Client Consent Update

CLIENT CONSENT UPDATE

This Client Consent Update (the Agreement) is made and entered into by and between Client Name: and Service Provider Name: . Effective Date:

WHEREAS

WHEREAS, Client has previously provided certain consents and authorizations to Provider regarding the collection, use, disclosure, or processing of Client’s information in connection with services to be performed by Provider; and

WHEREAS, the parties desire to update, clarify, and document the scope and duration of such consents and associated responsibilities as set forth in this Agreement; and

WHEREAS, this Consent Update supersedes prior written or electronic consent language only to the extent expressly stated herein and shall operate as an amendment to the controlling engagement terms between the parties.

SCOPE OF WORK

CONSENT DETAILS

The Client expressly grants Provider the following consents for the purposes described in the Scope of Work. Check all applicable consents and provide clarifying details where requested.

Consent to collection of Client information (including personal, financial, or health-related information where applicable)

Consent to use of Client information for the purposes described in the Scope of Work

Consent to share Client information with designated third parties or affiliates as necessary to perform services

PAYMENT TERMS

In consideration for Provider's performance and for the updated consent privileges granted herein, Client shall pay Provider as set forth below.

TERM AND TERMINATION

This Consent Update shall commence on and terminate on , unless earlier terminated in accordance with this section.

Either party may terminate this Agreement for material breach by the other party upon written notice and a cure period of days, provided that termination shall not relieve Client of payment obligations accrued prior to termination.

CONFIDENTIALITY

Each party agrees that information received from the other and expressly designated as confidential, or which by its nature should be considered confidential, shall be maintained in strict confidence and used solely for purposes of performing this Agreement. Provider shall implement reasonable administrative, technical, and physical safeguards to protect Client information consistent with industry standards.

REVOCATION AND AMENDMENT

Client may revoke or amend any consent granted herein only by providing written notice to Provider at the address for notices identified in the controlling engagement terms. Revocation shall be effective upon Provider's receipt of such notice, except to the extent Provider has relied upon the prior consent in good faith or retained records and information as required by law.

GOVERNING LAW

This Agreement shall be governed by and construed in accordance with the laws of the State of without regard to principles of conflicts of law.

ENTIRE AGREEMENT

This Agreement, together with any referenced engagement terms and attachments, constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior and contemporaneous understandings, agreements, representations, and warranties, whether written or oral. No amendment shall be effective unless in writing and signed by both parties.

REPRESENTATIONS; CERTIFICATION

Each party represents and warrants that it has full power and authority to enter into this Agreement and that the person signing on behalf of each party is duly authorized to bind that party. Client certifies that the individual executing this Consent Update on Client’s behalf has the authority to grant and update the consents described herein.

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