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HCFA/CMS 1500 Forms
OMB approved, NEW 02/12 version.

Laser and pinfeed styles

SALE! 2,500 laser sheets:  

$39.95

    

 $20 off your online      order of $100 or more.

Limited time offer. Amount deducted prior to charge

$40 off your online order of $200 or more.

Limited time offer. Amount deducted prior to charge

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Notice of Privacy Practices-Brochure (Quantity=500)

SKU: FPRV-1 $83.35
HIPAA COMPLIANT!
Trifold brochure, perfect for mailing in a #10 envelope or displaying in a standard brochure-sized rack.
-Prices include printing your practice name, address, and phone number,up to 5 lines.
-Please specify both NOTICE EFFECTIVE DATE and PRIVACY OFFICER'S NAME & TITLE when ordering.
Both English & Spanish Versions available (Please indicate on order form).

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