Common use of HIPAA AUTHORIZATION Clause in Contracts

HIPAA AUTHORIZATION. I give permission to Guardian Pharmacy to use or disclose certain aspects of my health information to the individual listed as my personal representative, my long-term care facility, federal and state health agencies, insurance companies, third-party data aggregators, pharmacy benefit managers, and other health-related agencies. NOTICE OF PRIVACY PRACTICES [▇▇▇▇://▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇/hipaa-privacy-policy/] I certify that I have received a copy of Guardian Pharmacy privacy practices and have been given an opportunity to review the document and ask questions to assist my understanding of resident’s rights relative to the protection of resident’s health information. I know that I can access the Notice of Privacy Practices on the Guardian Pharmacy website at [▇▇▇▇://▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇/hipaa-privacy-policy/]. I further acknowledge that I am satisfied with the explanations provided to me and am confident that Guardian Pharmacy is committed to protecting my health information. I certify that I have read and understand this agreement.

Appears in 2 contracts

Sources: Pharmacy Services Agreement, Pharmacy Services Agreement