Common use of Uses and Disclosures Requiring Authorization Clause in Contracts

Uses and Disclosures Requiring Authorization. I may use or disclose PHI for purposes outside of treatment, payment, or health care operations when your appropriate authorization is obtained. An “authorization” is written permission above and beyond the general consent that permits only specific disclosures. In those instances when I am asked for information for purposes outside of treatment, payment or health care operations, I will obtain an authorization from you before releasing this information. I will also need to obtain an authorization before releasing your Psychotherapy Notes. “

Appears in 6 contracts

Samples: Patient Services Agreement, Client Therapist Agreement, Client Therapist Agreement

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Uses and Disclosures Requiring Authorization. I may use or disclose PHI for purposes outside of treatment, payment, or health care operations when your appropriate authorization is obtained. An “authorization” is written permission above and beyond the general consent that permits only specific disclosures. In those instances when I am asked for information for purposes outside of treatment, payment or health care operations, I will obtain an authorization from you before releasing this information. I will also need to obtain an authorization before releasing your Psychotherapy Notesassessment results and report. “

Appears in 2 contracts

Samples: Counseling Services Agreement, Counseling Services Agreement

Uses and Disclosures Requiring Authorization. I may use or disclose PHI for purposes outside of treatment, payment, or health care operations when your appropriate authorization is obtained. An “authorization” is written permission above and beyond the general consent that permits only specific disclosures. In those instances when I am asked for information for purposes outside of treatment, payment payment, or health care operations, I will obtain an authorization from you before releasing this information. I will also need to obtain an authorization before releasing your Psychotherapy Notes. “obtain

Appears in 2 contracts

Samples: Agreement for Psychological Services and Informed Consent, Agreement for Psychological Services and Informed Consent

Uses and Disclosures Requiring Authorization. I may use or disclose PHI for purposes outside of treatment, payment, or health care operations when your appropriate authorization is obtained. An “authorization” is written permission above and beyond the general consent that permits only specific disclosures. In those instances when I am asked for information for purposes outside of treatment, payment payment, or health care operations, I will obtain an authorization from you before releasing this information. I will also need to obtain an authorization before releasing your Psychotherapy Notes. “

Appears in 2 contracts

Samples: Patient Agreement, Agreement for Psychological Services and Informed Consent

Uses and Disclosures Requiring Authorization. I Your counselor may use or disclose PHI for purposes outside of treatment, payment, or health care operations when your appropriate authorization is obtained. An “authorization” is written permission above and beyond the general consent that permits only specific disclosures. In those instances when I am the counselor is asked for information for purposes outside of treatment, payment or health care operations, I he/she will obtain an authorization from you before releasing this information. I He/she will also need to obtain an authorization before releasing your Psychotherapy Notes. “

Appears in 1 contract

Samples: Psychotherapist Patient Services Agreement

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Uses and Disclosures Requiring Authorization. I We may use or disclose PHI for purposes outside of treatment, payment, or and health care operations when your appropriate authorization is obtained. An “authorization” is written permission above and beyond the general consent that permits only specific disclosures. In those instances when I am we are asked for information for purposes outside of treatment, payment or payment, and health care operations, I we will obtain an authorization from you before releasing this information. I We will also need to obtain an authorization from you before releasing your using or disclosing (1) PHI in a way that is not described in this notice, and (2) Psychotherapy Notes. “notes.

Appears in 1 contract

Samples: Psychologist Patient Services Agreement

Uses and Disclosures Requiring Authorization. I may use or disclose PHI for purposes outside of treatment, payment, or health care healthcare operations when your appropriate authorization is obtained. An “authorization” is written permission above and beyond the general consent that permits only specific disclosures. In those instances when I am asked for information for purposes outside of treatment, payment payment, or health care healthcare operations, I will obtain an authorization from you before releasing this information. I will also need to obtain an authorization before releasing your Psychotherapy Notesnotes. “

Appears in 1 contract

Samples: Client Agreement

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