Your Privacy Rights. You acknowledge and hereby authorize the Practice to use and/or disclose your health information which specifically identifies you, or that can reasonably be used to identify you, to carry out your treatment, payment, and healthcare operations. The Practice will adhere to its obligations regarding your privacy rights as identified in the Practice’s Notice of Patient Privacy Practices.
Appears in 2 contracts
Samples: Primary Care Membership Contract, Primary Care Membership Contract
Your Privacy Rights. You acknowledge and hereby authorize the Practice to use and/or disclose your health information which specifically identifies you, or that can reasonably be used to identify you, to carry out your treatment, payment, and healthcare operations. The Practice will adhere to its obligations regarding your privacy rights as identified in the Practice’s Notice of Patient Privacy Practices.
Appears in 1 contract
Samples: Membership Agreement
Your Privacy Rights. You acknowledge and hereby authorize the Practice to use and/or disclose your protected health information (PHI) which specifically identifies you, or that can reasonably be used to identify you, to carry out your treatment, payment, and healthcare operations. The Practice will adhere to its obligations regarding your privacy rights as identified in the Practice’s our Patient Notice of Patient Privacy Practices.
Appears in 1 contract
Samples: Advanced Direct Primary Care
