Common use of Authorization to Disclose Information Clause in Contracts

Authorization to Disclose Information. Each of the undersigned individuals makes the following statement to FCM, in his or her own capacity: I/We hereby authorize FCM to disclose to the physician, clinic or storage facility named above the cryopreservation report(s), thawing instructions and results of my infectious disease testing and other medical information pertaining to the embryos. The purpose for these disclosures is to provide the Recipient with information it will need to store, thaw or otherwise handle the embryos.