EMAIL COMMUNICATIONS CONSENT

This form will be sent to Redwood Pulmonary Medical Associates via e-mail. I understand that e-mail is a convenience and not appropriate for emergencies or time-sensitive issues. Additionally, I understand that the security and privacy of e-mail cannot be guaranteed. Further, I understand that e-mail should not be used to transmit highly sensitive or personal information.

With regard to my protected health information, I understand that Redwood Pulmonary Medical Associates can send unencrypted emails ONLY if I am advised of the risks. I understand Redwood Pulmonary Medical Associates and Chiron Health are not responsible for information lost due to technical failures.

I understand that all of the information contained in and or attached to electronic messages is privileged and confidential and is covered by the Electronic Communications Privacy Act, 18 U.S.C. § 2510-2521.

I consent to e-mail communication with Redwood Pulmonary Medical Associates and Chiron Health.

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