RIGHT TO AMEND. You have the right to request an amendment of PHI for as long as the PHI is maintained in the record. I may deny your request. On your request, I will discuss with you the details of the amendment process. • Right to an Accounting – You generally have the right to receive an accounting of disclosures of PHI for which you have neither provided consent nor authorization (as described in Section III of this Notice). On your request, I will discuss with you the details of the accounting process.
Appears in 11 contracts
Samples: Agreement for Fees and Psychological Services, Psychotherapist Patient Services Agreement, Agreement for Psychological Services
RIGHT TO AMEND. You have the right to request an amendment of PHI for as long as the PHI is maintained in the record. I may deny your request. On At your request, I will discuss with you the details of the amendment process. • Right to an Accounting – You generally have the right to receive an accounting of disclosures of PHI for which you have neither provided consent nor authorization (as described in Section III of this Notice)PHI. On At your request, I will discuss with you the details of the accounting process.
Appears in 10 contracts
Samples: Psychotherapy Agreement, Psychotherapy Agreement, Psychotherapy Agreement
RIGHT TO AMEND. You have the right to request an amendment of PHI for as long as the PHI is maintained in the record. I may deny your request. On your request, I will discuss with you the details of the amendment process. • Right to an Accounting – You generally have the right to receive an accounting of disclosures of PHI for which you have neither provided consent nor authorization (as described in Section III of this Notice)PHI. On your request, I will discuss with you the details of the accounting process.
Appears in 7 contracts
Samples: Psychotherapy Services Agreement, Psychotherapy Services Agreement, Psychologist Client Services Contract
RIGHT TO AMEND. You have the right to request an amendment of PHI for as long as the PHI is maintained in the record. I We may deny your request. On your request, I we will discuss with you the details of the amendment process. • Right to an Accounting – You generally have the right to receive an accounting of disclosures of PHI for which you have neither provided consent nor authorization (as described in Section III of this Notice)PHI. On your request, I we will discuss with you the details of the accounting process.
Appears in 6 contracts
Samples: Psychotherapist Patient Services Agreement, Psychologist Client Services Agreement, Psychologist Client Services Agreement
RIGHT TO AMEND. You have the right to request an amendment of PHI for as long as the PHI is maintained in the record. However, I may reserve the right to deny your request. On Upon your request, I will discuss with you the details of the amendment process. • Right to an Accounting – You generally have the right to receive an accounting of disclosures of PHI for which you have neither provided consent nor authorization (as described in Section III of this Notice). On your request, I will discuss with you the details of the accounting process.
Appears in 5 contracts
Samples: Counseling Agreement, Counseling Agreement, Group Counseling Agreement
RIGHT TO AMEND. You have the right to request an amendment of PHI for as long as the PHI is maintained in the record. I We may deny your request. On your request, I we will discuss with you the details of the amendment process. • Right to an Accounting – You generally have the right to receive an accounting of disclosures of PHI for which you have neither provided consent nor authorization (as described in Section III of this Notice). .) On your request, I we will discuss with you the details of the accounting process.
Appears in 3 contracts
Samples: Informed Consent and Fee Agreement, Informed Consent and Fee Agreement, Consent and Agreement for Psychological Testing and Evaluation
RIGHT TO AMEND. You have the right to request an amendment of PHI for as long as the PHI is maintained in the record. I may deny your request. On your request, I will discuss with you the details of the amendment process. • Right to an Accounting – You generally have the right to receive an accounting of disclosures of PHI for which you have neither provided consent nor authorization (as described in Section III of this Notice)PHI. On your request, I will discuss with you the details of the accounting process.
Appears in 2 contracts
Samples: Psychologist Client Agreement, Psychotherapy Agreement
RIGHT TO AMEND. You have the right to request an amendment of PHI for as long as the PHI is maintained in the record. I may deny your request. On your request, I will discuss with you the details of the amendment process. • Right to an Accounting – You generally have the right to receive an accounting of disclosures of PHI for which you have neither provided consent nor authorization (as described in Section III II of this Notice). On your request, I will discuss with you the details of the accounting process.
Appears in 1 contract
Samples: Client Clinician Agreement
RIGHT TO AMEND. You have the right to request an amendment of PHI for as long as the PHI is maintained in the record. I may deny your request. On your request, I will discuss with you the details of the amendment process. • Right to an Accounting – You generally have the right to receive an accounting of disclosures of PHI for which you have neither provided consent nor authorization (as described in Section III of this Notice). On your request, I will discuss with you the details of the accounting process.
Appears in 1 contract
Samples: Informed Consent Agreement
RIGHT TO AMEND. You have the right to request an amendment of PHI for as long as the PHI is maintained in the record. I may deny your request. On your request, I will discuss with you the details of the amendment process. • Right to an Accounting – You generally have the right to receive an accounting of disclosures of PHI for which you have neither provided consent nor authorization (as described in Section III of this Notice)PHI. On your request, I will discuss with you the details of the accounting process.
