When must a notice of use and disclosure be provided?

A-within 10 days
B-upon request of the patient
c-Before treatment is terminated
D-No later than the date of first service delivery
E-None of the above

To determine when a notice of use and disclosure must be provided, we need to refer to the relevant regulations or guidelines. In this case, the notice is likely related to the use and disclosure of protected health information (PHI) under the Health Insurance Portability and Accountability Act (HIPAA) in the United States.

According to HIPAA regulations, healthcare providers are required to furnish patients with a notice of their privacy practices. This notice explains how the provider uses and discloses PHI, as well as the patient's rights regarding their own PHI.

Based on the options provided, let's evaluate each one:

A) Within 10 days: This option does not match the requirement outlined by HIPAA.

B) Upon request of the patient: While patients have the right to request and receive a copy of the notice of privacy practices, this option does not specify when the notice must be provided initially.

C) Before treatment is terminated: This option does not align with the requirement as it only relates to the termination of treatment, rather than the initial provision of the notice.

D) No later than the date of first service delivery: This option aligns with the HIPAA requirement. The notice of use and disclosure should generally be provided to patients on or before their first visit or service delivery.

Considering the above analysis, the correct answer is D - No later than the date of first service delivery. The notice of use and disclosure should be given to patients before or on the day of their first appointment or service.