Common use of Express Consent Clause in Contracts

Express Consent. By entering into this Agreement, you understand that if medical advice is provided, it may be delayed, distorted or inaccurate due to technology-related issues such as poor connectivity or image or sound quality. Additionally, your express consent is required to release any healthcare information relating to testing, diagnosis, and/or treatment for HIV (Aids virus), sexually transmitted diseases, psychiatric disorders/mental health, and/or alcohol abuse. By entering into this Agreement, you specifically authorize to release all healthcare information related to such testing, diagnosis, and/or treatment of the above conditions. The consent of the specific above-mentioned conditions will expire 60 days from the date signed below.

Appears in 3 contracts

Sources: Telehealth Consent Agreement, Telehealth Consent Agreement, Telehealth Consent Agreement

Express Consent. By entering into this Agreement, you understand that if medical advice is provided, it may be delayed, distorted or inaccurate due to technology-related issues such as poor connectivity or image or sound quality. Additionally, your express consent is required to release any healthcare information relating to testing, diagnosis, and/or treatment for HIV (Aids AIDS virus), sexually transmitted diseases, psychiatric disorders/mental health, and/or alcohol abuse. By entering into this Agreement, you specifically authorize to release all healthcare information related to such testing, diagnosis, and/or treatment of the above conditions. The consent of the specific above-mentioned conditions will expire 60 days from the date signed below.

Appears in 1 contract

Sources: Telehealth Consent Agreement