Common use of Right to Request Restrictions Clause in Contracts

Right to Request Restrictions. You have the right to request restrictions on certain uses and disclosures of protected health information. However, I am not required to agree to a restriction you request.

Appears in 5 contracts

Samples: Patient Services Agreement, General Information and Psychological Services Agreement, General Information and Psychological Services Agreement

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Right to Request Restrictions. You have the right to request restrictions on certain uses and disclosures of protected health informationinformation regarding you. However, I am we are not required to agree to a restriction you request.

Appears in 3 contracts

Samples: Psychologist Client Services Agreement, Therapist Client Services Agreement, Therapist Client Services Agreement

Right to Request Restrictions. You have the right to request restrictions on certain uses and disclosures of protected health informationinformation about you. However, I am not required to agree to a restriction you request.

Appears in 3 contracts

Samples: Treatment Agreement, Client Service Agreement, static1.squarespace.com

Right to Request Restrictions. You have the right to request restrictions on certain that we restrict uses and or disclosures of protected your health informationinformation to carry out treatment, payment, health care operations, or communications with family or friends. However, I am We are not required to agree to a restriction you requestrestriction.

Appears in 2 contracts

Samples: www.compbenefits.com, www.mdc.edu

Right to Request Restrictions. You have the right to request restrictions on certain uses and disclosures of protected health informationinformation about you. However, I am we are not required to agree to a restriction you request. All restriction requests must be in writing and must state the dates of restriction, what information to restrict, and reason for restriction.

Appears in 1 contract

Samples: Psychotherapist Client Services Agreement

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Right to Request Restrictions. You have the right to request restrictions on certain uses and disclosures of protected health informationinformation about you. However, I am we are not required to agree to a restriction you request.

Appears in 1 contract

Samples: Psychotherapist Client Services Agreement

Right to Request Restrictions. You have the right to request restrictions on certain uses and disclosures of protected health information. However, I am we are not required to agree to a restriction you request.

Appears in 1 contract

Samples: Patient Services Agreement

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