Common use of The Right to Amend Your PHI Clause in Contracts

The Right to Amend Your PHI. If you believe that there is some error in your PHI or that important information has been omitted, it is your right to request that I correct the existing information or add the missing information. Your request and the reason for the request must be made in writing. You will receive a response within 60 days of my receipt of your request. I may deny your request, in writing, if I find that: the PHI is (a) correct and complete, (b) forbidden to be disclosed, (c) not part of my records, or (d) written by someone other than me. My denial must be in writing and must state the reasons for the denial. It must also explain your right to file a written statement objecting to the denial. If you do not file a written objection, you still have the right to ask that your request and my denial be attached to any future disclosures of your PHI. If I approve your request, I will make the change(s) to your PHI. Additionally, I will tell you that the changes have been made, and I will advise all others who need to know about the change(s) to your PHI.

Appears in 5 contracts

Samples: Agreement for Service / Informed Consent, Office Policies & General Information Agreement for Psychotherapy Services, Agreement for Service / Informed Consent

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The Right to Amend Your PHI. If you believe that there is some error in your PHI or that important information has been omitted, it is your right to request that I we correct the existing information or add the missing information. Your request and the reason for the request must be made in writing. You will receive a response within 60 days of my our receipt of your request. I : we may deny your request, in writing, if I we find that: that the PHI is (a) correct and complete, (b) forbidden to be disclosed, (c) not part of my our records, or (d) written by someone other than meus. My Our denial must be in writing and must state the reasons for the denial. It must also explain your right to file a written statement objecting to the denial. If you do not file a written objection, you still have the right to ask that your request and my our denial be attached to any future disclosures of your PHI. If I we approve your request, I we will make the change(schanges) to your PHI. Additionally, I we will tell you that the changes have been made, and I we will advise all others who need to know about the change(s) to your PHI.

Appears in 2 contracts

Samples: Psychotherapy Agreement, Psychotherapy Agreement

The Right to Amend Your PHI. If you believe that there is some error in your PHI PHI, or that important information has been omitted, it is your right to request that I correct the existing information or add the missing information. Your request and the reason for the request must be made in writing. You will receive a response within 60 sixty days of my receipt of your request. I may deny your request, request in writing, writing if I find that: the PHI is (a) correct and complete, (b) forbidden to be disclosed, (c) not a part of my records, or (d) written by someone other than me. My denial must be in writing and must state the reasons reason for the denial. It I must also explain your right to file a written statement objecting to the denial. If you do not file a written objection, you still have the right to ask that your request and my denial be attached to any future disclosures of your PHI. If I approve your request, I will make the change(s) to your PHI. Additionally, I will tell you that the changes change(s) have been made, made and I will advise all others who need to know about the change(s) to your PHI.

Appears in 1 contract

Samples: Office Policies & General Information Agreement for Psychotherapy Services

The Right to Amend Your PHI. If you believe that there is some error in your PHI or that important information has been omitted, it is your right to request that I correct the existing information or add the missing information. Your request and the reason for the request must be made in writing. You I will receive a response respond within 60 days of my receipt of receiving your request. I may deny your request, in writing, if I find that: the PHI is (a) correct and complete, (b) forbidden not allowed to be disclosed, (c) not part of my records, or (d) written not created by someone other than me. My written denial must be in writing and must will state the reasons for the denial. It must also denial and explain your right to file a written statement objecting to the denial. If you do not file a written objection, you still have the right to ask that your request and my denial be attached to any future disclosures of your PHI. If I approve your request, I will make the change(s) to your PHI. Additionally, I will tell you that the changes have change(s) has(have) been made, and I will advise all others who need to know about the change(s) to your PHI.

