Email and Text Messaging Consent
I agree to the following terms and conditions for the use of e-mail and text messaging (and other rules that may be added and provided to me from time to time):
I hereby request and authorize White House Clinics to use e-mail and text messaging to communicate with me. I understand that such electronic communications may include protected health information and expose my information to various risk including, but not limited to the following:
• E-mails and text messages are sent and received using a network/platform that is not secure;• E-mails and text messages can be intercepted, viewed, changed, forwarded, or used withoutauthorization or detection;• E-mail or text message senders can easily misaddress the message; information can then be received by unintended parties;• E-mail information or text messages can be sent on to other people, stored on a computer, or printed out on paper for storage;• E-mail or text message information may be kept on computers or electronic devices such as mobile phones even after the sender or the recipient believes they deleted his or her copy;• Employer and online services have a right to archive (store) and look at e-mails/text messagestransmitted through their systems. Some, but not all, employers store e-mail/text messages indefinitely;• E-mails or text messages can be used to introduce viruses into computer systems;• E-mails or text messages can be used as evidence in court;• E-mails or text messages could be viewed by others in possession of the mobile device.
I understand that White House Clinics cannot guarantee the security and privacy of e-mail and text message communications and I agree not to hold White House Clinics liable for improper use and/or disclosure of my protected health information transmitted through e-mail or text message.
I have read and agree to the White House Clinics Terms and Conditions for the Use of E-mail and TextMessaging (and other rules that may be added and provided to me from time to time).
I understand text message charges from my cellular telephone service provider may apply.
I agree to keep White House Clinics informed of my most-current mobile number at all times or if the number is no longer in my possession.
I acknowledge that I have read and understand the information contained in this document. I understand the risks associated with e-mail and text messaging communications and consent to the use of e-mail and/or text messaging. I have also read and understand the Terms and Conditions of Use for E-mail and Text Messaging Communications. I agree to comply with such Terms and Conditions and any other instructions White House Clinics may impose regarding e-mail and text messaging communications.
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Document Name: Email and Text Messaging Consent
Agree & Sign