Other uses and disclosures of medical information not covered by this Notice or the laws that apply to Provider will be made only with your written authorization. If you give Provider authorization to use or disclose medical information about you, you may revoke that authorization, in writing, at any time. If you revoke your authorization, Provider will no longer use or disclose medical information about you for the reasons covered by your written authorization, unless you authorized disclosure for a research study and your information is needed to protect the integrity of the study.

You understand that Provider is unable to take back any disclosures which Provider has already made with your authorization, and that Provider is required to retain its records of the care which Provider provides to you. All notices that you are revoking your authorization must be in writing and delivered by U.S. mail, in person, or by other reasonable means to the UHHS Privacy Officer.