Appears in 1 contract

Samples: Office Policies & General Information Agreement for Therapy Services

The Right to Amend Your PHI. If you believe that there is some error a mistake in your PHI or that a piece of important information has been omittedis missing, it is your you have the right to request that I we correct the existing information or add the missing information. Your You must provide the request and the your reason for the request must be made in writing. You We will receive a response respond within 60 days of my receipt of receiving your requestrequest to correct or update your PHI. I We may deny your request, request in writing, writing if I find that: the PHI is (ai) correct and complete, (bii) forbidden not created by us, (iii) not allowed to be disclosed, or (civ) not part of my records, or (d) . Our written by someone other than me. My denial must be in writing and must will state the reasons for the denial. It must also denial and explain your right to file a written statement objecting to of disagreement with the denial. If you do not don't file a written objectionone, you still have the right to ask request that your request and my denial be attached to any all future disclosures of your PHI. If I we approve your request, I we will make the change(s) change to your PHI. Additionally, I will tell you that the changes we have been madedone it, and I will advise all tell others who that need to know about the change(s) change to your PHI.

Appears in 1 contract

Samples: Outpatient/Iop Admission Packet

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The Right to Amend Your PHI. If you believe that there is some error a mistake in your PHI or that a piece of important information has been omittedis missing, it is your you have the right to request that I correct the existing information or add the missing information. Your You must provide the request and the your reason for the request must be made in writing. You I will receive a response respond within 60 days of my receipt of receiving your requestrequest to correct or update your PHI. I may deny your request, request in writing, writing if I find that: the PHI is (ai) correct and complete, (bii) forbidden not created by me, (iii) not allowed to be disclosed, or (civ) not part of my records, or (d) written by someone other than me. My written denial must be in writing and must will state the reasons for the denial. It must also denial and explain your right to file a written statement objecting to of disagreement with the denial. If you do not don't file a written objectionone, you still have the right to ask request that your request and my denial be attached to any all future disclosures of your PHI. If I approve your request, I will make the change(s) change to your PHI. Additionally, I will tell you that the changes I have been madedone it, and I will advise all tell others who that need to know about the change(s) change to your PHI.

Appears in 1 contract

Samples: Agreement for Service / Informed Consent

The Right to Amend Your PHI. If you believe that there is some error a mistake in your PHI or that a piece of important information has been omittedis missing, it is your you have the right to request that I we correct the existing information or add the missing information. Your You must provide the request and the your reason for the request must be made in writing. You We will receive a response respond within 60 days of my receipt of receiving your requestrequest to correct or update your PHI. I We may deny your request, request in writing, writing if I find that: the PHI is (ai) correct and complete, (bii) forbidden not created by us, (iii) not allowed to be disclosed, or (civ) not part of my our records, or (d) . Our written by someone other than me. My denial must be in writing and must will state the reasons for the denial. It must also denial and explain your right to file a written statement objecting to of disagreement with the denial. If you do not don't file a written objectionone, you still have the right to ask request that your request and my our denial be attached to any all future disclosures of your PHI. If I we approve your request, I we will make the change(s) change to your PHI. Additionally, I will tell you that the changes we have been madedone it, and I will advise all tell others who that need to know about the change(s) change to your PHI.

Appears in 1 contract

Samples: HTP Treatment Contract

The Right to Amend Your PHI. If you believe that there is some error in your PHI or that important information has been omitted, it is your right to request that I correct the existing information or add the missing information. Your request and the reason for the request must be made in writing. You will receive a response within 60 days of my receipt of your request. I may deny your request, in writing, if I find that: the PHI is (a) correct and complete, (b) forbidden to be disclosed, (c) not part of my records, or (d) written by someone other than me. My denial must be in writing and must state the reasons for the denial. It must also explain your right to file a written statement objecting to the denial. If you do not file a written objection, you still have the right to ask that your request and my denial be attached to any future disclosures of your PHI. If I approve your request, I will make the change(s) to your PHI. Additionally, I will tell you that the changes have been made, and I will advise all others who need to know about the change(s) to your PHI.will

Appears in 1 contract

Samples: Professional Services

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