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The Marshak Clinic Program
shall first obtain the written consent of the undersigned,
and his/her written authorization to release information,
other than basic information concerning the client, except
in those circumstances when the Marshak Clinic Program is
permitted or required by law to release information. The
undersigned agrees that, to the extent necessary to determine
liability for payment and to obtain reimbursement, the Marshak
Clinic Program may disclose portions of the client's records,
including his/her medical records to any person or entity
which is or may be liable for all or any portion of the
Marshak Clinic Program charges including, but not limited
to, insurance companies, health care service plans, employer
or worker's compensation carriers
Addiction robs people of their
dignity and life before it kills them. We can help you achieve
sobriety now - and maintain it for life.
If you or a loved one needs help call our supportive intake
staff who will address your concerns and guide you through
the intake process:
(800) 366-8101, or email us
at info@marshakclinic.com
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