HIPAA AUTHORIZATION Sample Clauses

HIPAA AUTHORIZATION. I give permission to Xxxxxx’x Extended Care Pharmacy to use or disclose certain aspects of my health information to: the individual listed as my personal representative, my long-term care facility, federal and state health agencies, insurance companies, third-party data aggregators, pharmacy benefit managers, and other health-related agencies. I have read and understand the above terms and conditions and agree to be bound by each of them: Signature [Resident or Responsible Party]: Date: NOTICE OF PRIVACY PRACTICES [xxxx://xxxxxxxxxxxxxxxx.xxx/hipaa-privacy-policy/] I certify that I have received a copy of Xxxxxx’x Extended Care Pharmacy’s privacy practices and have been given an opportunity to review the document and ask questions to assist my understanding of resident’s rights relative to the protection of resident’s health information. I know that I can access the Notice of Privacy Practices on the Guardian Pharmacy website at [xxxx://xxxxxxxxxxxxxxxx.xxx/hipaa-privacy-policy/]. I further acknowledge that I am satisfied with the explanations provided to me and am confident that Xxxxxx’x Extended Care Pharmacy is committed to protecting my health information. I certify that I have read and understand this agreement: I certify that I have received a copy of Xxxxxx’x Extended Care Pharmacy’s Notice of Non-Discrimination and Complaint Procedures and have been given an opportunity to and did review the document including the free disabilities aids and language services available and was given an opportunity to ask questions to assist my understanding of it. I am confident I understand my rights and my options if I believe I have been discriminated against or guardian has failed to provide certain services. I certify that I have received a copy of Xxxxxx’x Extended Care Pharmacy’s Injury, infection, and emergency preparedness protocol and have been given an opportunity to and did review the document and was given an opportunity to ask questions to assist my understanding of it.
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HIPAA AUTHORIZATION. I give permission to Guardian Pharmacy to use or disclose certain aspects of my health information to the individual listed as my personal representative, my long-term care facility, federal and state health agencies, insurance companies, third-party data aggregators, pharmacy benefit managers, and other health-related agencies. NOTICE OF PRIVACY PRACTICES [xxxx://xxxxxxxxxxxxxxxx.xxx/hipaa-privacy-policy/] I certify that I have received a copy of Guardian Pharmacy privacy practices and have been given an opportunity to review the document and ask questions to assist my understanding of resident’s rights relative to the protection of resident’s health information. I know that I can access the Notice of Privacy Practices on the Guardian Pharmacy website at [xxxx://xxxxxxxxxxxxxxxx.xxx/hipaa-privacy-policy/]. I further acknowledge that I am satisfied with the explanations provided to me and am confident that Guardian Pharmacy is committed to protecting my health information. I certify that I have read and understand this agreement.
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HIPAA AUTHORIZATION. I give permission to [MTPS] to use or disclose certain aspects of my health information to: the individual listed as my personal representative, my long-term care facility, federal and state health agencies, insurance companies, third-party data aggregators, pharmacy benefit managers, and other health-related agencies.
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HIPAA AUTHORIZATION. I give permission to Preferred Care Pharmacy to use or disclose certain aspects of my health information to: the individual listed as my personal representative, my long-term care facility,federal and state health agencies, insurance companies, third-party data aggregators, pharmacy benefit managers, and other health-related agencies. I have read and understand the above terms and conditions and agree to be bound by each of them: Signature[Resident or Responsible Party]: Date: NOTICE OF PRIVACY PRACTICES[xxxx://xxxxxxxxxxxxxxxx.xxx/hipaa-privacy-policy/] I certify thatI have received a copy of Preferred Care Pharmacy’s privacy practices and have been given an opportunity to review the document and ask questionstoassistmy understanding of resident’s rightsrelativetotheprotectionof resident’shealth information. I know that I can access the Notice of Privacy Practices on the Guardian Pharmacy website at [http://xxxxxxxxxxxxxxxx.xxx/hipaa-privacy-policy/].I further acknowledge that I am satisfied with the explanations provided to me and am confident that Preferred Care Pharmacy is committed to protecting my health information. I certify that I have read and understand this agreement:
Sample 1
HIPAA AUTHORIZATION. Business Associate shall not, except as provided in this Agreement and permitted or required under HIPAA and HITECH, use in any other
Sample 1
HIPAA AUTHORIZATION. If the research involves the creation, use or disclosure of PHI, separate authorization is required under the HIPAA Privacy Rule. Please provide the HIPAA Research Authorization Form and/or a request for waiver of HIPAA authorization. (For further information, see the Yale HIPAA website at http://info.med.yale.edu/xxxxx/).
Sample 1
HIPAA AUTHORIZATION. I give permission to Guardian Pharmacy of Missouri to use or disclose certain aspects of my health information to: the individual listed as my personal representative, my long-term care facility, federal and state health agencies, insurance companies, third-party data aggregators, pharmacy benefit managers, and other health-related agencies. I have read and understand the above terms and conditions and agree to be bound by each of them: Signature [Resident or Responsible Party]: Date: NOTICE OF PRIVACY PRACTICES [xxxx://xxxxxxxxxxxxxxxx.xxx/hipaa-privacy-policy/] I certify that I have received a copy of Guardian Pharmacy of Missouri’s privacy practices and have been given an opportunity to review the document and ask questions to assist my understanding of resident’s rights relative to the protection of resident’s health information. I know that I can access the Notice of Privacy Practices on the Guardian Pharmacy website at [xxxx://xxxxxxxxxxxxxxxx.xxx/hipaa- privacy-policy/]. I further acknowledge that I am satisfied with the explanations provided to me and am confident that Guardian Pharmacy of Missouri is committed to protecting my health information. I certify that I have read and understand this agreement: I certify that I have received a copy of Guardian Pharmacy of Missouri’s payment information and understand the available ways to pay my bills and have been given an opportunity to and did review the document and was given an opportunity to ask questions to assist my understanding of it.
Sample 1
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HIPAA AUTHORIZATION. Business Associate agrees that it shall not use in any other manner or disclose to any other person or entity Covered Entity’s PHI, except as otherwise provided by this Agreement, without first obtaining a HIPAA-compliant authorization (“HIPAA Authorization”) from the Individual about whom the information pertains, including, but not limited to, whenever Covered Entity would be required to do so in accordance with federal or state laws and regulations.
Sample 1

