Common use of Electronic communication Clause in Contracts

Electronic communication. a) Unless advised otherwise in writing, Program Member authorizes the Personalized Care Practice and its staff and designees to communicate with Program Member by Electronic Communication regarding Program Member’s personal health information (as such term is defined in the Health Insurance Portability and Accountability Act of 1996 and its implementing regulations; “PHI”) at Program Member’s e-mail address shown on the signature page of this Agreement. Electronic Communication includes but is not limited to cell phone, email, text, and video conference. b) Program Member acknowledges and agrees that: i. Electronic Communication may not be a secure medium for sending or receiving PHI; ii. Although the Personalized Care Practice and its staff and designees will make reasonable efforts to keep Electronic Communication among Program Member, the Personalized Care Practice and Practice’s designee(s) (and their employees, agents and representatives) confidential and secure, Program Member understands that they cannot assure or guaranty the confidentiality of Electronic Communication; iii. In the discretion of Personalized Care Practice, Electronic Communication may be made a part of Program Member’s permanent medical record; and iv. Electronic Communication is not an appropriate means of communication regarding emergency or other time-sensitive issues or for inquiries regarding sensitive information. c) Program Member further acknowledges and agrees that: i. Program Member will not use Electronic Communication for communications regarding emergencies or other time-sensitive issues, or for communication regarding sensitive information; ii. If Program Member does not receive a response to Program Member’s Electronic Communication message within one (1) business day (or such longer time as Program Member indicates in the Electronic Communication), Program Member will use another means of communication to contact Personalized Care Practice or appropriate representative; iii. Program Member will include Program Member’s full name and a short description of the subject matter of the Electronic Communication (e.g., “prescription refill”, “medical advice”, “billing question”) in the “Re” or “Subject” line of the Electronic Communication; iv. When responding to an Electronic Communication from Personalized Care Practice or its staff or representative, Program Member will use “Reply with History” to ensure that the recipient is aware of the previous communication; and v. Neither Personalized Care Practice nor any of its agents, consultants or representatives will be liable to Program Member for any loss, damage, cost, injury or expense caused by, or resulting from: (i) a delay in response to Program Member due to technical failures, including, but not limited to, technical failures attributable to internet service provider, power outages, failure of electronic messaging software, failure by Practice, or any of its agents, consultants or representatives to properly address Electronic Communication messages, failure of computers or computer network, or faulty telephone or cable data transmission; (ii) any interception of Electronic Communication by a third party; or (iii) Program Member’s failure to comply with the guidelines regarding use of Electronic Communication set forth in this Section 6.

Electronic communication. (a) Unless advised otherwise in writing, Program Member authorizes the Personalized Care Concierge Practice and its Concierge Practice’s staff and designees to communicate with Program Member by Electronic Communication regarding Program Member’s personal health information (as such term is defined in the Health Insurance Portability and Accountability Act of 1996 and its implementing regulations; “PHI”) at Program Member’s e-mail address shown on the signature page of this Agreement. Electronic Communication includes but is not limited to cell phone, email, text, and video conference. (b) Program Member acknowledges and agrees that: i. (i) Electronic Communication may not be a secure medium for sending or receiving PHI; (ii. Although ) although the Personalized Care Concierge Practice and its Concierge Practice’s staff and designees will make reasonable efforts to keep Electronic Communication among Program Member, the Personalized Care Concierge Practice and Concierge Practice’s designee(s) (and their employees, agents and representatives) confidential and secure, Program Member understands that they cannot assure or guaranty the confidentiality of Electronic Communication; (iii. In ) in the discretion of Personalized Care Concierge Practice, Electronic Communication may be made a part of Program Member’s permanent medical record; and (iv. ) Electronic Communication is not an appropriate means of communication regarding emergency or other time-sensitive issues or for inquiries regarding sensitive information. (c) Program Member further acknowledges and agrees that: i. (i) Program Member will not use Electronic Communication for communications regarding emergencies or other time-sensitive issues, or for communication