Use and Disclosure of Personal Health Information AgreementPersonal Health Information Agreement • April 2nd, 2018
This disclosure contains information regarding the privacy of your personal healthcare information. Please read it carefully before signing. Shaws Cove Orthopaedics will not condition treatment by your failure to sign this disclosure.
HSR ONLINE CLAIM REPORTS WEB PORTAL PRIVACY OF PERSONAL HEALTH INFORMATION AGREEMENTPersonal Health Information Agreement • August 1st, 2012 • Texas
This Privacy of Personal Health Information Agreement (hereinafter "Agreement") is made between you, ("Registered User") the registered user of the HSR ONLINE CLAIM REPORTS WEB PORTAL (HSROCRWP), and Health Special Risk, Inc. located at HSR Plaza II, 4100 Medical Parkway, Carrollton, Texas 75007 (hereinafter "HSR") and takes effect immediately upon acceptance of the terms and conditions of this Agreement.
