Electronic Communications Informed Consent – Healthcare

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Electronic Communications Informed Consent – Healthcare

The Healthcare Email, Text (SMS) Messaging, Electronic Communications Informed Consent form outlines the terms and conditions for electronic communication between you and the Company.

Key Points:

  • Electronic Communication Methods: The Company may communicate with you via email, text message, or other electronic means.
  • Confidentiality and Security Risks: You understand that email and text messages are not encrypted and therefore not secure. There is a risk that others could read these messages.
  • Sensitive Information: You agree not to send sensitive information, such as relationship issues, social security numbers, or insurance information, via email or text.
  • Email Communication Consent: You give the Company permission to reply to your emails, including confidential information, and you release them from liability for any confidentiality breaches.
  • SMS Message Limitations: You understand that SMS messages will be limited to brief inquiries or responses regarding scheduling.
  • Resource and Referral Information: You consent to receive information about resources or referrals via email.
  • Urgent Matters and Scheduling Changes: You understand that email and SMS should not be used for urgent matters and that you are responsible for confirming scheduling changes made via email or SMS.
  • Withdrawal of Consent: You can withdraw your permission for the Company to communicate with you electronically at any time by notifying them in writing.

By signing this form, you acknowledge that you understand the risks and limitations of electronic communication and agree to these terms and conditions.

Electronic Communications Informed Consent – Healthcare

The Healthcare Email, Text (SMS) Messaging, Electronic Communications Informed Consent form outlines the terms and conditions for electronic communication between you and the Company.

Key Points:

  • Electronic Communication Methods: The Company may communicate with you via email, text message, or other electronic means.
  • Confidentiality and Security Risks: You understand that email and text messages are not encrypted and therefore not secure. There is a risk that others could read these messages.
  • Sensitive Information: You agree not to send sensitive information, such as relationship issues, social security numbers, or insurance information, via email or text.
  • Email Communication Consent: You give the Company permission to reply to your emails, including confidential information, and you release them from liability for any confidentiality breaches.
  • SMS Message Limitations: You understand that SMS messages will be limited to brief inquiries or responses regarding scheduling.
  • Resource and Referral Information: You consent to receive information about resources or referrals via email.
  • Urgent Matters and Scheduling Changes: You understand that email and SMS should not be used for urgent matters and that you are responsible for confirming scheduling changes made via email or SMS.
  • Withdrawal of Consent: You can withdraw your permission for the Company to communicate with you electronically at any time by notifying them in writing.

By signing this form, you acknowledge that you understand the risks and limitations of electronic communication and agree to these terms and conditions.