E-Sign Consent

By using this app (“Modern Health App”), you consent to electronic records, signatures, and communications from Modern Health. Some examples of the types of communications that we may send electronically are included below. We may also use electronic signatures and obtain them from you as part of our transactions with you.
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Electronic records may be delivered to you in a variety of ways, including via provision of previously agreed to text within the Modern Health App, a retrieval mechanism within the Modern Health App, via a mailed paper copy generated for you, and/or as described in any agreements we may have with you from time to time. In some cases, you may be able to choose whether to receive certain communications electronically, or on paper, or both. We will provide you with instructions on how to make those choices when they are available. We may always provide you with any communication in writing via mailed paper copy, even if you have chosen to receive them electronically.

Sometimes the law, or our agreements with you, requires you to give us notices or requests in writing. You must still provide these notices or requests to us on paper, unless we specifically tell you in another communication how you may deliver that notice or request to us electronically.
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By law, there are certain communications that we are not permitted to deliver to you electronically, even with your consent, in which case we will continue to deliver those communications to you in writing via mailed paper copy. However, if the law changes in the future and permits any of those communications to be delivered electronically, this consent will automatically cover those communications as well.
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Your option to receive paper copies. If we provide electronic records to you, and you would like a paper copy, you may contact us to request a paper version. You will find the appropriate contact information in the applicable electronic record. You may have to pay a fee for the paper copy unless charging a fee is prohibited by applicable law.
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Your consent covers all services. Your consent covers all communications relating to any services. Your consent remains in effect until you provide us with notice that you are withdrawing it.
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You may withdraw your consent at any time; Consequences of withdrawing consent; How to give notice of withdrawal. You have the right to withdraw your consent at any time. Please be aware, however, that withdrawal of this consent may result in the termination of your access to the services via the Modern Health App and your ability to receive services from Modern Health. Your withdrawal of consent will become effective after we have had a reasonable opportunity to act upon it. To withdraw this consent, you must contact Modern Health at legal@modernhealth.com.
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You must keep your email address current with us. You must promptly notify us of any change in your email address. You may change the email address that we have on record for you by contacting help@modernhealth.com or at the user support contact information provided to you in the Modern Health App.

Hardware and software you will need to access Electronic Records. If electronic records are made available to you, then you must have access to:
●       a computer or mobile device with a connection to the Internet,
●       the email account associated with your Modern Health App account
●       for web-based access, a recent web browser and software to open a PDF document; and
●       for in-application access, a mobile device with an operating system that supports text messaging, downloading, and          applications from the Apple App Store or Google Play store and the most recent versions of Apple Safari or Google Chrome on          iOS or Google Chrome for Android OS.

You will also need a printer if you wish to print out and retain records on paper, and electronic storage if you wish to retain records in electronic form.

EXAMPLES OF ELECTRONIC RECORDS COVERED BY YOUR CONSENT INCLUDE:
1.       This E-Sign Consent to Use of Electronic Records and Signatures;
2.      Modern Health’s Privacy Notice;
3.      Modern Health’s Terms of Use;
4.      Practice’s Consent to Mental Health Counseling and Financial Authorization;
5.      Practice’s Notice of Privacy Practices; or6. Test results and other health care information from your Practice.
6.      Test results and other health care information from your Practice.

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