Common use of Authorization to Release Information Clause in Contracts

Authorization to Release Information. By execution of this Agreement, the Resident, Resident Representative and Sponsor authorize the Facility to release to government agencies, insurance carriers or others who could be financially liable for any medical care provided to the Resident, all information needed to secure and substantiate payment for such medical care and to permit representatives thereof to examine and copy all records relating to such care.

Authorization to Release Information. By execution of this Agreement, the Resident, Resident Representative and Sponsor authorize the Facility to release to government agencies, insurance carriers or others who could be financially liable for any medical care provided to the Resident, all information needed to secure and substantiate payment for such medical care and to permit representatives permitrepresentatives thereof to examine and copy all records relating to such care.

Authorization to Release Information. By execution of this Agreement, the Resident, Resident and/or Designated Representative and Sponsor authorize authorizes the Facility to release to government agencies, insurance carriers or others who and other pertinent organizations which could be financially liable for any aspect of medical care provided to the Resident, all medical information needed by these agencies to secure and substantiate payment for such medical care and to permit representatives thereof to examine and copy make copies of all records relating to such care.