Consent to Release Medical Records Sample Clauses

Consent to Release Medical Records. I authorize the release of my medical records and information for the purpose of coordinating care and discharge planning and for the purpose of my follow-up care, this includes the designated Caregiver, if elected. I understand that the information disclosed may include Specially Protected Health Information such as records of psychiatric treatment, counseling or testing, substance abuse counseling or treatment, and or HIV, AIDS diagnosis, treatment, or testing. I may revoke this authorization as it relates to Specially Protected Health Information by providing written notice to Capital Health, Health Information Management Department.

Consent to Release Medical Records. I understand Community will make every effort to treat my medical record information as confidential; however, I realize information must be shared with other providers involved in my care or in the payment of my care. Further, I understand other healthcare providers involved in my care will have access to my medical information as permitted by state and federal law. I consent to the release of my medical information for treatment, payment and health care operational purposes as allowed by state and federal law, including the release of communicable disease information. Legal Relationships I understand my services may be provided by: (1) providers who are not employees of Community but who have a contract with Community to provide services, such as emergency physicians, anesthesiologists, radiologists, pathologists and other independent physicians; and (2) providers who have no employment or other contractual relationship with Community (collectively, “Independent Providers”); and these Independent Providers may or may not participate in my insurance plan. I understand Community is responsible for carrying out the instructions of such Independent Providers, but I acknowledge (a) Independent Providers are not employees or agents of Community; and (b) Community is not responsible for the medical decisions, acts or omissions of Independent Providers.

Consent to Release Medical Records. Provider shall obtain Covered Person authorizations relative to the release of medical information required by applicable law to provide MCO or other authorized parties with access to Covered Persons’ records.

Consent to Release Medical Records. 1. I understand that my insurance carrier may require copies of my medical records in order to process claims. I hereby agree to such release of my records.