Common use of Workers’ Compensation Claim Clause in Contracts

Workers’ Compensation Claim. If you file a Worker’s Compensation Claim, this constitutes authorization for me to release your relevant mental health records to involved parties and officials. This would include a past history of complaints or treatment of a condition similar to that involved in the Worker’s Compensation Claim.

Appears in 4 contracts

Samples: www.nancyholmespsyd.com, www.nancyholmespsyd.com, www.nancyholmespsyd.com

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Workers’ Compensation Claim. If you file a Worker’s Compensation Claimclaim, this constitutes authorization for me to release your relevant mental health records to involved parties and officials. This would include a past history of complaints or treatment of a condition similar to that involved in the Workerworker’s Compensation Claimcompensation claim.

Appears in 2 contracts

Samples: marciajwoodphd.com, www.familyinstitute.net

Workers’ Compensation Claim. If you file a Worker’s Compensation Claimclaim, this constitutes authorization for me to release your relevant mental health records to involved parties and officials. This would include a past history of complaints or treatment of a condition similar to that involved in the Worker’s Compensation Claim.

Appears in 2 contracts

Samples: Informed Consent Agreement, Informed Consent Agreement

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Workers’ Compensation Claim. If you file a Worker’s Compensation Claim, this constitutes authorization for me your therapist to release your relevant mental health records to involved parties and officials. This would include a past history of complaints or treatment of a condition similar to that involved in the Workerworker’s Compensation Claimcompensation claim.

Appears in 1 contract

Samples: static1.squarespace.com

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