Electronic Communication Policy

Acknowledgement and Agreement Form

I acknowledge and understand that this electronic (online) communication has risks, including possible risks not mentioned in the Privacy Policy and Privacy Practices. I agree to abide by the policies described in the Privacy Policy and Privacy Practices. I agree to use reasonable judgment regarding any messages I send or receive.

The information sent or received includes but is not limited to lab and biopsy results, prescriptions, general and medical questions, appointment and procedure times, insurance copayments, coinsurance, deductibles, test kit ordering confirmation and delivery, and patient responsibility. I do not have any unanswered questions about what this agreement covers.