regarding sensitive information; (ii. ) If Program Member does not receive a response to Program Member’s Electronic Communication message within one (1) business day (or such longer time as Program Member indicates in the Electronic Communication), Program Member will use another means of communication to contact Personalized Care the Concierge Practice or appropriate representative; (iii. ) Program Member will include Program Member’s full name and a short description of the subject matter of the Electronic Communication (e.g., “prescription refill”, “medical advice”, “billing question”) in the “Re” or “Subject” line of the Electronic Communication; (iv. ) When responding to an Electronic Communication from Personalized Care the Concierge Practice or its Concierge Practice’s staff or representative, Program Member will use “Reply with History” to ensure that the recipient is aware of the previous communication; and v. (v) Neither Personalized Care Concierge Practice nor any of its Concierge Practice’s agents, consultants or representatives will be liable to Program Member for any loss, damage, cost, injury or expense caused by, or resulting from: (i) a delay in response to Program Member due to technical failures, including, but not limited to, technical failures attributable to internet service provider, power outages, failure of electronic messaging software, failure by Concierge Practice, or any of its Concierge Practice’s agents, consultants or representatives to properly address Electronic Communication messages, failure of computers or computer network, or faulty telephone or cable data transmission; (ii) any interception of Electronic Communication by a third party; or (iii) Program Member’s failure to comply with the guidelines regarding use of Electronic Communication set forth in this Section 6.

Electronic communication. a) Unless advised otherwise in writing, Program Member authorizes the Personalized Care Practice and its staff and designees to communicate with Program Member by Electronic Communication regarding Program Member’s personal health information (as such term is defined in the Health Insurance Portability and Accountability Act of 1996 and its implementing regulations; “PHI”) at Program Member’s e-mail address shown on the signature page of this Agreement. Electronic Communication includes but is not limited to cell phone, email, text, and video conference. b) Program Member acknowledges and agrees that: i. Electronic Communication may not be a secure medium for sending or receiving PHI; ii. Although the Personalized Care Practice and its staff and designees will make reasonable efforts to keep Electronic Communication among Program Member, the Personalized Care Practice and Practice’s designee(s) (and their employees, agents and representatives) confidential and secure, Program Member understands that they cannot assure or guaranty the confidentiality of Electronic Communication; iii. In the discretion of Personalized Care Practice, Electronic Communication may be made a part of Program Member’s permanent medical record; and iv. Electronic Communication is not an appropriate means of communication regarding emergency or other time-sensitive issues or for inquiries regarding sensitive information. c) Program Member further acknowledges and agrees that: i. Program Member will not use Electronic Communication for communications regarding emergencies or other time-sensitive issues, or for communication regarding sensitive information; ii. If Program Member does not receive a response to Program Member’s Electronic Communication message within one (1) business day (or such longer time as Program Member indicates in the Electronic Communication), Program Member will use another means of communication to contact Personalized Care Practice or appropriate representative; iii. Program Member will include Program Member’s full name and a short description of the subject matter of the Electronic Communication (e.g., “prescription refill”, “medical advice”, “billing question”) in the “Re” or “Subject” line of the Electronic Communication; iv. When responding to an Electronic Communication from Personalized Care Practice or its staff or representative, Program Member will use “Reply with History” to ensure that the recipient is aware of the previous communication; and v. Neither Personalized Care Practice nor any of its agents, consultants or representatives will be liable to Program Member for any loss, damage, cost, injury or expense caused by, or resulting from: (i) a delay in response to Program Member due to technical failures, including, but not limited to, technical failures attributable to internet service provider, power outages, failure of electronic messaging software, failure by Practice, or any of its agents, consultants or representatives to properly address Electronic Communication messages, failure of computers or computer network, or faulty telephone or cable data transmission; (ii) any interception of Electronic Communication by a third party; or (iii) Program Member’s failure to comply with the guidelines regarding use of Electronic Communication set forth in this Section 6.

