Extract to table

Any covered entity may rely upon the request of any single authorized recipient and shall not be required to obtain the consent of, or provide notice to, any other authorized recipient before making a disclosure under this Authorization

This Authorization shall become effective on April 1, 2023

Any such revocation must comply with the following requirements: (a) Written notice required

Revocation of this Authorization must be in writing

Oral revocations shall not be effective

The written revocation must be signed by the Authorizing Party