Common use of Client Release of Information Form Clause in Contracts

Client Release of Information Form. The Provider shall explain to each client for what purpose information is being collected, and to whom the information may be released. The Provider shall obtain the client’s initials and signature in the appropriate section(s) of the Client Release of Information Form (Exhibit ).

Appears in 5 contracts

Samples: Appendix Xii, www.myflorida.com, www.myflorida.com

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Client Release of Information Form. The Provider shall explain to each client for what purpose information is being collected, and to whom the information may be released. The Provider shall obtain the client’s initials and signature in the appropriate section(s) of the Client Release of Information Form (Exhibit EXHIBIT C3), and update the applicable release information in Web-RS.

Appears in 1 contract

Samples: www.myflorida.com

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