Patient Consent Form definition

Patient Consent Form has the meaning set forth in the Sale Agreement.

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Patient Consent Form means a form signed by each patient for which a Receivable has been or will be created: (i) with respect to Receivables originated on or prior to September 30, 2012, that is in form and substance consistent in all material respects with those forms used by the applicable Originator in the ordinary course of its business, and (ii) with respect to Receivables originated after September 30, 2012, that is in form and substance in compliance with Applicable Law to permit an Originator to disclose certain demographic and health information with respect to each patient to the Originator’s servicing agents and by such servicing agents and to any other Person (including the Administrative Agent and any Collection Agent) in the manner required or otherwise contemplated under the Facility Documents, except that, to the extent Applicable Law requires the Patient Consent Form to list specific persons or entities who may receive such patient information, such Patient Consent Form need not list the specific servicing agents or any other Person, including the Administrative Agent or any Collection Agent, in order to satisfy the requirements of this definition.

Patient Consent Form means a form signed by each patient for which an Account has been or will be created that is in form and substance in compliance with applicable law to permit a Loan Party to disclose certain demographic and health information with respect to each patient to other persons (including the Administrative Agent) in the manner required or otherwise contemplated under the Loan Documents, except that, to the extent applicable law requires the Patient Consent Form to list specific persons or entities who may receive such patient information, such Patient Consent Form need not list the specific person or entity, including the Administrative Agent, in order to satisfy the requirements of this definition.

Examples of Patient Consent Form in a sentence

• For purposes of this Agreement “enrollment” shall mean a patient that has signed the Patient Consent Form and successfully passed any pretreatment screening that is required.

• A copy of the "Patient Consent Form" is available for download within the Mobile Application.

• Such consent applies even if you executed the Hixny Patient Consent Form prior to this Patient Portal Participation Agreement.

• If Hixny offers this option and you choose to do this, you understand that your patient data will be accessible by any Hixny Participant whom you have given consent to access your patient data via the HIE by having executed the Hixny Patient Consent Form.

• This Agreement, Patient Consent Form, and EVA’s Data Privacy Policy constitutes the entire agreement between the parties with respect to the subject matter hereof.

• The Originator shall not, without the prior written consent of the Company and the Agent, substitute, alter, modify or change in any way the Patient Consent Form applicable to it.

• The LPHA must obtain signed and dated eDOT Patient Consent Form (Appendix A) prior to beginning eDOT using the Missouri TB Elimination Program’s Contractor software, to be retained in the patient’s file.

• No Borrower shall without the prior written consent of the Agent substitute alter modify or change in any way the Patient Consent Form.

• Accordingly, the Registered User undertakes to obtain written consent from each and every patient using Outcomes IT’s Patient Consent Form to collate, process and store data including Personal Information and Medical Information described in said Patient Consent Form.

• This Agreement may be amended or modified only by a written instrument signed by the party against which enforcement is sought.

More Definitions of Patient Consent Form

Patient Consent Form means a form signed by each patient for which a Receivable has been or will be created: (i) with respect to Receivables originated on or prior to June 30, 2012, that is in form and substance consistent in all material respects with those forms used by the applicable Originator in the ordinary course of its business, and (ii) with respect to Receivables originated after June 30, 2012, that is in form and substance in compliance with Applicable Law to permit an Originator to disclose certain demographic and health information with respect to each patient to the Originator’s servicing agents and by such servicing agents and to any other Person (including the Administrative Agent and any Collection Agent) in the manner required or otherwise contemplated under the Facility Documents.

Patient Consent Form means a consent form sufficient under Applicable Law to permit the applicable Provider to disclose to the Collateral Agent information regarding the patient which information is necessary to permit the Collateral Agent to collect any Account owing in respect of such patient.

Patient Consent Form set forth in Section 1.01 of the Receivables Loan Agreement is hereby amended and restated in its entirety to read as follows:

Patient Consent Form means each type of patient consent form in form and substance satisfactory to the Agent to be signed by each patient for which a Receivable will be created on or after the Closing Date which authorizes certain demographic and medical information with respect to such patient to be disclosed by each Borrower to its servicing agents and by such servicing agents to any third party obligors thereon.

Patient Consent Form set forth in Section 1.01 of the Sale Agreement is hereby amended and restated in its entirety to read as follows: