inking 2 x 3\/4\"","description":"\u003cp\u003e\u003cspan style=\"font-family: verdana, arial, helvetica; font-size: large; color: #990000;\"\u003e\u003cb\u003e102182 Privacy Stamp\u003cbr\u003e\u003cspan style=\"font-family: verdana, geneva; font-size: 12pt; color: #000000;\"\u003e\u003cspan style=\"font-size: 12pt;\"\u003e\u003cb\u003e\u003cspan class=\"fontcoloronly\"\u003e\u003cspan style=\"font-size: medium;\"\u003e\u003cb\u003eSize:\u003c\/b\u003e 2 x 3\/4\"\u003c\/span\u003e\u003c\/span\u003e\u003c\/b\u003e\u003c\/span\u003e\u003c\/span\u003e\u003cbr\u003e\u003c\/b\u003e\u003c\/span\u003e\u003c\/p\u003e\n\u003c!--Display Features and Benefits--\u003e\n\u003cp style=\"font-family: Century Gothic;\"\u003e\u003cspan style=\"font-family: Century Gothic; font-size: 12pt;\"\u003e\u003cspan style=\"font-family: verdana, geneva; font-size: medium;\"\u003eThis self inking stamp uses a unique pattern of lines, curves and shapes to help mask sensitive information on documents you want to keep.\u003c\/span\u003e\u003cbr\u003e\u003c\/span\u003e\u003cspan style=\"font-size: medium; font-family: verdana, geneva;\"\u003eAlso fantastic to use before faxing or making copies of documents to share with others.\u003cbr\u003eUse stamp on Federal ID numbers, Social Security Numbers, bank account numbers, signatures, addresses and more!\u003cbr\u003eSimple alternative to shredding documents. \u003cbr\u003e\u003cstrong\u003eNot recommended for glossy surfaces.\u003c\/strong\u003e\u003cbr\u003e\u003c\/span\u003e\u003c\/p\u003e\n\u003cul style=\"font-family: Century Gothic;\" type=\"square\"\u003e\n\u003cli\u003e\u003cspan style=\"font-size: medium; font-family: verdana, geneva;\"\u003eGreat for covering up sensitive information on documents you want to keep.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan style=\"font-size: medium; font-family: verdana, geneva;\"\u003eConceal it! Helps to conceal handwriting and typed information.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan style=\"font-size: medium; font-family: verdana, geneva;\"\u003eThis stamp is an intricate design that is used to mask confidential information on a document.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan style=\"font-size: medium; font-family: verdana, geneva;\"\u003e\u003cstrong\u003eBlack ink only.\u003c\/strong\u003e\u003cbr\u003e\u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan style=\"font-size: medium; font-family: verdana, geneva;\"\u003eImpression area: 2 x 3\/4\"\u003cbr\u003e\u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan style=\"font-size: medium; font-family: verdana, geneva;\"\u003e100% Satisfaction Guarantee.\u003cbr\u003e\u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan style=\"font-size: medium; font-family: verdana, geneva;\"\u003eHigher quantities are available at discounted prices. \u003cbr\u003e\u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan style=\"font-size: medium; font-family: verdana, geneva;\"\u003e\u003cspan style=\"font-size: 12pt;\"\u003e\u003cspan style=\"font-family: verdana, geneva; font-size: medium;\"\u003eSpeak to a customer service specialist at 855-5FORMS5 or 855-536-7675. 9AM - 7PM EST Monday - Thursday and 9AM - 5PM EST on Friday.\u003c\/span\u003e\u003c\/span\u003e\u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan style=\"font-family: verdana, geneva; font-size: medium;\"\u003e\u003ca href=\"http:\/\/5forms.com\/re-inking-your-stamp.aspx\" target=\"_blank\"\u003eHow to Re-Ink Your Stamp\u003c\/a\u003e\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003cspan style=\"font-size: 12pt;\"\u003e\u003cspan style=\"font-family: Century Gothic; font-size: 12pt; font-weight: bold;\"\u003e\u003cbr\u003e\u003cbr\u003e\u003c\/span\u003e\u003c\/span\u003e\u003c\/p\u003e","brand":"NEBS","offers":[{"title":"1 - Stamp","offer_id":42383075377211,"sku":"102182","price":27.56,"currency_code":"USD","in_stock":true},{"title":"2 - Stamps","offer_id":42383075409979,"sku":"102182","price":53.81,"currency_code":"USD","in_stock":true},{"title":"3 - Stamps","offer_id":42383075442747,"sku":"102182","price":80.06,"currency_code":"USD","in_stock":true},{"title":"4 - Stamps","offer_id":42383075475515,"sku":"102182","price":106.31,"currency_code":"USD","in_stock":true},{"title":"5 - Stamps","offer_id":42383075508283,"sku":"102182","price":131.91,"currency_code":"USD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0618\/8462\/9051\/files\/102182.3.jpg?v=1754996211"},{"product_id":"dis100-two-part-patient-disclosure-authorization-hipaa-form-8-1-2-x-11","title":"DIS100 Two Part Patient Disclosure Authorization HIPAA Form 8 1\/2 x 11\"","description":"\u003cspan style=\"font-family: verdana,arial,helvetica; font-size: 12pt; color: #990000;\"\u003e\u003cb\u003e\u003cspan style=\"font-size: large;\"\u003eDIS100 Two Part Patient Disclosure Authorization HIPAA Form\u003c\/span\u003e\u003cbr\u003e \u003c\/b\u003e\u003c\/span\u003e\u003cspan style=\"font-family: verdana,Arial,Helvetica; font-size: medium;\"\u003e\u003cb\u003eSize: \u003c\/b\u003e\u003cspan style=\"font-weight: bold;\"\u003e8 1\/2 x 11\"\u003c\/span\u003e\u003c\/span\u003e\u003cspan style=\"font-size: 12pt;\"\u003e\u003cspan style=\"font-size: 12pt;\"\u003e\u003c\/span\u003e\u003c\/span\u003e\u003cp\u003e\u003cspan style=\"font-family: verdana, geneva; font-size: medium;\"\u003eProtect your practice and avoid privacy disputes with this clear, step-by-step form authorizing release of patient information.\u003cbr\u003e\u003cbr\u003e\u003c\/span\u003e\u003c\/p\u003e\u003cul style=\"font-family: Century Gothic;\" type=\"square\"\u003e\n\u003cli style=\"font-family: Century Gothic;\"\u003e\u003cspan style=\"font-size: medium; font-family: verdana, geneva;\"\u003eIncludes your imprinted practice name, address, and phone number, up to 5 lines. 2-part form provides a patient copy and a 2-hole punched permanent record.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"font-family: Century Gothic;\"\u003e\u003cspan style=\"font-size: medium; font-family: verdana, geneva;\"\u003e\u003cstrong\u003eAvailable in 2 parts only: Yellow, White.\u003c\/strong\u003e\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"font-family: Century Gothic;\"\u003e\u003cspan style=\"font-size: medium; font-family: verdana, geneva;\"\u003eMeets HIPAA Regulations.\u003cbr\u003e \u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"font-family: Century Gothic;\"\u003e\u003cspan style=\"font-size: medium; font-family: verdana, geneva;\"\u003eCarbonless.\u003cbr\u003e\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"font-family: Century Gothic;\"\u003e\u003cspan style=\"font-size: medium; font-family: verdana, geneva;\"\u003eImprint area: 4 x 1\"\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"font-family: Century Gothic;\"\u003e\u003cspan style=\"font-size: medium; font-family: verdana, geneva;\"\u003e100% Satisfaction Guarantee.\u003cbr\u003e \u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"font-family: Century Gothic;\"\u003e\u003cspan style=\"font-size: medium; font-family: verdana, geneva;\"\u003eHigher quantities are available at discounted prices. \u003cbr\u003e \u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"font-family: Century Gothic;\"\u003e\u003cspan style=\"font-size: medium; font-family: verdana, geneva;\"\u003eSpeak to a customer service specialist at 855-5FORMS5 or 855-536-7675. 9AM - 7PM EST Monday - Thursday and 9AM - 5PM EST on Friday.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\u003cspan style=\"font-size: medium; font-family: verdana, geneva;\"\u003e\u003cbr\u003e\u003c\/span\u003e\u003cspan style=\"font-size: 12pt;\"\u003e\u003cspan style=\"font-family: verdana, geneva; font-size: medium;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-size: 12pt;\"\u003e\u003cspan style=\"font-family: verdana, geneva; font-size: medium;\"\u003eI\u003c\/span\u003e\u003c\/span\u003emportant: \u003c\/strong\u003eEnter your printable text \u003cstrong\u003eexactly \u003c\/strong\u003eas you would like it to appear, using only the lines that you need. Please check for accuracy. Please be sure to double-check your spelling, punctuation, abbreviations and all other content.