Table of Contents
Terms of Service & Use
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All the content on the Website is for informational purposes only, and is not legal advice or a substitute for legal counsel. Website content may or may not reflect the most current health compliance developments.
1.0 Introductions
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- a. websites ("Sites"), including Sightview.com;
- b. cloud-based or licensed on-premise electronic health records systems, including our patient portal, regulatory compliance portal, and associated systems such as practice management systems (collectively, "Systems");
- c. application programing interface ("API") or other interfaces; and
- d. other products and services, such as:
- i. implementation, training, and other professional services;
- ii. data conversion, data extract, and data delivery services and products;
- iii. analytics tools and services;
- iv. reminder and other text messages;
- v. self-service user portals, including customer support messaging platforms;
- vi. knowledge bases and learning platforms, including educational or training programs;
- vii. telehealth and related products and services; and
- viii. patient portals ("Patient Portals").
The Services also include everything provided through or as part of the Services, such as all services, software, and Content (as defined below). To be clear, the Services do not include, and Sightview does not provide, any healthcare services.
1.3. Please read these Terms carefully before you use the Services as they are a legal agreement between Sightview and you once they are accepted. Please also review our Privacy Policy to learn about our information collection, use, and privacy practices associated with the Services.-
- a. represent and warrant that you are an authorized representative of that person or entity with the authority to bind that person or entity to these Terms and to take the actions contemplated in these Terms, where applicable, including on behalf of others (who may include your employer, employees, clients, patients, contractors, relatives, wards, or principals); and,
- b. agree to be bound by these Terms on behalf of that person or entity. References to "You", "Your", and similar terms refer to both you as an individual and, if applicable, such person or entity.
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- a. Sightview does not provide healthcare services. Sightview provides Services to help healthcare providers manage their medical practices, which includes Services that permit patients to interact with their providers. The terms for any healthcare services provided by a provider are as separately agreed upon by the provider and the patient. Sightview is neither a party to nor bound by any such terms.
- b. Limitations on Liability and Claims. These Terms contain important provisions that limit our liability to you and that govern how claims that you and Sightview have against each other may be brought. These provisions will require you to submit claims you have against us to final and binding arbitration and to do so on an individual basis, not as a plaintiff or class member in any purported class or representative action or proceeding.
- c. Transaction You may have signed an Order Form Agreement, Software and Services Agreement, Business Associate Agreement, Master Software License Agreement, Master Service Agreement, Sightview Services and Support Agreement, Automatic Payment Consent Form, or other document with terms and conditions for specified Services ("Transaction Document"). These Terms supplement Transaction Documents.
- d. Service-Specific These Terms contain general terms that apply to all the Services, as well as certain terms that apply only to particular Services ("Service-Specific Terms"). Some Service-Specific Terms are in Appendix A. We also may present to you or post to our Sites additional Service-Specific Terms through the Services that apply to particular features of the Services. To the extent that these Terms conflict with the Service-Specific Terms, the Service Specific terms will control with respect to the Services to which they relate.
- e. Changes to these Terms. We may change these Terms at any time. Unless we say otherwise, changes will be effective upon the last updated date at the top of these Terms. Please check these Terms regularly to ensure that you are aware of any changes to these Terms. We may try to notify you of material changes to these Terms, such as by posting a notice directly on the Services, by sending an email notification (if you have provided your email address to us), or by other reasonable methods. In any event, your use of the Services after changes to these Terms means you have accepted the changes. If you do not agree with the changes, immediately stop using the Services.
- f. Practice Terms and Conditions, Privacy Statements. If you are a patient, your Provider or his or her office may have required you to agree to terms and conditions, privacy statements, or other documents. Those are separate from these Terms. These Terms cover any of the Services you or your Provider use, where any terms and conditions, privacy statements, or other documents your Provider or his or her office have presented you address your Provider's provision of his or her services and his or her office's use and handling of your data and other information.
