Common Contracts
1 similar Authorization & Agreement contracts
PATIENT AUTHORIZATION & AGREEMENTAuthorization & Agreement • March 26th, 2019
payment for the care we provide and for other health care operations. Health care operations generally include those activities we perform to improve the quality of care. We have prepared a detailed Privacy Policy to help you better understand our policies in regards to your personal health information. The terms of the notice may change with time and we will always post the current notice at our facilities, on our website and have copies available for distribution. The undersigned acknowledges receipt of this information. ( )
