Completion of this form is necessary prior to engaging in electronic communications with Careway Health Medical PA.
"Electronic communication" means unsecured e-mail or text messaging with patients outside of a secured patient portal.
The following policies and limitations apply to the use of Careway Health Medical PA's electronic communication:
Electronic communication with Careway Health Medical PA is restricted to the patient(s). This type of communication is optional, and we reserve the right to suspend or terminate it at any time. If the practice suspends access, you will still have access to copies of your medical record and other health information upon request.
The patient acknowledges that he/she agrees to comply with the Careway Health Medical PA's Electronic Communication Policy outlined above.
The patient also acknowledges and understands that (a) information sent by unsecured electronic communication may be intercepted or disclosed, and (b) the patient can choose secure alternatives (patient portal, encrypted messaging, telephone, or in-person discussion) at any time.
I agree a digital copy of this agreement shall be valid as the original.
In an effort to focus more attention on you, our patient, we've partnered with a medical transcription company. The transcription service documents the appointment and builds a summary of your visit, including any recommended care plans, resource lists, navigation tips, and other care coordination assistance. This frees your provider from typing notes during and after the appointment, allowing your provider more time and attention to you and your needs. We are required by state law to seek and obtain your permission before providing such services.
By executing these Terms of Use you hereby grant consent, authorization, and release to Careway Health Medical PA and its affiliates, representatives, agents, and assigns (collectively, the "Authorized Parties"), to record, reproduce, store, and utilize live audio, video, and/or other forms of recording (hereinafter referred to as the "Recordings") of professional interactions under the below terms and conditions.
This service consists of Recordings of your appointment and other conversations during an appointment. Unless notified otherwise, you should assume during a video or phone session that audio and video data is being transmitted to the transcription service. The Recordings may encompass any and all verbal, non-verbal, and visual communications occurring during interactions with patients and clinical staff in the course of providing medical consultations, diagnoses, treatments, and related healthcare services. Recordings may include identifiable patient information, subject to compliance with applicable laws and regulations, including the Health Insurance Portability and Accountability Act of 1996 (HIPAA), as amended. The Recordings may be used for any purpose deemed appropriate by the Authorized Parties, including but not limited to quality assurance, training, legal compliance, documentation, and research, provided that any use of the Recordings shall comply with all applicable federal, state, and local laws.
You acknowledge and understand that the Recordings may be disclosed to authorized individuals, organizations, or entities, including but not limited to patients, regulatory bodies, legal representatives, or other stakeholders, as required or permitted by law. You understand and agree that the Recordings are not intended to establish any expectation of privacy or confidentiality with respect to professional interactions captured therein.
You hereby waive, release, and forever discharge the Authorized Parties from any and all claims, liabilities, or causes of action arising directly or indirectly from the creation, use, storage, dissemination, or destruction of the Recordings, except in cases of gross negligence or willful misconduct by the Authorized Parties. This consent and authorization shall remain valid and enforceable unless and until revoked by the Provider in writing, provided that any revocation shall not affect the legality of any Recording made or utilized prior to receipt of such revocation.
We appreciate your understanding and support as medical transcription helps us provide better care to you.
I agree a digital copy of this agreement shall be valid as the original.