2.0 Type of User; Accounts
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- a. You will have to create an account to use certain Services, which will require you to provide a username and password or other information. When you create an account, you must provide us with true, accurate, and complete information and keep that information up to date.
- b. You must:
- i. protect your username and password;
- ii. not permit anyone else to use your username and password;
- iii. not use anyone else's username and password;
- iv. not try to gain unauthorized access to any other user's username or password;
- v. notify us immediately if your password is lost or stolen or you become aware of any unauthorized use of your username or password; and
- vi. notify us immediately if you become aware of any unauthorized use of the Services or any other breach of security that might affect the Services.
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- c. You are fully responsible for any activity under your account. We are not responsible for any loss or damage arising from someone else using your username or password or your failure to comply with these Terms.
- d. If you are a Provider, in order to access some features of the Services, you will have to use a login provided to you by Sightview or a user account login provided by your practice administrator.
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- a. The Services are not intended for or directed to children under 18 years old.
- b. If you are between the ages of13 and 18, you may still use the Services, but you must have a parent or legal guardian provide valid and verifiable consent to your use of the Service and accept these Terms and any other terms and conditions required by Sightview. If we determine that the consent provided is invalid or inadequate, we may suspend or terminate your access to or use of the Services.
- c. If you are under the age of 13, your parent or legal guardian may use the Services on your behalf, but you may not use the Service directly.
- d. If you use the Services as or on behalf of a minor, then "you", "yours", and similar terms refer to both:
- i. the parent or legal guardian who provides consent to the use of the Services by such minor or uses the Services on behalf of such minor; and,
- ii. the applicable minor.
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- a. By creating an account, you also consent to receive electronic communications from Sightview (e.g., via email, text message, or by posting notices to the Services). These communications may be sent at any time of day or night and may include operational notices about your account (e.g., payment authorizations, password changes, and other transactional information) and are part of your relationship with us. You agree that any notices, agreements, disclosures, or other communications that we send to you electronically will satisfy any legal communication requirements, including that such communications be in writing. If you are a Patient User, your provider may use the Services to send you electronic communications (including email, text messages, and notices posted in the Services), which could include notifications that you have available a billing statement, clinical result, or other items related to your receipt of healthcare from the provider, and you consent to receive those communications at any time of day or night. You should maintain copies of electronic communications from us by printing a paper copy, saving an electronic copy, or both. We may also send you promotional communications via email or other means, including newsletters, special offers, surveys, and other news and information we think will be of interest to you. You may opt out of receiving these promotional emails at any time by following the unsubscribe instructions provided in such emails.
- b. Where the Apps allows for the delivery of "push notifications" you may opt out of receiving these notifications by changing the notification settings on your device. By downloading and using our Apps, you may also receive promotional messages, offers, news, and information about Sightview or our business partners within the Apps themselves. These "in app" messages are part of our Apps' functionality and cannot be turned off. If you do not want to receive "in app" messages, offers, news, and information, do not download or use the Apps.
3.0 Use of the Services
3.1. Providers. If you are a Provider:
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- a. You and any other professionals treating a patient have the exclusive responsibility for all healthcare services, including any medical decisions or actions with respect to a patient's medical care, and for determining the accuracy, completeness, or appropriateness of any billing, clinical, coding, diagnostic, medical, or other information provided by the Services or any other products or services provided or made available by Sightview. We do not assume any responsibility for how such information is captured, rendered, or used.
- b. You acknowledge and agree that neither the Services nor any other products or services provided by Sightview "recommend", "suggest", or "advise" diagnoses, proper prescribing, or other treatment decisions.
- c. You will not use the Services to collect, or attempt to collect, personal information about other users of the Services or individuals who are not your patients for use in violation of HIPAA (as defined below) or any other applicable law.
- d. You will comply with all applicable laws, including any and all laws in your relevant states and localities, pertaining to the security, confidentiality, and protection of medical records, personally identifying information, protected health information, and sensitive health information as well as your use of the Services.