\u003cbr\u003e\u003c\/span\u003e\u003cstrong\u003e\u003c\/strong\u003e\u003cbr\u003e\u003c\/span\u003e\u003cspan style=\"font-family: Century Gothic; font-size: 10pt;\"\u003e\u003c\/span\u003e","brand":"NEBS","offers":[{"title":"50 - HIPAA Forms","offer_id":42383678668859,"sku":"DIS100-2","price":39.38,"currency_code":"USD","in_stock":true},{"title":"100 - HIPAA Forms","offer_id":42383678570555,"sku":"DIS100-2","price":57.09,"currency_code":"USD","in_stock":true},{"title":"200 - HIPAA Forms","offer_id":42383678636091,"sku":"DIS100-2","price":90.56,"currency_code":"USD","in_stock":true},{"title":"500 - HIPAA Forms","offer_id":42383678701627,"sku":"DIS100-2","price":180.47,"currency_code":"USD","in_stock":true},{"title":"1000 - HIPAA Forms","offer_id":42383678603323,"sku":"DIS100-2","price":339.28,"currency_code":"USD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0618\/8462\/9051\/files\/DIS100.1.jpg?v=1754997005"},{"product_id":"fprv-notice-of-privacy-practices-hipaa-trifold-brochures-8-1-2-x-11","title":"FPRV Notice of Privacy Practices HIPAA Trifold Brochures 8 1\/2 x 11\"","description":"\u003cspan style=\"font-size: 12pt;\"\u003e\u003cspan style=\"font-family: Century Gothic; font-size: 12pt; color: #990000;\"\u003e\u003cb\u003e\u003cspan style=\"font-size: large; font-family: verdana, geneva;\"\u003eFPRV Notice of Privacy Practices HIPAA Trifold Brochures\u003c\/span\u003e\u003cbr\u003e \u003c\/b\u003e\u003c\/span\u003e\u003cspan style=\"font-size: 12pt; font-family: Century Gothic;\"\u003e\u003cspan style=\"font-size: medium;\"\u003e\u003cspan style=\"font-family: verdana, geneva;\"\u003e\u003cb\u003eSize:\u003c\/b\u003e\u003c\/span\u003e\u003cspan style=\"font-weight: bold;\"\u003e\u003cspan style=\"font-family: verdana, geneva;\"\u003e 8 1\/2 x 11\"\u003c\/span\u003e\u003cbr\u003e\u003c\/span\u003e\u003cspan style=\"font-family: verdana, geneva;\"\u003eInform your patients how important their privacy is to your practice, while helping you meet your HIPAA compliance responsibilities.\u003cbr\u003e\u003cspan style=\"font-weight: bold;\"\u003e\u003cbr\u003e\u003c\/span\u003e\u003c\/span\u003e\u003c\/span\u003e\u003cspan style=\"font-size: 12pt; font-family: verdana, geneva;\"\u003e\u003c\/span\u003e\u003c\/span\u003e\u003c\/span\u003e\u003cul style=\"font-family: Century Gothic;\" type=\"square\"\u003e\n\u003cli\u003e\u003cspan style=\"font-size: 12pt; font-family: verdana, geneva;\"\u003eConvenient Trifold Brochure. \u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan style=\"font-size: 12pt; font-family: verdana, geneva;\"\u003eNotice of Privacy Practices HIPAA Trifold Brochure Z-fold\/Tri-Fold brochure Notice of Privacy Practices.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan style=\"font-size: 12pt; font-family: verdana, geneva;\"\u003eImprinted with your practice name, address and phone number up to 5 lines in the typestyle shown.\u003cbr\u003e \u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan style=\"font-size: 12pt; font-family: verdana, geneva;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-size: 12pt; font-family: verdana, geneva;\"\u003eShrink-wrapped in packs of 50. (5 pack minimum)\u003c\/span\u003e\u003c\/strong\u003e\u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan style=\"font-size: 12pt; font-family: verdana, geneva;\"\u003e\u003cspan style=\"font-size: 12pt; font-family: verdana, geneva;\"\u003e100% Satisfaction Guarantee.\u003c\/span\u003e\u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan style=\"font-size: 12pt; font-family: verdana, geneva;\"\u003eHigher quantities are available at discounted prices. \u003cbr\u003e \u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\n\u003cspan style=\"font-size: 12pt; font-family: verdana, geneva;\"\u003e\u003cspan style=\"font-size: 12pt;\"\u003e\u003cspan style=\"font-size: medium; font-family: verdana,geneva;\"\u003e\u003cspan style=\"font-size: medium; font-family: verdana,geneva;\"\u003eSpeak to a customer service specialist at 855-5FORMS5 or 855-536-7675. 9AM - 7PM EST Monday - Thursday and 9AM - 5PM EST on Friday.\u003c\/span\u003e\u003c\/span\u003e\u003c\/span\u003e\u003cspan style=\"text-decoration: underline; font-size: 12pt;\"\u003e\u003c\/span\u003e\u003c\/span\u003e\u003cspan style=\"font-family: verdana, geneva;\"\u003e \u003cspan style=\"font-size: 12pt;\"\u003e\u003c\/span\u003e\u003c\/span\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\u003cspan style=\"font-family: verdana, geneva;\"\u003e\u003cspan style=\"font-size: 12pt;\"\u003e\u003cbr style=\"font-family: Century Gothic;\"\u003e\u003c\/span\u003e\u003c\/span\u003e\u003cspan style=\"font-size: 12pt;\"\u003e\u003cspan style=\"font-family: verdana, geneva;\"\u003e\u003cspan style=\"font-size: 12pt;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family: verdana, geneva; font-size: medium;\"\u003e\u003cspan style=\"font-family: Century Gothic; font-size: 12pt;\"\u003e\u003cspan style=\"font-family: verdana, geneva; font-size: medium;\"\u003eI\u003c\/span\u003e\u003c\/span\u003e\u003c\/span\u003emportant:\u003c\/strong\u003e\u003cspan style=\"font-size: 12pt;\"\u003e Enter your printable text \u003c\/span\u003e\u003cstrong\u003eexactly\u003c\/strong\u003e\u003c\/span\u003e\u003cspan style=\"font-size: 12pt;\"\u003e\u003cspan style=\"font-size: 12pt;\"\u003e as you would like it to appear, using only the lines that you need. Please check for accuracy. Please be sure to double-check your spelling, punctuation, abbreviations and all o\u003c\/span\u003ether content\u003c\/span\u003e.