By authorizing this HIPAA release you hereby give permission to Homethrive, Inc. (“Homethrive”) to act as your designee and to disclose any information, including information that may constitute protected heath information or “PHI” under the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”), to the following categories of individuals:
Other third parties, including medical practitioners, emergency service providers, home care or ADL service providers, pharmacies, other Homethrive service providers for the sole purpose of providing services for you or your , or other corporate partners of Homethrive for the purposes of securing reimbursement for the Care Recipient.
Homethrive is authorized to identify itself as a representative of and will make disclosures atyour request or forthe purposes described in this document. You authorize Homethrive to use all means of communication including verbal communications, fax, internet, e-mail, web-portals, electronic services and telephonic methods. You understand Homethrive is not a health care provider and does not practice medicine. This authorization will remain active for the duration of the relationship between you and Homethrive.
If any legislation, regulation, or government policy is passed or adopted, the effect of which would cause either party to be in violation of such laws, then this authorization shall immediately terminate.
You understand that you may revoke this authorization at any time in writing and understands that Homethrive does not provide medical treatment and is not a health care provider.