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- a. Certain Services may permit you to provide information to, receive information from, and otherwise interact with a Provider. Providers, not Sightview, will be solely responsible for any healthcare services, including any care and treatment that is provided or failed to be provided via the Services. Use of the Services, including access to any Content, does not create a provider-patient relationship between you and us.
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- b. All Content is for informational purposes only and is not a substitute for the professional judgment of a healthcare provider.
- c. You agree that Sightview is not responsible or liable for any loss or damage of any sort incurred as the result of any of your interactions with Providers or other entities or individuals, whether online or offline. Sightview is under no obligation to become involved in any dispute between you and any Provider, any other user of the Services, or any other entity or individual, and you indemnify and release the Indemnified Parties (as defined below) from any and all claims, actions, suits, liabilities, demands, losses, and damages (actual or consequential) of every kind or nature, known or unknown, suspected and unsuspected, disclosed or undisclosed, arising out of or in any way related to such disputes or the Service or the features and services in the Services. If you are a California resident, you waive California Civil Code Section 1542, which states: "A general release does not extend to claims that the creditor or releasing party does not know or suspect to exist in his or her favor at the time of executing the release, and that if known by him or her would have materially affected his or her settlement with the debtor or released party."
- d. Restriction Requests on Types of Health Information in Health Summary Document: Your physician reserves the right to decide whether to honor or decline a restriction request. Requests for restrictions that do not comply with HIPAA regulations will not be processed. Additionally, certain data elements are necessary to meet the technical and regulatory requirements of the health care summary. Restriction requests that include these necessary data elements may be declined in the interest of standard compliance and/or safe data exchange.
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- a. Use the Services only as expressly authorized in these Terms;
- b. Use the Services only in accordance with all applicable laws;
- c. Exercise caution, discretion, common sense, and judgment in using the Services and when disclosing information on or through the Services. You are solely responsible for your use of the Services;
- d. Not impersonate another person or entity, falsify account information, or use without permission another person's or entity's information;
- e. Not interfere with anyone else's use of the Services;
- f. Not copy, reproduce, sell, license, rent, lease, distribute, display, transfer, modify, or make derivative works from the Services;
- g. Not remove, alter, or tamper with any copyright, trademark, or other proprietary rights or legal notices associated with the Services, including pertaining to Content;
- h. Not decompile, disassemble, reverse engineer, or otherwise attempt to discover or derive any proprietary software code or information associated with the Services;
- i. Not use the Services to build a competitive product or service;
- j. Not submit, upload, post, or transmit any unsolicited advertising, promotional materials, junk mail, spam, chain letters, pyramid schemes, phishing, or any other form of solicitation;
- k. Not use the Services to defame, harass, abuse, threaten, stalk, or defraud any entity or person;
- l. Not submit, upload, post, or transmit any material that:
- i. you do not have a right to reproduce, display, or transmit, including the right to license us to do the same;
- ii. infringes any patent, trademark, service mark, trade secret, copyright, or other intellectual or proprietary rights of any party; or
- iii. is unlawful, threatening, harassing, abusive, obscene, vulgar, sexually explicit, pornographic, offensive, violent, invasive of another's privacy, publicity, contract, or other rights, tortious, false, or misleading, defamatory, libelous, hateful, discriminatory, or otherwise objectionable (as we may determine);
- m. Not interfere in any way with the operation of the Services or any server, network, or system associated with the Services, including by: hacking, mail bombing, flooding, overloading, or making "denial of service" attacks; probing, scanning, or testing the vulnerability of the Services or any server, network, or system associated with the Services; breaching or circumventing firewall, encryption, security, or authentication routines; accessing data not intended for you; or accessing another's account that you are not expressly authorized to access;
- n. Not use any automated program, tool, or process (including web crawlers, scrapers, robots, bots, spiders, and automated scripts) to access the Services or any server, network, or system associated with the Services, or to extract, collect, harvest, or gather Content or other users' Submissions (as defined below) from the Services in a manner not expressly authorized by us;
- o. Not frame or otherwise create a browser or border environment around any page or Content of the Services or deep-link to any internal page or area of the Services; and
- p. Not attempt to do any of the acts prohibited by this Section 3.3 or assist or permit any person to engage in any of the acts prohibited by this Section 3.3.
