Redisclosure notice to client:
If the person(s) and/or organization(s) listed on the first page are not health care providers or health care clearinghouses, the health information disclosed as a result of your authorization may no longer be protected by the Federal privacy standards if such person(s) and/or organization(s) redisclose your health information.
Disclosure notice to recipient of client health care records:
Unless otherwise authorized by Section 146.82 of the WI Statute, you are prohibited from making any further disclosures of client health care records without specific written authorization of the person who is the subject of such records.
Disclosure notice to recipient of mental health, alcohol and/or drug treatment records:
This information has been disclosed to you from records whose confidentiality is protected by federal law. Federal regulations (42 CFR Part 2) prohibit you from making any further disclosure of it without the specific written consent of the person who is the subject of such information or as otherwise permitted by such regulations. A general authorization for the release of medical or other information is NOT sufficient for this purpose.