Common Contracts

WELLSPAN ONLINE URGENTCARE―PATIENT REGISTRATION AGREEMENT

Patient Registration Agreement • September 5th, 2017 • Pennsylvania

• Contract Type
  Patient Registration Agreement
• Filed
  September 5th, 2017
• Jurisdiction
  Pennsylvania

Please read the following WellSpan Health Patient Registration Agreement (“Agreement”) carefully before deciding whether to register for access to the non-public portions of this WellSpan Health website ("Portal") or register use of the WellSpan Health mobile app (“App”), which are both provided to you by WellSpan Health (“COMPANY”) for the benefit of WellSpan Medical Group Providers (each, a “Provider”). The Portal and App are collectively referred to below as the “Platform”. This Platform will permit you to request and access certain behavioral health and other medical consultation services (“Services”) as provided by the Providers, together with your identifiable health information whether submitted by you or generated as a result of your use of the Services ("Health Information").