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- a. The Services may permit you to submit, upload, post, or transmit messages, text, photos, and other materials on or through the Services ("Submissions"). Submissions do not include Feedback as defined in the Transaction Documents. As between us and you, you own your Submissions. You grant Sightview a worldwide, non-exclusive, sublicensable (through multiple tiers), transferable, royalty-free, perpetual, and irrevocable right to use, reproduce, create derivative works of, display, perform, distribute, and otherwise exploit your Submissions for any and all lawful purposes. You are not entitled to payment for Sightview's or its licensees' use of your Submissions.
- b. Please review our Privacy Policy for details about how we use your Personal Information and Protected Health Information (both as defined in the Privacy Policy) contained in Submissions, including those that are submitted through those Services designed to receive Submissions such as the Systems.
- c. You are solely responsible for your Submissions. By posting a Submission, you represent and warrant that:
- i. You own or otherwise control all of the rights to your Submission, including all intellectual property, moral, and personal rights, and have all rights necessary to grant the rights and licenses in these Terms;
- ii. Your Submission is true and accurate; and
- iii. Your Submission complies with these Terms and applicable laws.
- d. You acknowledge and agree that Sightview has the right to (but does not have to) alter, remove, or refuse to post or allow to be posted any Submission. You may request that Sightview remove your Submission, but we will not be liable for our delay or failure to do so. Sightview takes no responsibility and assumes no liability for any Submission (whether from you or another user) or for altering, removing, or refusing to post your Submission.
- e. Do not disclose any personal, identifying, or health information in your Submissions (other than Submissions that are submitted through those Services designed for such Submissions, such as the Systems, Patient Portal, Kiosk, and APPatient).
3.5. Technology Requirements. You are solely responsible for providing and maintaining, at your own risk, option, and expense, appropriate software, hardware, and other technology needed for you to receive and use the Services, which must comply with any technical, quality, or other requirements we publish or otherwise make available. We may change these requirements at any time upon publication or other notice, with or without prior notice. You acknowledge that Sightview is not responsible for the safeguarding, loss, or recovery of any data stored on your hardware. For example, use of the Services on a mobile device requires a compatible mobile device with at least a certain version of the applicable operating system and internet access. You are solely responsible for these requirements, including any applicable changes, updates, and fees, as well as for complying with the terms of your agreement with your mobile device, internet service, telecommunications, other service providers, and software and app licensors.
3.6. Not Intended for International Use. The Services are intended for use only in the United States of America. If you access or use the Services or contact us from outside of the United States of America: (i) any information you provide to us or that we collect will be transferred to the United States of America; and (ii) by using the Services or submitting information, you authorize its transfer to and processing in and outside of the United States of America in accordance with these Terms, including the Privacy Policy.
3.7. Support. If You are dissatisfied with the Services, please let us know at: support@sightview.com. Your input is important to us.
4.0 Changes to the Services
4.1. Changes and Limitations. We may, with or without notice, and without liability to you or any other user:
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- a. modify, suspend, or terminate the operation of, or any feature of, the Services;
- b. restrict, limit, suspend, or terminate your and any other user's access to the Services;
- c. monitor any user's use of the Services, including to verify compliance with these Terms;
- d. investigate any suspected or alleged misuse of the Services and cooperate with any law enforcement or other governmental entity or any other third parties in such investigation; and,
- e. disclose information about any user's use of the Services in connection with a law enforcement or other governmental entity investigation of alleged illegal activity or in response to a court order or subpoena.
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- a. Sightview may, but does not have to, develop and provide updates for our software Services, which may include upgrades, bug fixes, patches, and other error corrections and new features (collectively, "Updates"). Updates may also change or completely remove certain features and functionality. You agree that Sightview has no obligation to provide any Updates or to continue to provide or enable any particular features or functionality.
