Common use of Uses and Disclosures with Neither Consent nor Authorization Clause in Contracts

Uses and Disclosures with Neither Consent nor Authorization. I may use or disclose PHI without your consent or authorization in the following circumstances: • Child Abuse – If I have reasonable cause to believe that a child has been abused, I must report that belief to the appropriate authority. • Adult and Domestic Abuse – If I have reasonable cause to believe that a disabled adult or elder person has had a physical injury or injuries inflicted upon such disabled adult or elder person, other than by accidental means, or has been neglected or exploited, I must report that belief to the appropriate authority.

Appears in 2 contracts

Samples: Counseling Agreement, Counseling Agreement

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Uses and Disclosures with Neither Consent nor Authorization. Without your consent or authorization, I may use or disclose PHI without your consent or authorization in the following circumstances: • Child Abuse – If I have reasonable cause to believe that a child has been abused, I must report that belief to the appropriate authority. • Adult and Domestic Abuse – If I have reasonable cause to believe that a disabled adult or elder person has had a physical injury or injuries inflicted upon such disabled adult or elder person, other than by accidental means, or has been neglected or exploited, I must report that belief to the appropriate authority.

Appears in 1 contract

Samples: Psychotherapist Patient Services Agreement

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Uses and Disclosures with Neither Consent nor Authorization. I may use or disclose PHI without your consent or authorization in the following circumstances: Child Abuse – If I have reasonable cause to believe that a child has been abused, I must report that belief to the appropriate authority. Adult and Domestic Abuse – If I have reasonable cause to believe that a disabled adult or elder person has had a physical injury or injuries inflicted upon such disabled adult or elder person, other than by accidental means, or has been neglected or exploited, I must report that belief to the appropriate authority.

Appears in 1 contract

Samples: Psychotherapy Agreement

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