Records of Disclosure Clause Samples

Records of Disclosure. Records of disclosure of PHI without client authorization will be maintained in the case record as required by HIPAA standards. Records of disclosure will include: a. A description of the information to be disclosed; b. Who (individual or organization) is making the request; c. Expiration date of the request; d. A statement that the individual has the right to revoke the request; e. A statement that information may be subject to re-disclosure by the receiving party; f. Signature of the client or their representative and date; g. If signed by a representative, a description of their authority to make the h. disclosure. Records of disclosure will be maintained for at least six years.

Records of Disclosure. The Parties must create and maintain a record of any disclosure of Student Data made to any other person or entity pursuant to this Agreement. The record of disclosure must record the name of any person or organization serving as a Recipient of the Student Data and the Recipient's legitimate interest in the Student Data for either Audit or Evaluation or P-20 Research. The record must also describe the Student Data included within the disclosure by class, school, district, or other appropriate grouping. Upon request of the educational institution that provided the data, the Party to whom the data was submitted must provide a copy of the record of further disclosures to that educational institutio n. Furthermore, the Parties must comply with the notice requirements of FERPA when and if they are required to disclose any Student Data in accordance with a lawfully issued subpoena or court order.