PATIENT COMMUNICATION AGREEMENTPatient Communication Agreement • December 15th, 2020
May we leave messages with any other person and/or do you authorize any other person to call regarding your medical information? 9 Yes 9 No
PATIENT COMMUNICATION AGREEMENTPatient Communication Agreement • December 30th, 2022
May we leave messages with any other person and/or do you authorize any other person to call regarding your medical information? Yes No
Patient information – Prevomed - Patient Communication AgreementPatient Communication Agreement • December 15th, 2018
We offer you the opportunity to communicate with us in different ways. Your personal information is particularly sensitive personal information, which is why we only want to use the means of communication for which you give us your consent. This does not limit you to one means of communication, you can select all that you wish to communicate with. As an option, communica- tion via telephone, mobile phone, SMS, letter or email is available. In the case of the latter, a distinction can be made between email traffic via the secure HIN gateway and email traffic without the secure HIN gateway. As we cannot guarantee the legally required protection for email traffic via the unsecured HIN gateway (in particular, access by unauthorised third parties to emails cannot be ruled out), we recommend email traffic via the secure HIN gateway. Also note that when communicating by SMS, messages can appear on several mobile devices simultaneously (e.g., a mobile phone and a tablet), if they are registere
ALPINE FOOT SPECIALISTS, P.C.Patient Communication Agreement • May 10th, 2023
May we leave messages with any other person and/or do you authorize any other person to call regarding your medical information? Yes No
