MEDICAL RECORDS RELEASE Sample Clauses

MEDICAL RECORDS RELEASE. I will authorize PSPC to obtain my medical records from all providers I have received pain management through. I will maintain an unrestricted and current medical records release on file with PSPC. Have you ever had any medical or legal problems with alcoholism, drug abuse, addiction, or drug trafficking? If yes, please explain: Have you used any illegal drugs (including marijuana) within the past six months? If yes, list the drugs you have used and when: Have you used any prescription drugs for which you did not have a personal prescription within the past six months? If yes, please explain: I HAVE THOROUGHLY READ THIS AGREEMENT BEFORE RECEIVING TREATMENT AT PSPC I UNDERSTAND AND AGREE TO THE CONDITIONS OF CARE DESCRIBED ABOVE AND WILL COMPLY WITH THEM. ALL OF MY QUESTIONS ABOUT THE TERMS OF THIS AGREEMENT HAVE BEEN ANSWERED. I KNOW THAT FAILURE TO COMLPY WITH ANY OF THESE TERMS OF THIS AGREEMENT MAY RESULT IN IMMEDIATE TERMINATIONS OF SERVICE. Reviewed contract and answered all patient’s questions (MA): Date: Patient’s Signature: Date: Practitioner Signature: Date:
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MEDICAL RECORDS RELEASE. PPMT medical records will follow HIPAA regulations as they apply in a correctional setting and will be available to designated and authorized Facility personnel and the County Attorney. PPMT will not release records to an outside source without the permission of the Sheriff or Sheriff’s designee or a valid court order. In the event an offender requests a copy of his or her medical record, and signs a release of information, a copy of the medical record will be placed with their property at the Facility or mailed to them if no longer in custody. An in-custody offender may be allowed to review their medical record in a location approved by facility administration. Under no circumstances will an offender be given a copy of his/her medical record to be kept in his/her cell. Supplies & Inventory PPMT assumes responsibility for maintaining all medical and office related supplies to support the clerical and medical operations at the detention Facility.  The HSA will ensure medical services equipment is well maintained and operational.  All rooms, cabinets and drawers that contain narcotics, controlled drugs, and sharps (including items such as needles, syringes, surgical instruments, suturing kits, and medical scissors) will be properly locked or otherwise properly secured when not in use. A designated nurse on each shift will be responsible for securing these areas.  All sharps, narcotics and controlled drugs located in the medical unit will be inventoried by an LPN/RN at each shift change and maintained in accordance with ACA, DEA and NCCHC standards and under conditions acceptable to MCDF.  Inventory replenishment (PAR) levels will not exceed the expected usage rate, typically a 2-week supply.  Any discrepancy in inventory will be documented immediately by the nurse, and a narrative of the resulting investigation and outcome will be included in the documentation. Inventory discrepancies that may present a security risk to the Facility will be reported immediately to the commander on duty.  Inventory documentation and any inspection results will be maintained by the HSA and made available for review by Facility administration at any time.  Capital equipment such as AEDs will be inventoried by type, date of purchase, model number, and serial number on a monthly basis by the HSA. The location and condition of the item will be noted. Inmate Grievances  PPMT’s Health Services Manager will track all formal grievances regarding medical care and forward docume...
Sample 1
MEDICAL RECORDS RELEASE. I will inform all of my health care providers that I receive pain management through Alpine Pain Solutions of Utah and will maintain an unrestricted and current medical records release on file with Alpine Pain Solutions of Utah. I authorize Alpine Pain Solutions of Utah to provide a copy of the Pain Contract to release medical information to necessary pharmacies.
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MEDICAL RECORDS RELEASE. I authorize FORM Physical Therapy to release my medical records to any referring physician, insurance company, health care facility or government agency requesting such information. I authorize the release of any medical information to the following person: Name: Relationship: Patient Acknowledgement:
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Related to MEDICAL RECORDS RELEASE

  • Medical Records Retention Grantee will;

  • Medical Records Medical records relating to Trial Subjects that are not submitted to Sponsor may include some of the same information as is included in Trial Data; however, Sponsor makes no claim of ownership to those documents or the information they contain. c.

  • Medical Reports The following applies to all employees: The Employer agrees to pay the fee for medical reports required by the Employer for Sick Leave or Weekly Indemnity provisions to a maximum of fifty dollars ($50.00).

  • MEDICAL REPORT The Agency/Department Head as a condition of granting sick leave with pay, may require medical evidence of sickness or injury acceptable to the Agency/Department. The acceptable medical evidence must be obtained from a medical practitioner currently treating the employee or the employee’s family member.

  • Medical Release I release and forever discharge the Released Parties from any claim whatsoever arising, or that may arise, on account of any first aid, treatment, or medical service, including the lack of such or timing of such, rendered in connect with my participation as a volunteer.

  • Records Retention The Asset Representations Reviewer will maintain copies of Review Materials, Review Reports and internal work papers and correspondence (collectively the “Client Records”) for a period of two years after the termination of this Agreement. At the expiration of the retention period, the Asset Representations Reviewer shall return all Client Records to the Servicer, in electronic format or, to the extent held in tangible form, in that form. Upon the return of the Client Records, the Asset Representations Reviewer shall have no obligation to retain such Client Records or to respond to inquiries concerning any Asset Review.

  • Public Records Request (09/17) Contractor acknowledges that the City of Portland is subject to the Oregon Public Records Act and Federal law. Third persons may claim that the Confidential Information Contractor submitted to the City hereunder may be, by virtue of its possession by the City, a public record and subject to disclosure pursuant to the Oregon Public Records Act. The City’s commitments to maintain certain information confidential under this Contract are all subject to the constraints of Oregon and federal laws. All information submitted by Contractor is public record and subject to disclosure pursuant to the Oregon Public Records Act, except such portions for which Contractor requests and meets an exemption from disclosure consistent with federal or Oregon law. Within the limits and discretion allowed by those laws, the City will maintain the confidentiality of information.

  • Inspections, Records, and Cooperation The Owner agrees to provide any information pertinent to this Contract which the Program Administrator, PJ, or HUD may reasonably require. Further, upon reasonable notice to the Owner, Owner agrees to provide access to the Program Administrator, PJ, HUD, or their representatives to the Unit, the property on which the Unit is located, and the Owner’s records (wherever located) relevant to this Contract and compliance with Program requirements. The Owner further agrees to provide access to such records to the Comptroller General of the United States (commonly known as the Government Accountability Office or “GAO”). The Owner must grant access to relevant computerized or other electronic records and to any computers, equipment, or facilities containing such records, and must provide any information or assistance needed to access the records. Such rights to inspect and review will not expire until five (5) years after the date of expiration or termination of this Contract.

  • Criminal Records Check Section 1. Except as provided by Governor’s executive order or state or federal law as implemented by Agency rule or policy, the Employer will not require a criminal records check on any current employee in his or her current position if the requirement was not in place when the employee was appointed to the position. Agencies will send Agency rules, policies, and subsequent changes to SEIU Headquarters. Upon notification, the Union may exercise its rights pursuant to Article 5 of this agreement as it applies to changes in Agency rule or policy implementing Governor’s executive orders or state or federal laws regarding criminal records check requirements.

  • PUBLIC RECORDS COMPLIANCE Orange County is a public agency subject to Chapter 119, Florida Statutes. The Contractor agrees to comply with Florida’s Public Records Law. Specifically, the Contractor shall:

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