Electronic Medical Record Access Agreement Sample Contracts

EPICCARE LINK ELECTRONIC MEDICAL RECORD ACCESS AGREEMENT
Electronic Medical Record Access Agreement • December 9th, 2022

This is a fillable PDF. Please type in all information on this cover sheet and the following addendum, except for the signature blank on the right side of Page 5. This requires an actual signature or official electronic signature of someone authorized to sign for your organization. Please email the completed cover sheet and signed addendum to the EpicCare Link administrator at EpicCareLink@kumc.edu.

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Electronic Medical Record Access Agreement for Non Summit Pointe Users
Electronic Medical Record Access Agreement • May 7th, 2019

Access to consumer, employee and business information is a privilege granted on a need-to know (role based) basis. Every user must sign the SUMMIT POINTE ELECTRONIC MEDICAL RECORD ACCESS AGREEMENT FOR NON-SUMMIT POINTE USERS before access to PCE will be granted.

Electronic Medical Record Access Agreement for Non- Baylor Scott & White Health Users
Electronic Medical Record Access Agreement • August 21st, 2017

WHEREAS, Baylor Scott & White Health makes accessible to authorized users its Electronic Medical Record System (the “EMRS”) which contains a broad range of electronically stored medical information about patients, including Protected Health Information as herein defined; and

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