Electronic communication. (a) Unless advised otherwise in writing, Program Member authorizes the Personalized Care Practice and its Personalized Care Practice’s staff and designees to communicate with Program Member by Electronic Communication regarding Program Member’s personal health information (as such term is defined in the Health Insurance Portability and Accountability Act of 1996 and its implementing regulations; “PHI”) at Program Member’s e-mail address shown on the signature page of this Agreement. Electronic Communication includes but is not limited to cell phone, email, text, and video conference. (b) Program Member acknowledges and agrees that: i. (i) Electronic Communication may not be a secure medium for sending or receiving PHI; (ii. Although ) although the Personalized Care Practice and its staff and designees will make reasonable efforts to keep Electronic Communication among Program Member, the Personalized Care Practice and Practice’s its designee(s) (and their employees, agents and representatives) confidential and secure, Program Member understands that they cannot assure or guaranty the confidentiality of Electronic Communication; (iii. In ) in the discretion of Personalized Care Practice, Electronic Communication may be made a part of Program Member’s permanent medical record; and (iv. ) Electronic Communication is not an appropriate means of communication regarding emergency or other time-sensitive issues or for inquiries regarding sensitive information. (c) Program Member further acknowledges and agrees that: i. (i) Program Member will not use Electronic Communication for communications regarding emergencies or other time-sensitive issues, or for communication regarding sensitive information; (ii. ) If Program Member does not receive a response to Program Member’s Electronic Communication message within one (1) business day (or such longer time as Program Member indicates in the Electronic Communication), Program Member will use another means of communication to contact Personalized Care Practice or appropriate representative; (iii. ) Program Member will include Program Member’s full name and a short description of the subject matter of the Electronic Communication (e.g., “prescription refill”, “medical advice”, “billing question”) in the “Re” or “Subject” line of the Electronic Communication; (iv. ) When responding to an Electronic Communication from Personalized Care Practice or its staff or representative, Program Member will use “Reply with History” to ensure that the recipient is aware of the previous communication; and v. (v) Neither Personalized Care Practice nor any of its agents, consultants or representatives will be liable to Program Member for any loss, damage, cost, injury or expense caused by, or resulting from: (i) a delay in response to Program Member due to technical failures, including, but not limited to, technical failures attributable to internet service provider, power outages, failure of electronic messaging software, failure by Practice, or any of its Practice’s agents, consultants or representatives to properly address Electronic Communication messages, failure of computers or computer network, or faulty telephone or cable data transmission; (ii) any interception of Electronic Communication by a third party; or (iii) Program Member’s failure to comply with the guidelines regarding use of Electronic Communication set forth in this Section 6.

Electronic communication. a) Unless advised otherwise in writing, Program Member authorizes the Personalized Care Practice and its staff and designees to communicate with Program Member by Electronic Communication regarding Program Member’s personal health information (as such term is defined in the Health Insurance Portability and Accountability Act of 1996 and its implementing regulations; “PHI”) at Program Member’s e-mail address shown on the signature page of this Agreement. Electronic Communication includes but is not limited to cell phone, email, text, and video conference. b) Program Member acknowledges and agrees that: i. Electronic Communication may not be a secure medium for sending or receiving PHI; ii. Although the Personalized Care Practice and its staff and designees will make reasonable efforts to keep Electronic Communication among Program Member, the Personalized Care Practice and Practice’s designee(s) (and their employees, agents and representatives) confidential and secure, Program Member understands that they cannot assure or guaranty the confidentiality of Electronic Communication; iii. In the discretion of Personalized Care Practice, Electronic Communication may be made a part of Program Member’s permanent medical record; and iv. Electronic Communication is not an appropriate means of communication regarding emergency or other time-sensitive issues or for inquiries regarding sensitive information. c) Program Member further acknowledges and agrees that: i. Program Member will not use Electronic Communication for communications regarding emergencies or other time-sensitive issues, or for communication regarding sensitive information; ii. If Program Member does not receive a response to Program Member’s Electronic Communication message within one (1) business day (or such longer time as Program Member indicates in the Electronic Communication), Program Member will use another means of communication to contact Personalized Care Practice or appropriate representative; iii. Program Member will include Program Member’s full name and a short description of the subject matter of the Electronic Communication (e.g., “prescription refill”, “medical advice”, “billing question”) in the “Re” or “Subject” line of the Electronic Communication; iv. When responding to an Electronic Communication from Personalized Care Practice or its staff or representative, Program Member will use “Reply with History” to ensure that the recipient is aware of the previous communication; and v. Neither Personalized Care Practice nor any of its agents, consultants or representatives will be liable to Program Member for any loss, damage, cost, injury or expense caused by, or resulting from: (i) a delay in response to Program Member due to technical failures, including, but not limited to, technical failures attributable to internet service provider, power outages, failure of electronic messaging software, failure by Practice, or any of its agents, consultants or representatives to properly address Electronic Communication messages, failure of computers or computer network, or faulty telephone or cable data transmission; (ii) any interception of Electronic Communication by a third party; or (iii) Program Member’s failure to comply with the guidelines regarding use of Electronic Communication set forth in this Section 6.

