The Right to Choose How I Send Your PHI to You. It is your right to ask that your PHI be sent to you at an alternate address (for example, sending information to your work address rather than your home address) or by an alternate method (for example, via email instead of by regular mail). I am obliged to agree to your request providing that I can give you the PHI, in the format you requested, without undue inconvenience. I may not require an explanation from you as to the basis of your request as a condition of providing communications on a confidential basis.
Appears in 2 contracts
Samples: Individual Psychotherapy Services Agreement, Adolescent Individual Psychotherapy Services Agreement
The Right to Choose How I Send Your PHI to You. It is your right to ask that your PHI be sent to you at an alternate address (for example, sending information to your work address rather than your home address) or by an alternate method (for example, via email e-mail instead of by regular mail). I am obliged to must agree to your request providing that I can give you the PHI, in the format you requestedrequest, without undue inconvenience. When appropriate, you will need to provide me with information as to how payment for such alternate communications will be handled. I may not require an explanation from you as to the basis of your request as a condition of providing communications on a confidential basis.
Appears in 1 contract
Samples: Office Policies & General Information Agreement for Therapy Services
The Right to Choose How I Send Your PHI to You. It is your right to ask that your PHI be sent to you at an alternate address (for example, sending information to your work address rather than your home address) or by an alternate method (for example, via email instead of by regular mail). I am obliged to agree to your request providing that I can give you the PHI, in the format you requested, without undue inconvenience. I may not require an explanation from you as to the basis of your request as a condition of providing communications on a confidential basis.
Appears in 1 contract
Samples: Office Policies & General Information Agreement for Psychotherapy Services