Record Access Agreement Sample Contracts

University of Oklahoma Medical Record Access Agreement
Record Access Agreement • May 9th, 2013

Security, confidentiality, and data integrity are matters of concern for all persons who have access to any medical record, including Electronic Medical Records. Each person who accesses the medical record must recognize these responsibilities and be entrusted in their preservation. There are distinct differences between paper medical records and electronic medical records. This document deals with use of and access to electronic medical records and, as appropriate, to paper records as well. You are being afforded access to certain medical records as part of the University’s Treatment, Payment, or Health Care Operations. Before being afforded access privileges, all authorized persons must read and agree to comply with this Agreement.

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ON-LINE RECORD ACCESS AGREEMENT
Record Access Agreement • March 22nd, 2012

THIS AGREEMENT is made and entered into on this the day of , 20 , by and between RUSSELL C. SIMON, Chapter 13 Standing Trustee for the Southern District of Illinois, East St. Louis Division (hereinafter “Trustee”) and

EPICCARE LINK ELECTRONIC MEDICAL RECORD ACCESS AGREEMENT
Record Access Agreement • December 9th, 2022

This is a fillable PDF. Please type in all information on this cover sheet and the following agreement, except for the signature blank on the lower right side of Page 5. This requires an actual signature or official electronic signature of

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