Disclaimer and Agreement to Terms
IN ADDITION TO THE TERMS OF USAGE FOR PHRANYWERE.COM, BY SUBMITTING MY PASSWORD AND UTILIZING THE SERVICES OF PHRANYWHERE, I UNDERSTAND AND AGREE TO THE FOLLOWING ADDITIONAL TERMS. I UNDERSTAND AND AGREE THAT I AM SOLELY RESPONSIBLE FOR THE ACCURACY, USE AND DISCLOSURE OF THE INFORMATION THAT I PERSONALLY PROVIDE OR PERMIT THIRD-PARTIES TO PROVIDE TO PHRANYWHERE. I UNDERSTAND AND AGREE THAT I HAVE WAIVED MY PRIVACY RIGHTS REGARDING THE INFORMATION THAT I PROVIDE OR AUTHORIZE OTHERS TO PROVIDE TO PHRANYWHERE.

I FURTHER UNDERSTAND AND AGREE THAT I AM SOLELY RESPONSIBLE FOR THE INDIVIDUALS AND HEALTHCARE PROVIDERS THAT MAY ACCESS MY INFORMATION. I ACKNOWLEDGE AND AGREE THAT MY PASSWORD AND MY PHRANYWHERE CARD PROVIDE ACCESS TO MY PROTECTED HEALTH INFORMATION AND THE INFORMATION CONTAINED WITHIN PHR ANYWHERE. I UNDERSTAND AND AGREE THAT I AM SOLELY RESPONSIBLE FOR MAINTAINING THE PRIVACY AND SECURITY OF THE METHODS TO ACCESS MY PHRANYWHERE INFORMATION. I SHALL USE ALL REASONABLE ADMINISTRATIVE, PHYSICAL AND TECHNICAL SAFEGUARDS TO PREVENT THE UNAUTHORIZED USE OR DISCLOSURE OF MY PHRANYWHERE INFORMATION. IN ORDER TO AUTHORIZE ACCESS TO MY INFORMATION, I UNDERSTAND THAT I MUST ACKNOWLEDGE AN AUTHORIZATION FORM AND IDENTIFY THE AUTHORIZED RECEIPIENTS WHICH SHALL UPDATE MY PROFILE.

I ACKNOWLEDGE THAT PHRANYWHERE MAY DISCLOSE MY INFORMATION TO ANY INDIVIDUAL OR PROVIDER THAT I LIST ON MY PROFILE OR THAT I PROVIDE MY PHRANYWHERE CARD TO FOR PURPOSES OF ACCESSING MY PHR ANYWHERE ACCOUNT AND I AGREE TO HOLD HEALTH ONE ALLIANCE, LLC AND ITS OFFICERS, MEMBERS, DIRECTORS, EMPLOYEES, CONTRACTORS AND REPRESENTATIVES HARMLESS FOR ANY IMPROPER USE OR DISCLOSURE OF MY INFORMATION BY THE INDIVIDUALS OR PROVIDERS DESCRIBED IN THIS PARAGRAPH.

I UNDERSTAND THAT HEALTH ONE ALLIANCE, LLC MAY USE OR DISLOSE MY INFORMATION (1) IF SUCH ACTION IS NECESSARY TO RESPOND TO LEGAL ACTION, JUDICIAL PROCEEDINGS OR SUBPOENAS (2) FOR THE PURPOSES OF SHARING THE INFORMATION WITH THE INDIVIDUALS AND PROVIDERS THAT I DESIGNATE; (3) FOR PERSONAL SAFETY OR PUBLIC WELFARE; (4) FOR ITS INTERNAL BUSINESS OPERATIONS AND MANAGEMENT; (5) FOR DATA AGGREGATION, REVIEW AND TRENDING FOR THE PURPOSES OF IMPROVING THE DELIVERY OF HEALTHCARE SERVICES; AND (6) AS ALLOWED BY LAW.
Terms Relating to Super Sensitive Data
I hereby understand and acknowledge that by providing access to my participating providers that I have identified, and by using the PHRAnywhere Card at my participating provider?s offices, I have granted access to any HIV, AIDS CONFIDENTIAL, MENTAL HEALTH, PSYCHIATRIC CARE INFORMATION, SUBSTANCE ABUSE INFORMATION, ANY AND ALL SENSITIVE CONFIDENTIAL MATTERS REGARDING MY HEALTH AND TREATMENT.

I further understand and agree that I may revoke authorization for the participating providers that have access to any information. Revocation of access to information would include revocation of access to any and all medical and mental health information, provided access may be granted until notice of the revocation is received by PHRAnywhere.

I hereby authorize the participating treating providers to have access to such information. I further understand and acknowledge that participating ancillary providers such as lab companies, imaging companies and other providers may not provide electronic access to sensitive HIV, AIDS CONFIDENTIAL, MENTAL HEALTH, PSYCHIATRIC AND SUBSTANCE ABUSE INFORMATION. Therefore, the records provided to PHRAnywhere for access many not contain my entire record of any and all medical and clinically related information.