Related to HIPAA AUTHORIZATION

  • LEGAL AUTHORIZATION The Recipient certifies that it has the legal authority to receive the funds under this Agreement and that its governing body has authorized the execution and acceptance of this Agreement. The Recipient also certifies that the undersigned person has the authority to legally execute and bind Recipient to the terms of this Agreement.

  • Power; Authorization Such Investor has all requisite power and authority to execute and deliver this Agreement. This Agreement, when executed and delivered by such Investor, will constitute a valid and legally binding obligation of such Investor, enforceable in accordance with its respective terms, except as: (a) limited by applicable bankruptcy, insolvency, reorganization, moratorium and other laws of general application affecting enforcement of creditors’ rights generally; and (b) limited by laws relating to the availability of specific performance, injunctive relief or other equitable remedies.

  • Prior Authorization A determination to authorize a Provider’s request, pursuant to services covered in the MississippiCAN Program, to provide a service or course of treatment of a specific duration and scope to a Member prior to the initiation or continuation of the service.

  • Government Authorization No consent, approval, order or authorization of, or registration, declaration or filing with, or notice to, any Governmental Entity, is required by or with respect to Pubco in connection with the execution and delivery of this Agreement by Pubco, or the consummation by Pubco of the transactions contemplated hereby, except, with respect to this Agreement, any filings under the Nevada Statutes, the Securities Act or the Exchange Act.

  • Governmental Authorization No approval, consent, exemption, authorization, or other action by, or notice to, or filing with, any Governmental Authority is necessary or required in connection with the execution, delivery or performance by, or enforcement against, any Loan Party of this Agreement or any other Loan Document.

  • Government Authorizations No Consent of, with or to any Governmental Authority is required to be obtained or made by or with respect to Buyer or any of its Affiliates in connection with the execution and delivery of this Agreement and the other Transaction Documents by Buyer or the consummation by Buyer of the transactions contemplated hereby and thereby, except for (a) required filings under the HSR Act, (b) as set forth on Section 5.4 of the Buyer Disclosure Schedule, and (c) Consents not required to be made or given until after Closing.

  • Authorization, Etc This Agreement and the Notes have been duly authorized by all necessary corporate action on the part of the Company, and this Agreement constitutes, and upon execution and delivery thereof each Note will constitute, a legal, valid and binding obligation of the Company enforceable against the Company in accordance with its terms, except as such enforceability may be limited by (i) applicable bankruptcy, insolvency, reorganization, moratorium or other similar laws affecting the enforcement of creditors’ rights generally and (ii) general principles of equity (regardless of whether such enforceability is considered in a proceeding in equity or at law).

  • Required Authorizations There is no requirement to make any filing with, give any notice to, or obtain any Authorization of, any Governmental Entity as a condition to the lawful completion of the transactions contemplated by this Agreement.

  • Network Authorization For services that cannot be provided by a network provider, you can request a network authorization to seek services from a non-network provider. With an approved network authorization, the network benefit level will apply to the authorized covered healthcare service. If we approve a network authorization for you to receive services from a non- network provider, our reimbursement will be based on the lesser of our allowance, the non-network provider’s charge, or the benefit limit. For more information, please see the How Non-Network Providers Are Paid section.

  • Governmental Authorization; Third Party Consents No approval, consent, compliance, exemption, authorization or other action by, or notice to, or filing with, any Governmental Authority or any other Person, and no lapse of a waiting period under any Requirement of Law, is necessary or required in connection with the execution, delivery or performance (including, without limitation, the purchase of the Purchased Shares) by, or enforcement against, such Purchaser of this Agreement or the transactions contemplated hereby.

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