Common use of Your Authorization Clause in Contracts

Your Authorization. In addition to our use of your health information for treatment, payment or health care operations, you may give us written authorization to use your health information or to disclose it to anyone for any purpose. If you give us a written authorization, you may revoke it in writing at any time, although such revocation will not affect any use or disclosures permitted by your authorization while it was in effect. Unless you give us written authorization, we will not use or intentionally disclose your health information for any reason except those described in this Notice.

Appears in 1 contract

Sources: Patient Information Form

Your Authorization. In addition to our use of your health information for treatment, payment or health care of healthcare operations, you may give us written authorization to use your health healthcare information or to disclose it to anyone for any purpose. If you give us a written an authorization, you may revoke it in writing at any time, although such . Your revocation will not affect any use or of disclosures permitted by your authorization while it was in effect. Unless you give us a written authorization, we will cannot use or intentionally disclose your health information for any reason except those described in this Notice.

Appears in 1 contract

Sources: Financial Policy