C3 Participant Informed Consent
C3 Informed Consent Language:
Participant Informed Consent Through your participation in the employer-sponsored health plan, and in conjunction with your subsequent participation in the C3 wellness initiative, be advised that you are hereby giving consent for your Protected Health Information (PHI) to be shared amongst the various healthcare providers and third-party administrators for treatment, payment, and/or health operations associated with managing your ongoing care and claims. This includes, but is not necessarily limited to, the following entities with whom a legal and binding Business Associate Agreement (BAA) has been executed:
HealthYou, LLC
Onemedical
Strata Integrated Wellness and Spa
UCHealth Plan Administrators
All requirements associated with ensuring the confidentiality of your Protected Health Information (PHI) will be maintained in accordance with HIPAA privacy standards and no disclosure(s) outside of the C3 wellness initiative will be made without your expressed written consent. We will never disclose any of your personal information either publicly or to the employer, except as necessary to respond to a request from you for reasonable accommodation or as expressly permitted by law.
https://c3participantinformedconsent.tiiny.site
Participant Informed Consent Through your participation in the employer-sponsored health plan, and in conjunction with your subsequent participation in the C3 wellness initiative, be advised that you are hereby giving consent for your Protected Health Information (PHI) to be shared amongst the various healthcare providers and third-party administrators for treatment, payment, and/or health operations associated with managing your ongoing care and claims. This includes, but is not necessarily limited to, the following entities with whom a legal and binding Business Associate Agreement (BAA) has been executed:
HealthYou, LLC
Onemedical
Strata Integrated Wellness and Spa
UCHealth Plan Administrators
All requirements associated with ensuring the confidentiality of your Protected Health Information (PHI) will be maintained in accordance with HIPAA privacy standards and no disclosure(s) outside of the C3 wellness initiative will be made without your expressed written consent. We will never disclose any of your personal information either publicly or to the employer, except as necessary to respond to a request from you for reasonable accommodation or as expressly permitted by law.
https://c3participantinformedconsent.tiiny.site
Cancellation No Show Policy
Please be respectful of the screening clinician's time and availability by providing at least 24-hours' notice to either cancel or reschedule your screening appointment. Thank you for your cooperation.