- b. Portions of the software Services may not properly operate if you do not install all Updates, so we encourage you to promptly install all Updates. We may also suspend your access to Services until you install certain Updates. For clarity, all Updates are part of the Services and subject to these Terms.
5.1. Your Termination of Services. You may terminate your use of the Services by ceasing to use the Services. If you are a Patient User with an account, please contact your Provider to terminate your account. If you are a Provider, termination is addressed in and subject to the Transaction Documents.
5.2. Our Suspension and Termination of Services. You acknowledge and agree that:-
- a. Sightview may, at any time and without liability, terminate or suspend your access to the Services, in whole or in part, for any reason, including if Sightview determines that you have violated these Terms, a Transaction Document, or any applicable law;
- b. such termination or suspension may happen without prior notice; and,
- c. in the event of such termination or suspension, Sightview may immediately deactivate and terminate your account and remove (or block your further access to) all Submissions stored in or associated with your account.
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- a. all rights granted to you under these Terms will cease; and
- b. you must cease all use of the Services. Any provisions of these Terms that, by their nature should survive the termination of these Terms, will survive.
6.0 Proprietary Rights
6.1. Subject to you complying with these Terms, the Transaction Documents, and any other applicable terms and conditions, we grant you a revocable, conditional, and limited right to access and use the Services, in each case solely for your own personal and non-commercial use (or, if you are a Provider, in connection with your authorized use of the Services as set forth in the Transaction Documents). If the Services permit you to download or print any Content, such Content may be used only by you and only in connection with this purpose. You may not copy or otherwise distribute any such Content. These rights are personal to you and you may not transfer, assign, or sublicense them to others. We may revoke these rights at any time and for any reason (including if you violate these Terms, the Transaction Documents, or any applicable law).
6.2. The Services are the proprietary property of Sightview and its third party licensors and are protected by intellectual property laws. No rights are granted to you except for the express rights granted to you in these Terms and the Transaction Documents. We reserve all rights not expressly granted in these Terms and the Transaction Documents.
6.3. The names, marks, logos, and other identifiers associated with Sightview and its products and services are trademarks or service marks of Sightview and are solely owned by Sightview. Any unauthorized use, reproduction, or distribution of the Services is strictly prohibited and may result in civil and criminal penalties.
6.4. Content. "Content" means all text, data, information, materials, images, photos, graphics, artworks, logos, videos, audios, directories, listings, databases, and other content we provide or make available through the Services. Sightview provides Content and other information from the Services as a convenience. Users relying on Content or other information from the Services do so at their own risk.
6.5. Feedback. If you provide us with any comments, suggestions, ideas, or other feedback (together, "Feedback"), you agree that:
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- a. we have no obligation to use it;
- b. we have an unrestricted right to use and exploit it, including the right to permit others to do both; and,
- c. you are not entitled to receive any compensation.
7.0 Third-Parties Services
The Services may contain links or provide access to third-party websites, products, and services ("Third-Party Services"). Sightview does not approve, sponsor, or endorse any Third Party Services, even if we link or provide access to them or list them on a Site. Sightview is not responsible for and makes no representations or warranties, express or implied, regarding any Third-Party Services. You access and use Third-Party Services solely at your own risk. Third-Party Services may be subject to other terms and conditions and privacy policies (collectively, "Third-Party Services Terms"). You will look solely to, and must bring any rights, claims, or actions you may have related to a Third-Party Service directly against, the provider of that Third-Party Service.
