Common use of Consent to Release Information Clause in Contracts

Consent to Release Information. Upon request by XXXXX, PROVIDER shall provide XXXXX with authorizations, consents or releases, in connection with any inquiry by XXXXX of any hospital, educational institution, governmental or private agency or association (including without limitation the National Practitioner Data Bank) or any other entity or individual relative to PROVIDER’s professional qualifications, PROVIDER’s mental or physical fitness, or the quality of care rendered by PROVIDER.

Consent to Release Information. Upon request by XXXXX, XXXXX PROVIDER shall provide XXXXX with authorizations, consents or releases, in connection with any inquiry by XXXXX of any hospital, educational institution, governmental or private agency or association (including without limitation the National Practitioner Data Bank) or any other entity or individual relative to PROVIDER’s professional qualifications, PROVIDER’s mental or physical fitness, or the quality of care rendered by PROVIDER.

Consent to Release Information. Upon request by XXXXX, PROVIDER shall provide XXXXX with authorizations, consents or releases, releases as XXXXX may request in connection with any inquiry by XXXXX of any hospital, educational institution, governmental or private agency or association (including without limitation the National Practitioner Data Bank) or any other entity or individual relative to PROVIDER’s professional qualifications, PROVIDER’s mental or physical fitness, or the quality of care rendered by PROVIDER.

Consent to Release Information. Upon request by XXXXX, PROVIDER shall provide XXXXX with authorizations, consents or releases, releases in connection with any inquiry by XXXXX of any hospital, educational institution, governmental or private agency or association (including without limitation the National Practitioner Data Bank) or any other entity or individual relative to PROVIDER’s professional qualifications, PROVIDER’s mental or physical fitness, or the quality of care rendered by PROVIDER.

Consent to Release Information. Upon request by XXXXX, PROVIDER shall provide XXXXX with authorizations, consents or releases, in connection with any inquiry by XXXXX of any hospital, educational institution, governmental or private agency or association (including without limitation the National Practitioner Data Bank) or any other entity or individual relative to PROVIDER’s professional qualifications, PROVIDER’s qualifications or mental or physical fitness, or the quality of care rendered by PROVIDER.

Consent to Release Information. Upon request by XXXXX, PROVIDER shall provide XXXXX with authorizations, consents or releases, as XXXXX may request in connection with any inquiry by XXXXX of any hospital, educational institution, governmental or private agency or association (including without limitation the National Practitioner Data Bank) or any other entity or individual relative to PROVIDER’s professional qualifications, PROVIDER’s mental or physical fitness, or the quality of care rendered by PROVIDER.

Consent to Release Information. Upon request by XXXXX, PROVIDER shall provide XXXXX with authorizations, consents or releases, releases as XXXXX may request in connection with any inquiry by XXXXX of any hospital, educational institution, governmental or private agency or association (including without limitation the National Practitioner Data Bank) or any other entity or individual relative to PROVIDER’s professional qualifications, PROVIDER’s mental or physical fitness, or the quality of care rendered by PROVIDER.

Consent to Release Information. Upon request by of XXXXX, PROVIDER shall provide XXXXX with authorizations, consents or releases, in connection with any inquiry by XXXXX of any hospital, educational institution, governmental or private agency or association (including without limitation the National Practitioner Data Bank) or any other entity or individual relative to PROVIDER’s professional qualifications, PROVIDER’s mental or physical fitness, or the quality of care rendered by PROVIDER.