Common use of Uses and Disclosures Without Authorization Clause in Contracts

Uses and Disclosures Without Authorization. I may use or disclose PHI without your consent or authorization in the following circumstances: • Child Abuse – If I have reason to believe that a child has been subjected to abuse or neglect, I must report this belief to the appropriate authorities. • Adult and Domestic Abuse – I may disclose protected health information regarding you if I reasonably believe that you are a victim of abuse, neglect, self-neglector exploitation.

Appears in 11 contracts

Samples: Payment Agreement, Services Agreement, Payment Agreement

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Uses and Disclosures Without Authorization. I may use or disclose PHI without your consent or authorization in the following circumstances: • Child Abuse – If I have reason to believe that a child has been subjected to abuse or neglect, I must report this belief to the appropriate authorities. • Adult and Domestic Abuse – I may disclose protected health information regarding you if I reasonably believe that you are a victim of abuse, neglect, self-neglector self-­‐neglector exploitation.

Appears in 2 contracts

Samples: Payment Agreement, the-chrysalis-group.com

Uses and Disclosures Without Authorization. I may use or disclose PHI without your consent or authorization in the following circumstances: • Child Abuse – If I know or have reason reasonable cause to believe suspect that a child known to me in my professional capacity has been subjected to abuse or neglectis in immediate danger of being a mentally or physically abused or neglected child, I must immediately report such knowledge or suspicion to the appropriate authority. • Adult and Domestic Abuse – If I believe that an adult is in need of protective services because of abuse or neglect by another person, I must immediately report this belief to the appropriate authorities. • Adult and Domestic Abuse – I may disclose protected health information regarding you if I reasonably believe that you are a victim of abuse, neglect, self-neglector exploitation.

Appears in 2 contracts

Samples: Psychotherapy Services Agreement, Psychotherapy Services Agreement

Uses and Disclosures Without Authorization. I may use or disclose PHI without your consent or authorization in the following circumstances: Child Abuse – If I have reason to believe that a child has been subjected to abuse or neglect, I must report this belief to the appropriate authorities. Adult and Domestic Abuse – I may disclose protected health information regarding you if I reasonably believe that you are a victim of abuse, neglect, self-neglector neglect or exploitation.

Appears in 1 contract

Samples: Patient Services Agreement

Uses and Disclosures Without Authorization. I may use or disclose PHI without your consent or authorization in the following circumstances: • Child Abuse – If if I know or have reason reasonable cause to believe suspect that a child known to me in my professional capacity has been subjected to abuse or neglectis in immediate danger of being mentally or physically abused or neglected, I must immediately report such knowledge or suspicion to the appropriate authority. • Adult and Domestic Abuse – If I believe that an adult is in need of protective services because of abuse or neglect by another person, I must immediately report this belief to the appropriate authorities. • Adult and Domestic Abuse – I may disclose protected health information regarding you if I reasonably believe that you are a victim of abuse, neglect, self-neglector exploitation.

Appears in 1 contract

Samples: dralexafram.com

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Uses and Disclosures Without Authorization. I may use or disclose PHI without your consent or authorization in the following circumstances: Child Abuse – If I know or have reason reasonable cause to believe suspect that a child known to me in my professional capacity has been subjected to abuse or neglectis in immediate danger of being mentally or physically abused or neglected, I must immediately report this belief such knowledge or suspicion to the appropriate authorities. • Adult and Domestic Abuse – I may disclose protected health information regarding you if I reasonably believe that you are a victim of abuse, neglect, self-neglector exploitationauthority.

Appears in 1 contract

Samples: Therapist Services Agreement

Uses and Disclosures Without Authorization. I may use or disclose PHI without your consent or authorization in the following circumstances: Child Abuse – If I have reason to believe that a child has been subjected to abuse or neglect, I must report this belief to the appropriate authorities. Adult and Domestic Abuse – I may disclose protected health information regarding you if I reasonably believe that you are a victim of abuse, neglect, self-neglector exploitation.

Appears in 1 contract

Samples: Suzanne Miller

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