Other uses and disclosures of medical information not covered by this Notice
of Privacy Practices or the laws that apply to us will be made
only with
your written authorization.
- If you provide us with an authorization to use or release medical
information about you, you may end that authorization, in writing, at any
time.
- If you end your authorization, we will no longer use or release medical
information about you for the reasons covered by your written
authorization. You understand that we are unable to take back any
disclosures we have already made with your authorization.
A parent, legal guardian, or properly named patient advocate may represent
you if you cannot provide an authorization. Authorization is needed for
certain releases of information dealing with mental health issues, substance
abuse issues, HIV/AIDS and grievances/appeals. We can provide you with a Sample Authorization Form. You may also
end an authorization by writing to Priority Health's Legal Department.
Learn about Priority Health's policy and procedures to ensure Confidentiality in All
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Last modified
09/26/08