E-Sign Disclosure Statement and Agreement Sample Contracts

E-Sign Disclosure Statement and Agreement
E-Sign Disclosure Statement and Agreement • May 16th, 2022

This E-Sign Disclosure Statement and Agreement ("Agreement") is intended to comply with certain laws and regulations, including, but not limited to, the Electronic Signatures in Global and National Commerce ("E-Sign") Act, that allow us to electronically provide you with important information associated with opening, using and maintaining our online healthcare bill payment and financing service delivered as St. Luke's Bill Pay. Before we can do that, you must read and indicate your acceptance of the terms outlined below.

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E-Sign Disclosure Statement and Agreement
E-Sign Disclosure Statement and Agreement • June 16th, 2022

This E-Sign Disclosure Statement and Agreement ("Agreement") is intended to comply with certain laws and regulations, including, but not limited to, the Electronic Signatures in Global and National Commerce ("E-Sign") Act, that allow us to electronically provide you with important information associated with opening, using and maintaining our online healthcare bill payment and financing service delivered as Inova VisitPay. Before we can do that, you must read and indicate your acceptance of the terms outlined below.

E-Sign Disclosure Statement and Agreement
E-Sign Disclosure Statement and Agreement • November 15th, 2021

This E-Sign Disclosure Statement and Agreement ("Agreement") is intended to comply with certain laws and regulations, including, but not limited to, the Electronic Signatures in Global and National Commerce ("E-Sign") Act, that allow us to electronically provide you with important information associated with opening, using and maintaining our online healthcare bill payment and financing service delivered as Centura Bill Pay. Before we can do that, you must read and indicate your acceptance of the terms outlined below.

E-Sign Disclosure Statement and Agreement
E-Sign Disclosure Statement and Agreement • February 5th, 2022

This E-Sign Disclosure Statement and Agreement ("Agreement") is intended to comply with certain laws and regulations, including, but not limited to, the Electronic Signatures in Global and National Commerce ("E-Sign") Act, that allow us to electronically provide you with important information associated with opening, using and maintaining our online healthcare bill payment and financing service delivered as Henry Ford Bill Pay. Before we can do that, you must read and indicate your acceptance of the terms outlined below.

E-Sign Disclosure Statement and Agreement
E-Sign Disclosure Statement and Agreement • February 5th, 2022

This E-Sign Disclosure Statement and Agreement ("Agreement") is intended to comply with certain laws and regulations, including, but not limited to, the Electronic Signatures in Global and National Commerce ("E-Sign") Act, that allow us to electronically provide you with important information associated with opening, using and maintaining our online healthcare bill payment and financing service delivered as ProHealth Bill Pay. Before we can do that, you must read and indicate your acceptance of the terms outlined below.

E-Sign Disclosure Statement and Agreement
E-Sign Disclosure Statement and Agreement • February 1st, 2022

This E-Sign Disclosure Statement and Agreement ("Agreement") is intended to comply with certain laws and regulations, including, but not limited to, the Electronic Signatures in Global and National Commerce ("E-Sign") Act, that allow us to electronically provide you with important information associated with opening, using and maintaining our online healthcare bill payment and financing service delivered as WellSpan Bill Pay. Before we can do that, you must read and indicate your acceptance of the terms outlined below.

E-Sign Disclosure Statement and Agreement
E-Sign Disclosure Statement and Agreement • December 19th, 2021

This E-Sign Disclosure Statement and Agreement ("Agreement") is intended to comply with certain laws and regulations, including, but not limited to, the Electronic Signatures in Global and National Commerce ("E-Sign") Act, that allow us to electronically provide you with important information associated with opening, using and maintaining our online healthcare bill payment and financing service delivered as Ascension. Before we can do that, you must read and indicate your acceptance of the terms outlined below.

E-Sign Disclosure Statement and Agreement
E-Sign Disclosure Statement and Agreement • January 28th, 2022

This E-Sign Disclosure Statement and Agreement ("Agreement") is intended to comply with certain laws and regulations, including, but not limited to, the Electronic Signatures in Global and National Commerce ("E-Sign") Act, that allow us to electronically provide you with important information associated with opening, using and maintaining our online healthcare bill payment and financing service delivered as Intermountain Bill Pay. Before we can do that, you must read and indicate your acceptance of the terms outlined below.

E-Sign Disclosure Statement and Agreement
E-Sign Disclosure Statement and Agreement • November 22nd, 2021

This E-Sign Disclosure Statement and Agreement ("Agreement") is intended to comply with certain laws and regulations, including, but not limited to, the Electronic Signatures in Global and National Commerce ("E-Sign") Act, that allow us to electronically provide you with important information associated with opening, using and maintaining our online healthcare bill payment and financing service delivered as Riverside Bill Pay. Before we can do that, you must read and indicate your acceptance of the terms outlined below.

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