Product Information:  :::::::::::::::::::::

TOPS : Flash-Fax® HIPAA Audit Forms
• Non-repro blue rules guide handwritten information, but don’t transmit Fax prior to faxing confidential documents. Form allows confirmation that your information is being received at the intended location by the intended recipient (including the transmission of protected health information as defined by HIPAA).

:      Prefix and Stock Number: TOP-51823

Item # List Price Unit Qty
9711565 100 Forms per Pad 8-1/2 x 11 $6.85 PD