\u003c\/span\u003e\u003cbr\u003e\u003cbr\u003e\u003c\/span\u003e\u003cspan style=\"font-family: Century Gothic; font-size: 10pt;\"\u003e\u003c\/span\u003e","brand":"NEBS","offers":[{"title":"5 - Packs","offer_id":42383920300091,"sku":"FPRV-1","price":86.63,"currency_code":"USD","in_stock":true},{"title":"10 - Packs","offer_id":42383920234555,"sku":"FPRV-1","price":151.59,"currency_code":"USD","in_stock":true},{"title":"20 - Packs","offer_id":42383920267323,"sku":"FPRV-1","price":255.94,"currency_code":"USD","in_stock":true},{"title":"50 - Packs","offer_id":42383920332859,"sku":"FPRV-1","price":646.41,"currency_code":"USD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0618\/8462\/9051\/files\/FPRV.1.jpg?v=1754997254"},{"product_id":"hip01-hipaa-requirements-label-4-x-2","title":"HIP01 HIPAA Requirements Label 4 x 2\"","description":"\u003cspan style=\"font-family: verdana,arial,helvetica; 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font-family: verdana, geneva;\"\u003eSpace for caregiver initials.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"font-family: Century Gothic;\"\u003e\u003cspan style=\"font-size: medium; font-family: verdana, geneva;\"\u003e\u003cstrong\u003eMeets HIPAA Regulations.\u003c\/strong\u003e\u003cbr\u003e \u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"font-family: Century Gothic;\"\u003e\u003cspan style=\"font-size: medium; font-family: verdana, geneva;\"\u003eCheck Boxes for Tracking HIPPAA Compliance Documents.\u003cbr\u003e\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"font-family: Century Gothic;\"\u003e\u003cspan style=\"font-size: medium; font-family: verdana, geneva;\"\u003eChart label quickly displys HIPAA notices given and patients' privacy directives.\u003cbr\u003e\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"font-family: Century Gothic;\"\u003e\u003cspan style=\"font-size: medium; font-family: verdana, geneva;\"\u003e\u003cstrong\u003e500 per roll.\u003c\/strong\u003e\u003cbr\u003e\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"font-family: Century Gothic;\"\u003e\u003cspan style=\"font-size: medium; font-family: verdana, geneva;\"\u003e100% Satisfaction Guarantee.\u003cbr\u003e \u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"font-family: Century Gothic;\"\u003e\u003cspan style=\"font-size: medium; font-family: verdana, geneva;\"\u003eHigher quantities are available at discounted prices. \u003cbr\u003e \u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"font-family: Century Gothic;\"\u003e\u003cspan style=\"font-size: medium; font-family: verdana, geneva;\"\u003eSpeak to a customer service specialist at 855-5FORMS5 or 855-536-7675. 9AM - 7PM EST Monday - Thursday and 9AM - 5PM EST on Friday.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\u003cbr\u003e\u003cbr\u003e\u003cspan style=\"font-size: 12pt; font-family: Century Gothic;\"\u003e\u003c\/span\u003e","brand":"NEBS","offers":[{"title":"500 - Labels","offer_id":42383987179579,"sku":"HIP01","price":172.59,"currency_code":"USD","in_stock":true},{"title":"1000 - Labels","offer_id":42383986950203,"sku":"HIP01","price":225.75,"currency_code":"USD","in_stock":true},{"title":"1500 - Labels","offer_id":42383986982971,"sku":"HIP01","price":280.88,"currency_code":"USD","in_stock":true},{"title":"2000 - Labels","offer_id":42383987015739,"sku":"HIP01","price":336.66,"currency_code":"USD","in_stock":true},{"title":"2500 - Labels","offer_id":42383987048507,"sku":"HIP01","price":394.41,"currency_code":"USD","in_stock":true},{"title":"3000 - Labels","offer_id":42383987081275,"sku":"HIP01","price":452.81,"currency_code":"USD","in_stock":true},{"title":"3500 - Labels","offer_id":42383987114043,"sku":"HIP01","price":507.94,"currency_code":"USD","in_stock":true},{"title":"4000 - Labels","offer_id":42383987146811,"sku":"HIP01","price":566.34,"currency_code":"USD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0618\/8462\/9051\/files\/HIP01.jpg?v=1754997361"},{"product_id":"m6060-hipaa-compliant-security-sign-in-sheets-8-1-2-x-11-5-8","title":"M6060 HIPAA Compliant Security Sign in Sheets 8 1\/2 x 11 5\/8\"","description":"\u003cstyle type=\"text\/css\"\u003e\u003c!