Authorizing this form of communication is at my request. I understand emails may not be read within any consistent time frame and that if I need to contact the clinician urgently, I have been advised to call the clinic directly.
Emails sent to and from personal email accounts are not secured data transmissions for PHI, as defined by the Healthcare Portability and Accountability Act (HIPAA). e7 Health cannot guarantee internet security; for example, e7 Health cannot assure me that emails sent back and forth between my authorized agent and my provider will not be intercepted or read without my knowledge or permission.
All email communication between my authorized agent and my provider regarding my “care, testing, treatment and services” will be copied and included in my medical record or chart.
I may cancel this request/authorization at any time by notifying my provider. I also understand that when I give or cancel my consent, it is effective from that date forward, and not retroactively.