The Right to Get a List of the Disclosures Sample Clauses

The Right to Get a List of the Disclosures. You are entitled to a list of disclosures of your PHI that PADDOCK has made. The list will exclude the following disclosures: (a) disclosures for “treatment,” “payment” or “health care operations”, (b) disclosures to you or pursuant to your authorization, (c) disclosures to family members or close friends involved in your care or in payment for your care; (d) disclosures as part of a data use agreement; and (e) incidental disclosures. The request must be in writing and state the time period desired for the accounting, which must be less than a 6-year period and starting after April 14, 2003. XXXXXXX will respond to your request for an accounting of disclosures within 60 days of receiving your request. The list will include the date of the disclosure, the recipient of the disclosure (including address, if known), a description of the information disclosed, and the reason for the disclosure. PADDOCK will provide the list to you at no cost, unless you make more than one request in the same year, in which case it will charge you a reasonable sum based on a set fee for each additional request. If there will be a charge, the Privacy Official will first contact you to determine whether you wish to modify or withdraw your request.
Sample 1
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The Right to Get a List of the Disclosures. You are entitled to a list of disclosures of your PHI that XXXX X. XXXXXXX, PH.D., ABPP, LLC has made. The list will not include uses or disclosures to which you have specifically authorized (i.e., those for treatment, payment, or health care operations, sent directly to you, or to your family; neither will the list include disclosures made for national security purposes, or to corrections or law enforcement personnel. The request must be in writing and state the time period desired for the accounting, which must be less than a 6-year period and starting after April 14, 2003. XXXX X. XXXXXXX, PH.D., ABPP, LLC will respond to your request for an accounting of disclosures within 60 days of receiving your request. The list will include the date of the disclosure, the recipient of the disclosure (including address, if known), a description of the information disclosed, and the reason for the disclosure. XXXX X. XXXXXXX, PH.D., ABPP, LLC will provide the list to you at no cost, unless you make more than one request in the same year, in which case it will charge you a reasonable sum based on a set fee for each additional request.
Sample 1

Related to The Right to Get a List of the Disclosures

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