Electronic communication. (a) Unless advised otherwise in writing, Program Member authorizes the Personalized Care Practice and its Personalized Care Practice’s staff and designees to communicate with Program Member by Electronic Communication regarding Program Member’s personal health information (as such term is defined in the Health Insurance Portability and Accountability Act of 1996 and its implementing regulations; “PHI”) at Program Member’s e-mail address shown on the signature page of this Agreement. Electronic Communication includes but is not limited to cell phone, email, text, and video conference. (b) Program Member acknowledges and agrees that: i. (i) Electronic Communication may not be a secure medium for sending or receiving PHI; (ii. Although ) although the Personalized Care Practice and its staff and designees will make reasonable efforts to keep Electronic Communication among Program Member, the Personalized Care Practice and Practice’s its designee(s) (and their employees, agents and representatives) confidential and secure, Program Pro gram Member understands that they cannot assure or guaranty the confidentiality of Electronic Communication; (iii. In ) in the discretion of Personalized Care Practice, Electronic Communication may be made a part of Program Member’s permanent medical record; and (iv. ) Electronic Communication is not an appropriate means of communication regarding emergency or other time-sensitive issues or for inquiries regarding sensitive information. (c) Program Member further acknowledges and agrees that: i. (i) Program Member will not use Electronic Communication for communications regarding emergencies or other time-sensitive issues, or for communication regarding sensitive information; (ii. ) If Program Member does not receive a response to Program Member’s Electronic Communication message within one (1) business day (or such longer time as Program Member indicates in the Electronic Communication), Program Member will use another means of communication to contact Personalized Care Practice or appropriate representative; (iii. ) Program Member will include Program Member’s full name and a short description of the subject matter of the Electronic Communication (e.g., “prescription refill”, “medical advice”, “billing question”) in the “Re” or “Subject” line of the Electronic Communication; (iv. ) When responding to an Electronic Communication from Personalized Care Practice or its staff or representative, Program Member will use “Reply with History” to ensure that the recipient is aware of the previous communication; and v. (v) Neither Personalized Care Practice nor any of its agents, consultants or representatives will be liable to Program Member for any loss, damage, cost, injury or expense caused by, or resulting from: (i) a delay in response to Program Member due to technical failures, including, but not limited to, technical failures attributable to internet service provider, power outages, failure of electronic messaging software, failure by Practice, or any of its Practice’s agents, consultants or representatives to properly address Electronic Communication messages, failure of computers or computer network, or faulty telephone or cable data transmission; (ii) any interception of Electronic Communication by a third party; or (iii) Program Member’s failure to comply with the guidelines regarding use of Electronic Communication set forth in this Section 6. 1 Signature MD, Inc., a California corporation doing business in the states of North Carolina and South Carolina as CarolinaMD, is not affiliated or associated in any way with the Charlotte-based concierge medical practice, Signature Healthcare, PLLC.

