LD 921
pg. 58
Page 57 of 58 PUBLIC Law Chapter 618 LD 921 Title Page
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LR 466
Item 1

 
health-care clearinghouse that has provided treatment or services
to me or that has paid for, or is seeking reimbursement from me
for, such services to give, disclose and release to my agent,
without restriction, all of my individually identifiable health
information and medical records regarding any past, present or
future medical or mental health condition, to include all
information relating to the diagnosis and treatment of HIV/AIDS,
sexually transmitted diseases, mental illness and drug or alcohol
abuse.

 
The authority given to my agent supersedes any prior agreement
that I may have made with my health-care providers to restrict
access to or disclosure of my individually identifiable health
information.__The authority given to my agent has no expiration
date and expires only in the event that I revoke the authority in
writing and deliver it to my health-care providers.


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