--P, UL, OL, DL, DIR, MENU, PRE { margin: 0 auto;}--\u003e\u003c\/style\u003e\u003cdiv style=\"font-family: Century Gothic;\"\u003e\n\u003cspan style=\"font-size: 12pt;\"\u003e\u003cspan style=\"color: #800000; font-weight: bold; font-size: large; font-family: verdana, geneva;\"\u003eM6060 HIPAA Compliant Security Sign In Sheets\u003c\/span\u003e\u003cbr\u003e \u003cspan style=\"font-weight: bold; font-size: medium; font-family: verdana, geneva;\"\u003eSize: 8 1\/2 x 11 5\/8\"\u003c\/span\u003e\u003cbr\u003e \u003cspan style=\"font-size: medium; font-family: verdana, geneva;\"\u003eSelf adhesive labels capture individual patient information and\u003cspan class=\"796520518-16062010\"\u003e\u003c\/span\u003e peel off for easy application to their chart, preventing patients from seeing each others information.\u003cbr\u003eRespect the privacy of your patients.\u003cbr style=\"font-family: Century Gothic;\"\u003e Forms are two parts, sealed together at top and bottom with Carbon in between. \u003cbr\u003eOnce the top sheet has been filled, simply detach at perforations to reveal a full page of the carbon copy of all patient sign ins.\u003cbr style=\"font-family: Century Gothic;\"\u003e \u003cbr\u003e\u003c\/span\u003e\u003c\/span\u003e\u003cbr\u003e\u003cul style=\"font-family: Century Gothic;\" type=\"square\"\u003e\n\u003cli\u003e\u003cspan style=\"font-size: medium; font-family: verdana, geneva;\"\u003e23 Lines.\u003cstrong\u003e \u003c\/strong\u003e\u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan style=\"font-size: medium; font-family: verdana, geneva;\"\u003e\u003cstrong\u003e\u003c\/strong\u003eShrink Wrapped.\u003cbr\u003e \u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan style=\"font-size: medium; font-family: verdana, geneva;\"\u003eKeep a Copy! Fill out top sheet and detach at perforations to reveal a full page carbon copy of all patient information.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan style=\"font-size: medium; font-family: verdana, geneva;\"\u003eSecured: Forms are 2 parts sealed together at top and bottom.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan style=\"font-size: medium; font-family: verdana, geneva;\"\u003e\u003cstrong\u003eHIPAA Compliant.\u003c\/strong\u003e\u003cbr\u003e \u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan style=\"font-size: medium; font-family: verdana, geneva;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-size: medium; font-family: verdana, geneva;\"\u003e\u003cstrong\u003eSold in sets of 100 Sheets.\u003c\/strong\u003e\u003c\/span\u003e\u003c\/strong\u003e\u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan style=\"font-size: medium; font-family: verdana, geneva;\"\u003e100% Satisfaction Guarantee.\u003cbr\u003e \u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan style=\"font-size: medium; font-family: verdana, geneva;\"\u003eHigher quantities are available at discounted prices. \u003cbr\u003e \u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan style=\"font-size: 12pt;\"\u003e\u003cspan style=\"font-family: verdana, geneva; font-size: medium;\"\u003eSpeak to a customer service specialist at 855-5FORMS5 or 855-536-7675. 9AM - 7PM EST Monday - Thursday and 9AM - 5PM EST on Friday.\u003c\/span\u003e\u003cbr\u003e\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cbr\u003e\u003cbr\u003e\u003cbr\u003e\n\u003c\/div\u003e","brand":"NEBS","offers":[{"title":"1 - Pack","offer_id":42384115695675,"sku":"M6060-6063","price":52.5,"currency_code":"USD","in_stock":true},{"title":"2 - Packs","offer_id":42384115793979,"sku":"M6060-6063","price":101.72,"currency_code":"USD","in_stock":true},{"title":"3 - Packs","offer_id":42384115859515,"sku":"M6060-6063","price":147.0,"currency_code":"USD","in_stock":true},{"title":"4 - Packs","offer_id":42384115892283,"sku":"M6060-6063","price":187.03,"currency_code":"USD","in_stock":true},{"title":"5 - Packs","offer_id":42384115925051,"sku":"M6060-6063","price":229.03,"currency_code":"USD","in_stock":true},{"title":"10 - Packs","offer_id":42384115728443,"sku":"M6060-6063","price":416.72,"currency_code":"USD","in_stock":true},{"title":"15 - Packs","offer_id":42384115761211,"sku":"M6060-6063","price":614.91,"currency_code":"USD","in_stock":true},{"title":"20 - Packs","offer_id":42384115826747,"sku":"M6060-6063","price":812.44,"currency_code":"USD","in_stock":true},{"title":"50 - Packs","offer_id":42384115957819,"sku":"M6060-6063","price":1991.72,"currency_code":"USD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0618\/8462\/9051\/files\/M6060.jpg?v=1754997410"},{"product_id":"prv1-3-part-notice-of-privacy-practices-hipaa-acknowledgment-8-1-2-x-11","title":"PRV1 3 Part Notice of Privacy Practices HIPAA Acknowledgment 8 1\/2 x 11\"","description":"\u003cspan style=\"font-family: verdana,arial,helvetica; font-size: 12pt; color: #990000;\"\u003e\u003cb\u003e\u003cspan style=\"font-size: large;\"\u003ePRV1 3 Part Notice of Privacy Practices HIPAA Acknowledgment\u003c\/span\u003e\u003cbr\u003e \u003c\/b\u003e\u003c\/span\u003e\u003cspan style=\"font-family: verdana,Arial,Helvetica; font-size: medium;\"\u003e\u003cb\u003eSize: \u003c\/b\u003e\u003cspan style=\"font-weight: bold;\"\u003e8 1\/2 x 11\"\u003c\/span\u003e\u003c\/span\u003e\u003cspan style=\"font-size: 12pt;\"\u003e\u003cspan style=\"font-size: 12pt;\"\u003e\u003c\/span\u003e\u003c\/span\u003e\u003cp\u003e\u003cspan style=\"font-family: verdana, geneva; font-size: medium;\"\u003eDocument your patients' receipt of your privacy policy.\u003cbr\u003e\u003cbr\u003e\u003c\/span\u003e\u003c\/p\u003e\u003cul style=\"font-family: Century Gothic;\" type=\"square\"\u003e\n\u003cli style=\"font-family: Century Gothic;\"\u003e\u003cspan style=\"font-size: medium; font-family: verdana, geneva;\"\u003eIncludes your imprinted practice name, address, and phone number, up to 5 lines. \u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"font-family: Century Gothic;\"\u003e\u003cspan style=\"font-size: medium; font-family: verdana, geneva;\"\u003eImprint area: 4 x 1\"\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"font-family: Century Gothic;\"\u003e\u003cspan style=\"font-size: medium; font-family: verdana, geneva;\"\u003e3-part form provides copies for patient, chart and privacy officer. \u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"font-family: Century Gothic;\"\u003e\u003cspan style=\"font-size: medium; font-family: verdana, geneva;\"\u003e2-hole punched at top.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"font-family: Century Gothic;\"\u003e\u003cspan style=\"font-size: medium; font-family: verdana, geneva;\"\u003e\u003cstrong\u003eMeets HIPAA Regulations.\u003c\/strong\u003e\u003cbr\u003e \u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"font-family: Century Gothic;\"\u003e\u003cspan style=\"font-size: medium; font-family: verdana, geneva;\"\u003eDocument patients receipt of privacy policy.\u003cbr\u003e\u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cstrong\u003e\u003cspan style=\"font-size: medium; font-family: verdana, geneva;\"\u003eAvailable in 3 parts only.\u003c\/span\u003e\u003c\/strong\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan style=\"font-size: medium; font-family: verdana, geneva;\"\u003eIf you need additional parts, please call us for a custom quote.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan style=\"font-size: medium; font-family: verdana, geneva;\"\u003e\u003cspan style=\"font-size: medium; font-family: verdana, geneva;\"\u003e100% Satisfaction Guarantee.\u003c\/span\u003e\u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan style=\"font-size: medium; font-family: verdana, geneva;\"\u003eHigher quantities are available at discounted prices. \u003cbr\u003e \u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan style=\"font-family: verdana, geneva; font-size: medium;\"\u003e\u003cspan style=\"font-size: medium; font-family: verdana,geneva;\"\u003e\u003cspan style=\"font-size: medium; font-family: verdana,geneva;\"\u003eSpeak to a customer service specialist at 855-5FORMS5 or 855-536-7675. 9AM - 7PM EST Monday - Thursday and 9AM - 5PM EST on Friday.\u003c\/span\u003e\u003c\/span\u003e\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\u003cspan style=\"font-size: medium; font-family: verdana, geneva;\"\u003e\u003cstrong\u003e\u003cbr\u003e\u003cspan style=\"font-family: verdana, geneva; font-size: medium;\"\u003e\u003cspan style=\"font-family: Century Gothic; font-size: 12pt;\"\u003e\u003cspan style=\"font-family: verdana, geneva; font-size: medium;\"\u003eI\u003c\/span\u003e\u003c\/span\u003e\u003c\/span\u003emportant: \u003c\/strong\u003eEnter your printable text \u003cstrong\u003eexactly \u003c\/strong\u003eas you would like it to appear, using only the lines that you need. Please check for accuracy. Please be sure to double-check your spelling, punctuation, abbreviations and all other content.