Item# HPH1 Notice of Privacy Practices Form
Ancom has designed and printed over 1,000 custom professional forms for our customers, including the Healthcare industry, whose offices have relied on our stock professional forms for years. At Ancom, you’ll find the ready-made forms that you need: HIPAA forms, HCFA forms, ADA forms, and Rx pads, along with X-Ray mailers, recall postcards, laser statements and mailing envelopes. To get started on designing your own custom professional form, see our Custom Forms section.
Item# HPH1
Notice of Privacy Practices Form
Notice of Privacy Practices Form is used to notify patients about your use and protection of health information, as required by HIPAA. Personalized with your practice name.
•Hole-punched for easy insertion into patient chart.
•8.5" x 11"
•Two-sided, black print on white paper