Common use of Amendment of Your Record Clause in Contracts

Amendment of Your Record. You have the right to request amendment of your protected health information. Your request must be in writing and it must explain why the information should be amended. We are not required to amend the record if it is determined that the record is accurate and complete. There are other exceptions, which will be provided to you at the time of your request, if relevant, along with the appeal process available to you. To exercise this right, ask your therapist for the appropriate request form.

Appears in 5 contracts

Samples: Client Therapist Agreement, lookinsidecounseling.com, Client Therapist Agreement

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Amendment of Your Record. You have the right to request amendment of that the provider amend your protected health information. Your request must be in writing and it must explain why the information should be amended. We are The provider is not required to amend the record if it is determined that the record is accurate and complete. There are other exceptions, which will be provided to you at the time of your request, if relevant, along with the appeal process available to you. To exercise this rightmake a request, ask your therapist for the appropriate request formtherapist.

Appears in 1 contract

Samples: static1.squarespace.com

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