8.0 No Warranties
8.1. THE SERVICES ARE PROVIDED "AS IS" AND "AS AVAILABLE". TO THE FULLEST EXTENT PERMITTED BY LAW, SIGHTVIEW MAKES NO AND DISCLAIMS ALL WARRANTIES WITH RESPECT TO THE SERVICES, WHETHER ORAL OR WRITTEN, EXPRESS, IMPLIED, STATUTORY, OR OTHERWISE, INCLUDING ALL IMPLIED WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, NON INFRINGEMENT, AND TITLE AND ALL WARRANTIES ARISING FROM COURSE OF PERFORMANCE, COURSE OF DEALING, OR USAGE IN TRADE. SIGHTVIEW DOES NOT WARRANT:
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- a. THAT THE SERVICES WILL BE UNINTERRUPTED OR ERROR FREE;
- b. THAT ANY DEFECT OR ERROR WILL BE CORRECTED;
- c. THAT THE SERVICES WILL BE SECURE AND FREE OF VIRUSES OR OTHER HARMFUL COMPONENTS;
- d. THAT ANY CONTENT OR INFORMATION PROVIDED BY OR THROUGH THE SERVICES WILL BE CURRENT OR ACCURATE;
- e. AGAINST ANY LOSS OR CORRUPTION OF ANY DATA OR SUBMISSIONS; OR,
- f. THAT A PARTICULAR PRODUCT, SERVICE, OR PROVIDER IN CONNECTION WITH THE SERVICES WILL BE AVAILABLE TO YOU. ANY CONTENT OR INFORMATION PROVIDED BY OR THROUGH THE SERVICES IS INTENDED AS A SUPPLEMENT TO, AND NOT A SUBSTITUTE FOR, THE KNOWLEDGE, SKILL, AND JUDGMENT OF HEALTHCARE PROFESSIONALS. YOUR USE OF THE SERVICES IS ENTIRELY AT YOUR OWN RISK.
8.2. SIGHTVIEW MAKES NO GUARANTIES, REPRESENTATIONS, OR WARRANTIES OF ANY KIND REGARDING THE COMPLETENESS OR ACCURACY OF ANY POPULATION HEALTH DATA OR OTHER INFORMATION PROVIDED BY THE SERVICES. THE POPULATION HEALTH DATAAND OTHER INFORMATION PROVIDED BY THE SERVICES IS NOT INTENDED AS LEGAL ADVICE AND ALL LEGAL INQUIRIES SHOULD BE DIRECTED TO YOUR LEGAL COUNSEL. SIGHTVIEW DISCLAIMS LIABILITY FOR ANY DAMAGES OF ANY NATURE WHATSOEVER, DIRECTLY OR INDIRECTLY, RESULTING FROM YOUR USE OF OR RELIANCE ON ANY INFORMATION PROVIDED BY THE SERVICES.
9.0 Limitations of Liability
9.1. IN NO EVENT WILL WE (WHICH, AS A REMINDER, INCLUDES OUR AFFILIATES) OR ANY OF OUR RESPECTIVE OFFICERS, DIRECTORS, EMPLOYEES, AGENTS, REPRESENTATIVES, ADVISORS, CONTRACTORS, OR CONSULTANTS BE LIABLE TO YOU (WHETHER UNDER CONTRACT, TORT, NEGLIGENCE, STRICT LIABILITY, WARRANTY, OR ANY OTHER THEORY) FOR: (i) ANY INDIRECT, INCIDENTAL, EXEMPLARY, SPECIAL, PUNITIVE, OR CONSEQUENTIAL DAMAGES (INCLUDING LOSS OF USE, DATA, OR INFORMATION OF ANY l<IND) ARISING OUT OF OR RELATED TO YOUR USE OF THE SERVICES, EVEN IF ADVISED OF THE POSSIBILITY OF SUCH LOSS OR DAMAGES OR (ii) DAMAGES ARISING OUT OF OR RELATING TO THESE TERMS EXCEEDING, IN THE AGGREGATE FOR ALL CLAIMS, THE GREATER OF: (a) THE AMOUNTS PAID BY YOU, IF ANY, FOR THE SERVICES ASSOCIATED WITH THE CLAIM IN THE 3 MONTHS PRIOR TO THE EVENTS GIVING RISE TO SUCH CLAIM OR (b) $100.