Electronic communication. a) Unless advised otherwise in writing, Program Member authorizes the Personalized Care Practice and its Practice’s staff and designees to communicate with Program Member by Electronic Communication regarding Program Member’s personal health information (as such term is defined in the Health Insurance Portability and Accountability Act of 1996 and its implementing regulations; “PHI”) at Program Member’s e-mail address shown on the signature page of this Agreement. Electronic Communication includes but is not limited to cell phone, email, text, and video conference. b) Program Member acknowledges and agrees that: i. Electronic Communication may not be a secure medium for sending or receiving PHI; ii. Although the Personalized Care Practice and its Practice’s staff and designees will make reasonable efforts to keep Electronic Communication among Program Member, the Personalized Care Practice and Practice’s designee(s) (and their employees, agents and representatives) confidential and secure, Program Member understands that they cannot assure or guaranty the confidentiality of Electronic Communication; iii. In the discretion of Personalized Care Practice, Electronic Communication may be made a part of Program Member’s permanent medical record; and iv. Electronic Communication is not an appropriate means of communication regarding emergency or other time-sensitive issues or for inquiries regarding sensitive information. c) Program Member further acknowledges and agrees that: i. Program Member will not use Electronic Communication for communications regarding emergencies or other time-sensitive issues, or for communication regarding sensitive information; ii. If Program Member does not receive a response to Program Member’s Electronic Communication message within one (1) business day (or such longer time as Program Member indicates in the Electronic Communication), Program Member will use another means of communication to contact Personalized Care Practice or appropriate representative; iii. Program Member will include Program Member’s full name and a short description of the subject matter of the Electronic Communication (e.g., “prescription refill”, “medical advice”, “billing question”) in the “Re” or “Subject” line of the Electronic Communication; iv. When responding to an Electronic Communication from Personalized Care Practice or its staff or representative, Program Member will use “Reply with History” to ensure that the recipient is aware of the previous communication; and v. Neither Personalized Care Practice nor any of its agents, consultants or representatives will be liable to Program Member for any loss, damage, cost, injury or expense caused by, or resulting from: (i) a delay in response to Program Member due to technical failures, including, but not limited to, technical failures attributable to internet service provider, power outages, failure of electronic messaging software, failure by Practice, or any of its Practice’s agents, consultants or representatives to properly address Electronic Communication messages, failure of computers or computer network, or faulty telephone or cable data transmission; (ii) any interception of Electronic Communication by a third party; or (iii) Program Member’s failure to comply with the guidelines regarding use of Electronic Communication set forth in this Section 6.

Electronic communication. a) Unless advised otherwise in writing, Program Member authorizes the Personalized Care Practice and its staff and designees to communicate with Program Member by Electronic Communication regarding Program Member’s personal health information (as such term is defined in the Health Insurance Portability and Accountability Act of 1996 and its implementing regulations; “PHI”) at Program Member’s e-mail address shown on the signature page of this Agreement. Electronic Communication includes but is not limited to cell phone, email, text, and video conference.Electronic b) Program Member acknowledges and agrees that: i. Electronic Communication may not be a secure medium for sending or receiving PHI; ii. Although the Personalized Care Practice and its staff and designees will make reasonable efforts to keep Electronic Communication among Program Member, the Personalized Care Practice and Practice’s designee(s) (and their employees, agents and representatives) confidential and secure, Program Member understands that they cannot assure or guaranty the confidentiality of Electronic Communication; iii. In the discretion of Personalized Care Practice, Electronic Communication may be made a part of Program Member’s permanent medical record; and iv. Electronic Communication is not an appropriate means of communication regarding emergency or other time-sensitive issues or for inquiries regarding sensitive information. c) Program Member further acknowledges and agrees that: i. Program Member will not use Electronic Communication for communications regarding emergencies or other time-sensitive issues, or for communication regarding sensitive information; ii. If Program Member does not receive a response to Program Member’s Electronic Communication message within one (1) business day (or such longer time