Acknowledgment for non secure electronic communication
Standard email communication (Gmail, Yahoo, etc.) is an easy and convenient way to communicate with Healthcare Providers. Skype and Facetime provide additional means of communication that bridge the gap between an in-person visit and phone or email. Texting is a quick way to communicate short and more time-sensitive messages. All these methods of communication are non-encrypted and therefore not considered fully secure, and do not meet the security requirements set forth by the Health Insurance Portability and Accountability Act (HIPAA).
I, the undersigned, have read and understood the above, and consent to non-secure electronic communication. I release Vitality Urgent and Primary Care from any and all liability that may arise from the use of non-secure communication. If at any time in the future I wish to revoke this consent, I will so inform Vitality Urgent and Primary Care by fax or by secure message via Patient Fusion. This revocation will not be retroactive, and will only affect communication going forward from the date of such revocation.