DISCLOSURE OF RECORDS: I understand that Ready Nursing Solutions Inc, may be required to or may voluntarily disclose my health information to the physician responsible for this protocol of specific health information of people vaccinated at Ready Nursing Solutions (if applicable), my Primary Care Physician (if I have one), my insurance plan, health systems and hospitals, and/or state or federal registries, for purposes of treatment, payment or other health care operations (such as administration or quality assurance). I also understand that Ready Nursing Solutions Inc, will use and disclose my health information as set forth in the Ready Nursing Solutions Inc Notice of Privacy Practices that is available by requesting a paper copy. If I am receiving a vaccine through a vaccine clinic, I understand that my name, vaccine appointment date and time will be provided to the clinic coordinator.