Authorization for Release of Protected Health Information. Each of the Player and his or her parent/legal guardian hereby authorizes any Provider who has protected health information regarding the Player to release such information to any third party, including, but not limited to, other medical providers and insurance companies, for purposes of treatment, payment and/or other health care operations.
Appears in 5 contracts
Samples: U11 U19 Player Agreement, Player Agreement, U11 U19 Player Agreement Seasonal Year 2022 2023