| We comply with applicable Federal civil rights laws and Minnesota laws | Electronic systems used will be incorporate network and software security protocols to protect confidentiality of patient identification and imaging data and will include measures to safeguard the data and to ensure integrity against intentional and unintentional corruption in accordance to UAE Laws and regulation |
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| I also acknowledge this consultation is limited to certain medical conditions for which the telehealth consultation services can be obtained and the proper procedures that shall be applied in emergency cases | Details of medical history, examination, x-rays and tests may be discussed with other healthcare professionals with interactive videos, audio and telecommunication technology |
| In rare instances, security protocol could fail causing a breach of privacy of personal medical information d | |
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| I have been provided with enough information in a language that I can understand, to make an informed decision and I agree to have the Telehealth consultation Services | Persons with hearing or speech disabilities may contact us via their preferred Telecommunication Relay Service |
I understand I may withhold or withdraw consent to teleconsultation at any time without affecting my right to future care or treatment.
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