as Program Member indicates in the Electronic Communication), Program Member will use another means of communication to contact Personalized Care Practice or appropriate representative; iii. Program Member will include Program Member’s full name and a short description of the subject matter of the Electronic Communication (e.g., “prescription refill”, “medical advice”, “billing question”) in the “Re” or “Subject” line of the Electronic Communication; iv. When responding to an Electronic Communication from Personalized Care Practice or its staff or representative, Program Member will use “Reply with History” to ensure that the recipient is aware of the previous communication; and v. Neither Personalized Care Practice nor any of its agents, consultants or representatives will be liable to Program Member for any loss, damage, cost, injury or expense caused by, or resulting from: (i) a delay in response to Program Member due to technical failures, including, but not limited to, technical failures attributable to internet service provider, power outages, failure of electronic messaging software, failure by Practice, or any of its agents, consultants or representatives to properly address Electronic Communication messages, failure of computers or computer network, or faulty telephone or cable data transmission; (ii) any interception of Electronic Communication by a third party; or (iii) Program Member’s failure to comply with the guidelines regarding use of Electronic Communication set forth in this Section 6.Program

Electronic communication. (a) Unless advised otherwise in writing, Program Member authorizes the Personalized Care Practice and its Personalized Care Practice’s staff and designees to communicate with Program Member by Electronic Communication regarding Program Member’s personal health information (as such term is defined in the Health Insurance Portability and Accountability Act of 1996 and its implementing regulations; “PHI”) at Program Member’s e-mail address shown on the signature page of this Agreement. Electronic Communication includes but is not limited to cell phone, email, text, and video conference. (b) Program Member acknowledges and agrees that: i. (i) Electronic Communication may not be a secure medium for sending or receiving PHI; (ii. Although ) although the Personalized Care Practice and its staff and designees will make reasonable efforts to keep Electronic Communication among Program Member, the Personalized Care Practice and Practice’s its designee(s) (and their employees, agents and representatives) confidential and secure, Program Member understands that they cannot assure or guaranty the confidentiality of Electronic Communication; (iii. In ) in the discretion of Personalized Care Practice, Electronic Communication may be made a part of Program Member’s permanent medical record; and (iv. ) Electronic Communication is not an appropriate means of communication regarding emergency or other time-sensitive issues or for inquiries regarding sensitive information. (c) Program Member further acknowledges and agrees that: i. (i) Program Member will not use Electronic Communication for communications regarding emergencies or other time-sensitive issues, or for communication regarding sensitive information; (ii. ) If Program Member does not receive a response to Program Member’s Electronic Communication message within one (1) business day (or such longer time as Program Member indicates in the Electronic Communication), Program Member will use another means of communication to contact Personalized Care Practice or appropriate representative; (iii. ) Program Member will include Program Member’s full name and a short description of the subject matter of the Electronic Communication (e.g., “prescription refill”, “medical advice”, “billing question”) in the “Re” or “Subject” line of the Electronic Communication; (iv. ) When responding to an Electronic Communication from Personalized Care Practice or its staff or representative, Program Member will use “Reply with History” to ensure that the recipient is aware of the previous communication; and v. (v) Neither Personalized Care Practice nor any of its agents, consultants or representatives will be liable to Program Member for any loss, damage, cost, injury or expense caused by, or resulting from: (i) a delay in response to Program Member due to technical failures, including, but not limited to, technical failures attributable to internet service provider, power outages, failure of electronic messaging software, failure by Practice, or any of its Practice’s agents, consultants or representatives to properly address Electronic Communication messages, failure of computers or computer network, or faulty telephone or cable data transmission; (ii) any interception of Electronic Communication by a third party; or (iii) Program Member’s failure to comply with the guidelines regarding use of Electronic Communication set forth in this Section 6. 1 Signature MD, Inc., a California corporation doing business in the states of North Carolina and South Carolina as CarolinaMD, is not affiliated or associated in any way with the Charlotte-­‐based concierge medical practice, Signature Healthcare, PLLC.