Home » Email Consent and Use
Email offers an easy and convenient way for individuals to communicate with their clinicians/care providers at Bethell Hospice.
However, there are a number of risks associated with sharing information via electronic mail, noted below:
Please review carefully these policies and procedures for contacting Bethell Hospice using email:
I wish to communicate with Bethell Hospice via email and permit use of email to communicate with me. I understand and accept the risks in using email for communicating patient personal health information. I understand that my email address will become part of the patient health record and may be shared with health care partners or authorized third parties. I also understand and accept that Bethell Hospice cannot guarantee the security of systems external to Bethell Hospice through which my email messages may be transmitted. I understand and agree the content of all email messages will be summarized and/or copied, and added to the patient’s permanent medical record. I may change or revoke this permission to use the Email system for communication at any time by contacting Bethell Hospice.
A copy of your submitted form will also be sent to the email address you enter below.