Common use of Data Regarding Disclosures Clause in Contracts

Data Regarding Disclosures. For each Disclosure for which it is required to keep a record under paragraph 7(a), Business Associate will record and maintain the following information: (1) the date of Disclosure; (2) the name of the entity or person who received the PHI and the address of such entity or person, if known; (3) a description of the PHI Disclosed; and (4) a brief statement of the purpose of the Disclosure.

Appears in 5 contracts

Samples: Business Associate Agreement, Business Associate Agreement, Producer Agreement

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Data Regarding Disclosures. For each Disclosure for which it is required to keep a record under paragraph 7(a), Business Associate will record and maintain the following information: (1) the date of Disclosure; (2) the name of the entity or person who received the PHI and the address of such entity or person, if known; (3) a description of the PHI Disclosed; and (4) a brief statement of the purpose of the Disclosure.such

Appears in 1 contract

Samples: Business Associate Agreement

Data Regarding Disclosures. For each Disclosure disclosure for which it is required to keep a record under paragraph 7(a8(a), Business Associate will record and maintain the following information: : (1) the The date of Disclosure; disclosure; (2) the The name of the entity or person who received the PHI and PHI, and, the address of such entity or person, if known; . (3) a A description of the PHI Discloseddisclosed; and and (4) a A brief statement of the purpose of the Disclosuredisclosure.

Appears in 1 contract

Samples: Service Agreement

Data Regarding Disclosures. For each Disclosure for which it is required to keep a record under paragraph 7(a), Business Associate will record and maintain the following information: : (1) the date of Disclosure; (2) the name of the entity or person who received the PHI and the address of such entity or person, if known; (3) a description of the PHI Disclosed; and (4) a brief statement of the purpose of the Disclosure.

Appears in 1 contract

Samples: Business Associate Agreement

Data Regarding Disclosures. For each Disclosure for which it is required to keep a record under paragraph 7(a), Business Associate will record and maintain the following information: (1) the date of Disclosure; (2) the name of the entity or person who received the PHI and the address of such entity or person, if known; (3) a description of the PHI Disclosed; and (4) a brief statement of the purpose of the Disclosure.;

Appears in 1 contract

Samples: Professional Services

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Data Regarding Disclosures. For each Disclosure for which it is required to keep a record under paragraph 7(a), Business Associate will record and maintain the following information: : (1i) the date of Disclosure; (2ii) the name of the entity or person who received the PHI and the address of such entity or person, if known; (3iii) a description of the PHI Disclosed; and (4) a brief statement of the purpose of the Disclosure.and

Appears in 1 contract

Samples: Application Service Provider Agreement

Data Regarding Disclosures. For each Disclosure for which it is required to keep a record under paragraph 7(aSection 2(h)(i), Business Associate will record and maintain the following information: (1) the date of Disclosure; (2) the name of the entity or person who received the PHI and the address of such entity or person, if known; (3) a description of the PHI Disclosed; and (4) a brief statement of the purpose of the Disclosure.

Appears in 1 contract

Samples: Independent Contractor Agreement

Data Regarding Disclosures. For each Disclosure disclosure for which it is required to keep a record under paragraph 7(a7(1), Business Associate will record and maintain the following information: : (1a) the The date of Disclosure; disclosure; (2b) the The name of the entity or person who received the PHI and PHI, and, the address of such entity or person, if known; . (3c) a A description of the PHI Discloseddisclosed; and and (4d) a A brief statement of the purpose of the Disclosuredisclosure.

Appears in 1 contract

Samples: Master Membership Agreement

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