Common Contracts
1 similar Authorization for Use and Disclosure of Protected Health Information contracts
As per the notice of privacy practices, Comprehensive Cancer Centers must provide the patient with an opportunity to agree or disagree to the use or disclosure of patient health information to a patients’ family member, friends or acquaintances...Authorization for Use and Disclosure of Protected Health Information • April 10th, 2018
This document will serve as a written agreement between (patient) and Comprehensive Cancer Centers as a list of those designated by the patient as having direct involvement in the patient’s care.
