- a basis for planning my care and treatment,
- a means of communication among the many health professionals who contribute to my care,
- a source of information for applying my diagnosis and other health information to my bill,
- a means by which my health insurance plan can verify that services billed were actually provided, and
- a tool for routine health care operations such as assessing quality and reviewing the competence of health care professionals.
I have the right to revoke this consent, in writing, at any time, except to the extent that Lisa Pisani has taken action in reliance on this consent.