Appears in 1 contract
Samples: Patient Agreement
RIGHT TO AMEND. You have the right to request an amendment of PHI for as long as the PHI is maintained in the record. I may deny your request. On your request, I will discuss with you the details of the amendment process. • Right to an Accounting – Accounting- You generally have the right to receive receiving an accounting of disclosures of PHI for which you have neither provided consent nor authorization (as described in Section III II of this Notice). On your you request, I will discuss with you the details of the accounting process.
Appears in 1 contract
Samples: Professional Services
RIGHT TO AMEND. You have the right to request an amendment of PHI for as long as the PHI is maintained in the record. I We may deny your request. On your request, I we will discuss with you the details of the amendment process. • Right to an Accounting – You generally have the right to receive an accounting of disclosures of PHI for which you have neither provided consent nor authorization (as described in Section III of this Notice). On your request, I we will discuss with you the details of the accounting process.
Appears in 1 contract
RIGHT TO AMEND. You have the right to request an amendment of PHI for as long as the PHI is maintained in the record. I may deny your request. On your request, I will discuss with you the details of the amendment process. • Right to an Accounting – You generally have the right to receive an accounting of disclosures of PHI for which you have neither provided consent nor authorization (as described in Section III of this Notice)regarding you. On your request, I will discuss with you the details of the accounting process.
Appears in 1 contract
RIGHT TO AMEND. You have the right to request an amendment of PHI for as long as the PHI is maintained in the record. I may deny your request. On your request, I will discuss with you the details of the amendment process. • Right to an Accounting – You generally have the right to receive an accounting of disclosures of PHI for which you have neither provided consent nor authorization (as described in Section III of this Notice“Uses and Disclosures…” section). On your request, I will discuss with you the details of the accounting process.
Appears in 1 contract
Samples: Client Services Agreement
RIGHT TO AMEND. You have the right to request an amendment of PHI for as long as the PHI is maintained in the record. I may deny your request. On your request, I will discuss with you the details of the amendment process. • § Right to an Accounting – You generally have the right to receive an accounting of disclosures of PHI for which you have neither provided consent nor authorization (as described in Section III of this Notice)PHI. On your request, I will discuss with you the details of the accounting process.
Appears in 1 contract
Samples: General Information and Psychological Services Agreement
RIGHT TO AMEND. You have the right to request an and amendment of PHI for as long as the PHI is maintained in the record. I may deny your request. On your request, I will discuss with you the details of the amendment process. • Right to an Accounting – Accounting: You generally have the right to receive an accounting of disclosures of PHI for which you have neither provided consent nor authorization authorizations (as described in Section III of this Notice). .) On your request, I will discuss with you the details of the accounting process.
Appears in 1 contract
Samples: Client Services Agreement
RIGHT TO AMEND. You have the right to request an amendment of PHI for as long as the PHI is maintained in the record. I may deny your request. On Upon your request, I will discuss with you the details of the amendment process. • Right to an Accounting – You generally have the right to receive an accounting of disclosures of PHI for which you have neither provided consent nor authorization (as described in Section III of this Notice)PHI. On Upon your request, I will discuss with you the details of the accounting process.
Appears in 1 contract
Samples: Patient Services Agreement
RIGHT TO AMEND. You have the right to request an amendment of PHI for as long as the PHI is maintained in the record. I may deny your request. On Upon your request, I will discuss with you the details of the amendment process. • Right to an Accounting – You generally have the right to receive an accounting of disclosures of PHI for which you have neither provided consent nor authorization (as described in Section III of this Notice). On Upon your request, I will discuss with you the details of the accounting process.
Appears in 1 contract
RIGHT TO AMEND. You have the right to request an amendment of PHI for as long as the PHI is maintained in the record. I We may deny your request. On your request, I we will discuss with you the details of the amendment process. • Right to an Accounting – You generally have the right to receive an accounting of disclosures of PHI for which you have neither provided consent nor authorization (as described in Section III of this Notice). On your request, I we will discuss with you the details of the accounting process.
Appears in 1 contract
Samples: Group Therapy Client Agreement
RIGHT TO AMEND. You have the right to request an amendment of PHI for as long as the PHI is maintained in the record. I may deny your request. On your request, I will discuss with you the details of the amendment process. • ▪ Right to an Accounting – You generally have the right to receive an accounting of disclosures of PHI for which you have neither provided consent nor authorization (as described in Section III of this Notice)PHI. On your request, I will discuss with you the details of the accounting process.
Appears in 1 contract
Samples: General Information and Psychological Services Agreement
