Common use of Disclosure Information Generally Clause in Contracts

Disclosure Information Generally. Except for repetitive disclosures of the Covered Entity’s Protected Health Information as specified below, the Disclosure Information that the Business Associate must record for each accountable disclosure is (1) the disclosure date, (2) the name and (if known) address of the entity to which the Business Associate made the disclosure, (3) a brief description of the Covered Entity’s Protected Health Information disclosed, and (4) a brief statement of the purpose of the disclosure.

Disclosure Information Generally. Except for repetitive disclosures of the Covered Entity’s Protected Health Information as specified below, the Disclosure Information that the Business Associate must record for each accountable disclosure is (1i) the disclosure date, (2ii) the name and (if known) address of the entity to which the Business Associate made the disclosure, (3iii) a brief description of the Covered Entity’s Protected Health Information disclosed, and (4iv) a brief statement of the purpose of the disclosure.

Disclosure Information Generally. Except for repetitive disclosures of the Covered Entity’s Protected Health Information as specified below, the Disclosure Information that the Business Associate must record for each accountable disclosure is (1i) the disclosure date, (2ii) the name and (if known) address of the entity to which the Business Associate made the disclosure, (3iii) a brief description of the Covered Entity’s Protected Health Information disclosed, and (4iv) a brief statement of the purpose of the disclosure.

Disclosure Information Generally. Except for repetitive disclosures of the Covered Entity’s Protected Health Information as specified below, the Disclosure Information that the Business Associate must record for each accountable disclosure is (1) the disclosure date, ; (2) the name and (if known) address of the entity to which the Business Associate made the disclosure, ; (3) a brief description of the Covered Entity’s Protected Health Information disclosed, ; and (4) a brief statement of the purpose of the disclosure.

Disclosure Information Generally. Except for repetitive disclosures of the Covered EntityHealth Plan’s Protected Health Information as specified in Section 3(c)(iii)(B) below, the Disclosure Information that the Business Associate must record for each accountable disclosure is (1i) the disclosure date, (2ii) the name and (if known) address of the entity to which the Business Associate made the disclosure, (3iii) a brief description of the Covered EntityHealth Plan’s Protected Health Information disclosed, and (4iv) a brief statement of the purpose of the disclosure.

Disclosure Information Generally. Except for repetitive disclosures of the Covered Entity’s Protected Health Information as specified below, the Disclosure Information that the Business Associate must record for each accountable disclosure is is: (1) the disclosure date, (2ii) the name and (if known) address of the entity to which the Business Associate made the disclosure, (3iii) a brief description of the Covered Entity’s Protected Health Information disclosed, and (4iv) a brief statement of the purpose of the disclosure.

Disclosure Information Generally. Except for repetitive disclosures of the Covered Entity’s Protected Health Information as specified in Section 3(c(iii)(b) below, the Disclosure Information that the Business Associate must record for each accountable disclosure is (1i) the disclosure date, (2ii) the name and (if known) address of the entity to which the Business Associate made the disclosure, (3iii) a brief description of the Covered Entity’s Protected Health Information disclosed, and (4iv) a brief statement of the purpose of the disclosure.

Disclosure Information Generally. Except for repetitive disclosures of the Covered EntityCompany’s Protected Health Information as specified herein (Disclosure Information for Repetitive Disclosures) below, the Disclosure Information that the Business Associate must record for each accountable disclosure is is (1) the disclosure date, (2) the name and (if known) address of the entity to which the Business Associate made the disclosure, (3) a brief description of the Covered EntityCompany’s Protected Health Information disclosed, and (4) a brief statement of the purpose of the disclosure.

Disclosure Information Generally. Except for repetitive disclosures of the Covered Entity’s Protected Health Information as specified below, the Disclosure Information that the Business Associate must record for each accountable disclosure is (1i) the disclosure date, (2ii) the name and (if known) address of the entity to which the Business Associate made the disclosure, (3iii) a brief description of the Covered Entity’s Protected Health Information disclosed, and (4iv) a brief statement of the purpose of the disclosure.

Disclosure Information Generally. Except for repetitive disclosures of the Covered Entity’s Protected Health Information as specified described below, the Disclosure Information that the Business Associate must record for each accountable disclosure is (1i) the disclosure date, (2ii) the name and (if known) the address of the entity to which the Business Associate made the disclosure, (3iii) a brief description of the Covered Entity’s Protected Health Information disclosed, and (4iv) a brief statement of the purpose of the disclosure.