Terms and Conditions
Forward Wellness Staff and/or Clinician Communications
We will be communicating with you by telephone or other means. By signing this informed consent form you are indicating that you are authorizing the Forward Wellness staff and/or your clinician to contact you and/or send phone text and/or email reminders for ALL appointments scheduled and reminders as necessary. Please be sure to inform your clinician if you do not wish to be contacted at a particular time or place, by phone text or email, or by a particular means.
By signing this informed consent you are authorizing Forward Wellness staff and clinicians to contact patients by phone, email, or text for any and all appointment reminders and information necessary for patient care and scheduling.
By signing this informed consent you give Forward Wellness authorization to use the following two HIPAA compliant means to schedule and coordinate patient care, which includes the following:
1) Google BAA covering: Gmail, Google Calendar, Google Drive (including: Docs, Sheets, Slides, and Forms), Google Hangouts (chat messaging feature only), Google Chat, Google Meet, Google Keep, Google Cloudsearch, Google Sites, Google Groups, Google Tasks, Google Voice (manage users only), Jamboard, Google Vault Services, Google Cloud Identity Management, Phone calls on landline and cellular.
2) Acuity Scheduling BAA covering all patient scheduling.
Email Communication and Risks
Sensitive, clinical information is to be discussed over the phone or in-person as deemed appropriate by the clinician. For appropriate e-mail or text communication you will receive an email and a text from Forward Wellness Staff and your Clinician. Also, your clinician will respond to your e-mail or text within 24 hours. Potential risks of using electronic communication may include, but are not limited to; inadvertent sending of an e-mail or text containing confidential information to the wrong recipient, theft or loss of the computer, laptop or mobile device storing confidential information, and interception by an unauthorized third party through an unsecured network. E-mail messages may contain viruses or other defects and it is your responsibility to ensure that it is virus-free. In addition, e-mail or text communication may become part of the clinical record. You may be charged for time the clinician spends reading and responding e-mail or text messages.