{"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; font-size: 12pt; color: #990000;\"\u003e\u003cb\u003e\u003cspan style=\"font-size: large;\"\u003ePRV2 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;\"\u003e5 1\/2 x 8 1\/2\"\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;\"\u003eA clear, compact form that documents patient 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;\"\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; font-family: verdana, geneva;\"\u003eImprint area: 4 x 1\"\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;\"\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;\"\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-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":"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","url":"https:\/\/5forms.com\/products\/prv2-3-part-notice-of-privacy-practices-hipaa-acknowledgment-5-1-2-x-8-1-2","provider":"5Forms-LLC","version":"1.0","type":"link"}