Communications through our website or via email are not encrypted and are not considered secure. Use of the internet or email is for your convenience only, and by using them, you assume the risk of unauthorized access & use.
By checking this box you hereby agree to hold Boston Vein Care (the Practice), its doctors and affiliates, harmless from any hacking or any other unauthorized use of your personal information by outside parties.
Your use of this form to contact the practice will result in an email being generated which will include all information you provide and delivered to Boston Vein Care.
We also advise our patients to keep message generalize & not provide us with personal health information like diagnosis, your date of birth or social security numbers etc. You can simply say “please contact me” & Boston Vein Care will initiate a call back on call back number.
In order to minimize this risk, Boston Vein Care instead encourages patients to use the option of secure messaging in patient portal of our electronic medical records. All patients get access to patient portal but only after first visit.
At Boston Vein Care’ discretion, any email message received or sent may become part of your medical record. By checking the box on the form:
You are accepting that Boston Vein Care can communicate with you via email at the address provided, in response to you submitting Boston Vein Care’ Contact form. If you selected the “Phone” as your preferred way of being contacted, Boston Vein Care will respond to your request via telephone. IF YOU DO NOT WANT TO USE EMAIL YOU MUST CONTACT BOSTON VEIN CARE DIRECTLY BY TELEPHONE.
You have reviewed the “Important Information About Email” notice provided below and understand the information contained within the notice.
Since email systems utilized may not be encrypted or secure and there are no assurances of confidentiality, Boston Vein Care may not reply you with sensitive information but you but consent to the Practice communicating with you via email.
You understand that you may withdraw this consent at any time by delivering written notice to Boston Vein Care at 1 Courthouse Lane #9, Chelmsford, MA 01824.
IMPORTANT INFORMATION ABOUT EMAIL
THIS NOTICE DESCRIBES THE RISKS ASSOCIATED WITH UNENCRYPTED EMAIL. PLEASE REVIEW IT CAREFULLY.
Most standard email providers such as Gmail, Yahoo, Hotmail, etc. do not provide a secured or encrypted means of communication. As a result, there is risk that any protected health information (PHI) contained in an email may be disclosed to, or intercepted by, unauthorized third parties. Additionally, email messages accessible through personal computers, laptops, or phones have inherent privacy risks especially when the email account is provided by an employer, when the account is not password protected, or the account is shared. Use of more secure communications, such as phone, fax or mail is preferred and always an available alternative.
When consenting to the use of email through such unsecured or unencrypted systems, you are accepting responsibility for any unauthorized access or disclosure to protected health information contained within the message. Boston Vein Care will not be responsible for unauthorized access of protected health information while in transmission and will not be responsible for safeguarding information once it is delivered to you.
It is important to understand that emails will not be used to replace or facilitate communications between you and your physician and will not be considered private communications. There is no guarantee that Boston Vein Care will be actively monitoring the inbox so responses and replies sent to or received by you or Boston Vein Care may be hours or days apart. Email messages may be inadvertently missed or errors in transmissions may occur. Boston Vein Care will not be responsible for any issues caused by delays in communications. If you have an immediate need or an emergency situation, you must contact Boston Vein Care by telephone or dial 9-1-1 if applicable. Boston Vein Care staff will be utilized to monitor the inbox in order to properly direct or respond to communications received. Therefore, any information considered sensitive should not be included in your communications.