\u003cbr\u003e\u003cbr\u003e\u003c\/span\u003e\u003cspan style=\"font-family: Century Gothic; font-size: 10pt;\"\u003e\u003c\/span\u003e","brand":"NEBS","offers":[{"title":"100 - HIPAA Forms","offer_id":42384160423995,"sku":"PRV1-3","price":90.56,"currency_code":"USD","in_stock":true},{"title":"200 - HIPAA Forms","offer_id":42384160489531,"sku":"PRV1-3","price":168.66,"currency_code":"USD","in_stock":true},{"title":"500 - HIPAA Forms","offer_id":42384160522299,"sku":"PRV1-3","price":394.41,"currency_code":"USD","in_stock":true},{"title":"1000 - HIPAA Forms","offer_id":42384160456763,"sku":"PRV1-3","price":708.09,"currency_code":"USD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0618\/8462\/9051\/files\/PRV1.1.jpg?v=1754997447"},{"product_id":"prv2-3-part-notice-of-privacy-practices-hipaa-acknowledgment-5-1-2-x-8-1-2","title":"PRV2 3 Part Notice of Privacy Practices HIPAA Acknowledgment 5 1\/2 x 8 1\/2\"","description":"\u003cspan style=\"font-family: verdana,arial,helvetica; 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font-family: verdana, geneva;\"\u003e3-part form provides copies for patient, chart and privacy officer. \u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"font-family: Century Gothic;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-size: medium; font-family: verdana, geneva;\"\u003e25 forms per pad.\u003c\/span\u003e\u003c\/strong\u003e\u003c\/li\u003e\n\u003cli style=\"font-family: Century Gothic;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-size: medium; font-family: verdana, geneva;\"\u003e5 pad minimum.\u003c\/span\u003e\u003c\/strong\u003e\u003c\/li\u003e\n\u003cli style=\"font-family: Century Gothic;\"\u003e\u003cspan style=\"font-size: medium; font-family: verdana, geneva;\"\u003e\u003cstrong\u003eMeets HIPAA Regulations.\u003c\/strong\u003e\u003cbr\u003e \u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"font-family: Century Gothic;\"\u003e\u003cspan style=\"font-size: medium; font-family: verdana, geneva;\"\u003eChoose a typestyle for your company name.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"font-family: Century Gothic;\"\u003e\u003cspan style=\"font-size: medium; 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font-family: verdana, geneva;\"\u003e\u003cstrong\u003e\u003cbr\u003e\u003cspan style=\"font-family: verdana, geneva; font-size: medium;\"\u003e\u003cspan style=\"font-family: Century Gothic; font-size: 12pt;\"\u003e\u003cspan style=\"font-family: verdana, geneva; font-size: medium;\"\u003eI\u003c\/span\u003e\u003c\/span\u003e\u003c\/span\u003emportant: \u003c\/strong\u003eEnter your printable text \u003cstrong\u003eexactly \u003c\/strong\u003eas you would like it to appear, using only the lines that you need. Please check for accuracy. Please be sure to double-check your spelling, punctuation, abbreviations and all other content.\u003cbr\u003e\u003cbr\u003e\u003c\/span\u003e\u003cspan style=\"font-family: Century Gothic; font-size: 10pt;\"\u003e\u003c\/span\u003e","brand":"NEBS","offers":[{"title":"5 - Pads","offer_id":42384160653371,"sku":"PRV2-3","price":80.06,"currency_code":"USD","in_stock":true},{"title":"10 - Pads","offer_id":42384160555067,"sku":"PRV2-3","price":153.56,"currency_code":"USD","in_stock":true},{"title":"20 - Pads","offer_id":42384160587835,"sku":"PRV2-3","price":253.97,"currency_code":"USD","in_stock":true},{"title":"40 - Pads","offer_id":42384160620603,"sku":"PRV2-3","price":418.03,"currency_code":"USD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0618\/8462\/9051\/files\/PRV2.1.jpg?v=1754997449"},{"product_id":"prv3-notice-of-privacy-practices-hipaa-form-padded-personalized-8-1-2-x-11","title":"PRV3 Notice of Privacy Practices HIPAA Form Padded Personalized 8 1\/2 x 11\"","description":"\u003cspan style=\"font-family: verdana,arial,helvetica; font-size: 12pt; color: #990000;\"\u003e\u003cb\u003e\u003cspan style=\"font-size: large;\"\u003ePRV3 Notice of Privacy Practices HIPAA Form Padded Personalized\u003c\/span\u003e\u003cbr\u003e \u003c\/b\u003e\u003c\/span\u003e\u003cspan style=\"font-size: medium;\"\u003e\u003cspan style=\"font-family: verdana,Arial,Helvetica;\"\u003e\u003cb\u003eSize:\u003c\/b\u003e\u003cspan style=\"font-weight: bold;\"\u003e 8 1\/2 x 11\"\u003c\/span\u003e\u003c\/span\u003e\u003cspan style=\"font-family: Century Gothic;\"\u003e\u003cbr\u003e\u003cspan style=\"font-family: verdana, geneva;\"\u003e A clear, convenient way to inform patients of how their medical information may be used and disclosed!