Documents the patient's acknowledgement that they have received and reviewed the Notice of Privacy Practices (#28998). One page; 8-1/2x11".
| Brand Name: | Medical Arts Press |
| Form Size: | 8 1/2" x 11" |
| Length in Inches: | 11 |
| Medical Form Pack Size: | 200 |
| Medical Form Type: | Privacy Practice |
| Pack Qty: | 1 |
| True Color: | White |
| Width in Inches: | 8.5 |