Common use of Permission to Disclose Medical Records and Personal Information Clause in Contracts

Permission to Disclose Medical Records and Personal Information. It may be necessary for SEA to disclose your medical records and personal information to SEA staff members and to anyone involved in your medical care that needs the information (e.g., physicians, hospitals, emergency personnel, or other persons or entities involved in providing you with medical care or assistance). By signing this Contract you are giving SEA permission to do so on a reasonable need-to-know basis. You are also authorizing SEA to disclose such information to your parents, guardian or other next of kin in an emergency situation.

Permission to Disclose Medical Records and Personal Information. It may be necessary for SEA to disclose your medical records and personal information to SEA staff members and to anyone involved in your medical care that needs the information (e.g., physicians, hospitals, emergency personnel, or other persons or entities involved in providing you with medical care or assistance). By signing this Contract you are giving SEA permission to do so on a reasonable need-to-know basis. You are also authorizing SEA to disclose such information to your parents, guardian or other next of kin in an emergency situation.

Permission to Disclose Medical Records and Personal Information. It may be necessary for SEA to disclose your medical records and personal information to SEA staff members and to anyone involved in your medical care that needs the information informa- tion (e.g., physicians, hospitals, emergency personnel, or other persons or entities involved in providing you with medical care or assistance). By signing this Contract you are giving SEA permission to do so on a reasonable need-to-know basis. You are also authorizing SEA to disclose such information suchinformation to your parents, guardian or other next of kin in an emergency situation.