Right to Request Restrictions. You have the right to request restrictions on certain uses and disclosures of protected health information. However, I am not required to agree to a restriction you request. • Right to Receive Confidential Communications by Alternative Means and at Alternative Locations – You have the right to request and receive confidential communications of PHI by alternative means and at alternative locations. (For example, you may not want a family member to know that you are seeing me. On your request, I will send your bills to another address.)
Appears in 10 contracts
Samples: Psychotherapy Agreement, Psychotherapy Agreement, Psychotherapy Agreement
Right to Request Restrictions. You have the right to request restrictions on certain uses and disclosures of protected health informationinformation about you. However, I am not required to agree to a restriction you request. • Right to Receive Confidential Communications Communication by Alternative Means and at Alternative Locations – You have the right to request and receive confidential communications of PHI by alternative means and at alternative locations. (For example, you may not want a family member to know that you are seeing me. On Upon your request, I will send your bills to another address.)
Appears in 1 contract
Samples: Client Clinician Agreement