\u003cbr\u003e\u003cbr\u003e\u003c\/span\u003e\u003c\/span\u003e\u003c\/span\u003e\u003cul style=\"font-family: Century Gothic;\" type=\"square\"\u003e\n\u003cli style=\"font-family: Century Gothic;\"\u003e\u003cspan style=\"font-size: 12pt; font-family: verdana, geneva;\"\u003eIncludes up to 5 lines of personalization, plus your privacy officer's name\/title and notice effective date. \u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"font-family: Century Gothic;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-size: 12pt; font-family: verdana, geneva;\"\u003e100 forms per pad.\u003c\/span\u003e\u003c\/strong\u003e\u003c\/li\u003e\n\u003cli style=\"font-family: Century Gothic;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-size: 12pt; font-family: verdana, geneva;\"\u003e5 pad minimum.\u003c\/span\u003e\u003c\/strong\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cstrong\u003e\u003cspan style=\"font-family: verdana, geneva; font-size: 12pt;\"\u003eMeets HIPAA Regulations.\u003c\/span\u003e\u003c\/strong\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan style=\"font-family: verdana, geneva; font-size: 12pt;\"\u003eImprint area: 4 x 1\"\u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cstrong\u003e\u003cspan style=\"font-family: verdana, geneva; font-size: 12pt;\"\u003eAvailable in 1 part only.\u003c\/span\u003e\u003c\/strong\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan style=\"font-size: 12pt; font-family: verdana, geneva;\"\u003e100% Satisfaction Guarantee.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"font-family: Century Gothic;\"\u003e\u003cspan style=\"font-size: 12pt; font-family: verdana, geneva;\"\u003eHigher quantities are available at discounted prices. \u003cbr\u003e \u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"font-family: Century Gothic;\"\u003e\u003cspan style=\"font-size: 12pt; font-family: verdana, geneva;\"\u003e\u003cspan style=\"font-size: 12pt;\"\u003e\u003cspan style=\"font-size: medium; font-family: verdana,geneva;\"\u003e\u003cspan style=\"font-size: medium; font-family: verdana,geneva;\"\u003eSpeak to a customer service specialist at 855-5FORMS5 or 855-536-7675. 9AM - 7PM EST Monday - Thursday and 9AM - 5PM EST on Friday.\u003c\/span\u003e\u003c\/span\u003e\u003c\/span\u003e\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\u003cspan style=\"font-size: 12pt; font-family: verdana, geneva;\"\u003e\u003cstrong\u003e\u003cbr\u003e\u003cspan style=\"font-family: verdana, geneva; font-size: medium;\"\u003e\u003cspan style=\"font-family: Century Gothic; font-size: 12pt;\"\u003e\u003cspan style=\"font-family: verdana, geneva; font-size: medium;\"\u003eI\u003c\/span\u003e\u003c\/span\u003e\u003c\/span\u003emportant:\u003c\/strong\u003e\u003cspan style=\"font-size: 12pt;\"\u003e Enter your printable text \u003c\/span\u003e\u003cstrong\u003eexactly\u003c\/strong\u003e\u003cspan style=\"font-size: 12pt;\"\u003e as you would like it to appear, using only the lines that you need. Please check for accuracy. Please be sure to double-check your spelling, punctuation, abbreviations and all other content\u003c\/span\u003e.\u003cbr\u003e\u003cbr\u003e\u003c\/span\u003e\u003cspan style=\"font-family: Century Gothic; font-size: 10pt;\"\u003e\u003c\/span\u003e","brand":"NEBS","offers":[{"title":"5 - Pads","offer_id":42384160915515,"sku":"PRV3-1","price":57.09,"currency_code":"USD","in_stock":true},{"title":"10 - Pads","offer_id":42384160849979,"sku":"PRV3-1","price":98.44,"currency_code":"USD","in_stock":true},{"title":"20 - Pads","offer_id":42384160882747,"sku":"PRV3-1","price":180.47,"currency_code":"USD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0618\/8462\/9051\/files\/PRV3.1.jpg?v=1754997442"}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0618\/8462\/9051\/collections\/HIPAA_CAT.jpg?v=1757595587","url":"https:\/\/5forms.com\/collections\/hipaa-products.oembed","provider":"5Forms-LLC","version":"1.0","type":"link"}