Common use of Other Uses and Disclosures Require Your Prior Written Authorization Clause in Contracts

Other Uses and Disclosures Require Your Prior Written Authorization. In any other situation not described in Sections IIIA, IIIB, and IIIC above, I will request your written authorization before using or disclosing any of your PHI. Even if you have signed an authorization to disclose your PHI, you may later revoke that authorization, in writing, to stop any future uses and disclosures (assuming that I haven't taken any action subsequent to the original authorization) of your PHI by me.

Appears in 7 contracts

Samples: michaelgquirke.com, www.totalrestorationandrecovery.com, Agreement

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Other Uses and Disclosures Require Your Prior Written Authorization. In any other situation not described in Sections IIIA, IIIB, and IIIC above, I we will request your written authorization before using or disclosing any of your PHI. Even if you have signed an authorization to disclose your PHI, you may later revoke that authorization, in writing, to stop any future uses and disclosures (assuming that I we haven't n’t taken any action subsequent to the original authorization) of your PHI by meus.

Appears in 2 contracts

Samples: Psychotherapy Agreement, Psychotherapy Agreement

Other Uses and Disclosures Require Your Prior Written Authorization. In any other situation not described in Sections IIIA, IIIB, and IIIC above, I will request your written authorization before using or disclosing any of your PHI. Even if you have signed an authorization to disclose your PHI, you may later revoke that authorization, authorization in writing, writing to stop any future uses and disclosures (assuming that I haven't n’t taken any action subsequent to the original authorization) of your PHI by me.

Appears in 1 contract

Samples: Office Policies

Other Uses and Disclosures Require Your Prior Written Authorization. In any other situation not described in Sections IIIA, IIIB, and IIIC above, I we will request your written authorization before using or disclosing any of your PHI. Even if you have signed an authorization to disclose your PHI, you may later revoke that authorization, in writing, to stop any future uses and disclosures (assuming that I we haven't taken any action subsequent to the original authorization) of your PHI by meus.

Appears in 1 contract

Samples: static1.squarespace.com

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Other Uses and Disclosures Require Your Prior Written Authorization. In any other situation not described in Sections IIIAsections III A, IIIBB, and IIIC C above, I will request ask for your written authorization before using or disclosing any of your PHI. Even if If you have signed choose to sign an authorization to disclose your PHI, you may can later revoke that authorization, such authorization in writing, writing to stop any future uses and disclosures (assuming to the extent that I haven't taken any action subsequent to the original in reliance on such authorization) of your PHI by me.

Appears in 1 contract

Samples: www.theparcfoundation.com

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