9.2. EACH PROVISION OF THESE TERMS THAT PROVIDES FOR A LIMITATION OF LIABILITY, DISCLAIMER OF WARRANTIES, OR EXCLUSION OF DAMAGES IS INTENDED TO AND DOES ALLOCATE THE RISKS BETWEEN THE PARTIES. THIS ALLOCATION IS AN ESSENTIAL ELEMENT OF THE BASIS OF THE BARGAIN BETWEEN THE PARTIES. EACH OF THESE PROVISIONS IS SEVERABLE AND INDEPENDENT OF ALL OTHER PROVISIONS OF THESE TERMS. THE LIMITATIONS IN THESE TERMS WILL APPLY EVEN IF ANY LIMITED REMEDY FAILS OF ITS ESSENTIAL PURPOSE.
9.3. EXCEPT TO EXTENT PROHIBITED BY APPLICABLE LAW, SIGHTVIEW'S LIABILITY TO YOU IS LIMITED AS SET FORTH IN THIS SECTION 9. BECAUSE SOME STATES DO NOT ALLOW THE EXCLUSION OR LIMITATION OF LIABILITY FOR CONSEQUENTIAL, INCIDENTAL, OR OTHER DAMAGES OR TOTAL LIABILITY, THE ABOVE LIMITATIONS MAY NOT APPLY TO YOU.
10.0 User Indemnity
In addition to any indemnification obligations you may have, you will indemnify us (which, as a reminder, includes affiliates) and our respective officers, directors, employees, agents, representatives, advisors, contractors, and consultants (collectively, "Indemnified Parties") from and against any and all claims, actions, suits, demands, liabilities, damages, losses, penalties, interest, fines, costs, and expenses (including reasonable attorneys' fees and legal costs) arising out of or related to: (i) your use of, your inability to use, or your reliance upon the Services or any of its components or any other products or services of Sightview; (ii) your Submissions and Feedback; or (iii) your violation of these Terms, the Transaction Documents, or any applicable law. You agree to provide us with such cooperation as we reasonably request related to any such claims, actions, suits, or demands.
11.0 Limitations on Claims; Agreement to Arbitrate
11.1. Disputes Subject to Arbitration. Please read the following section carefully because it requires you to arbitrate Disputes with Sightview (which, as a reminder, includes affiliates) and our respective owners, stockholders, officers, directors, employees, representatives, and agents (collectively, the "Sightview Parties") and limits the manner in which you may seek relief from us, including a class action waiver. This section 11 applies to all Disputes (unless excluded under section 11.3) between you and the Sightview Parties. "Dispute" means disputes, claims, suits, actions, causes of action, controversies, demands, or proceedings arising out of or related to these Terms or the Services in any way, whether directly or indirectly, or to the relationship between the parties resulting from these Terms or the Services. If you are a Provider, dispute resolution is instead addressed in and subject to the Transaction Documents.
11.2. Waiver of Jury Trial and Right to Pursue Class Action Claims. By entering into these Terms, the parties are each waiving the right to trial by jury or to participate in a class or representative action. These Terms evidence a transaction in interstate commerce, and thus the Federal Arbitration Act governs the interpretation and enforcement of this arbitration provision.
11.3. Exclusions. This arbitration agreement does not preclude any party from seeking a preliminary injunction or temporary restraining order, pending arbitration, in any court that has competent jurisdiction. Nor does this arbitration agreement bar a party from bringing issues to the attention of federal, state, or local agencies.
11.4. Notice of Disputes. The parties will try in good faith to settle any Dispute within 30 days after the Dispute arises. If either you or Sightview intends to seek arbitration of a Dispute, then that party must provide the other with notice in writing. The notice to Sightview should be sent to the following address: Sightview, Attn: General Counsel, 4850 T-Rex Avenue, Suite 200, Boca Raton, Florida 33431. Sightview will send notice to you at the mailing address or email address associated with your account, if applicable. Your notice to Sightview must: (i) provide your name, mailing address, and email address; (ii) describe the Dispute; and (iii) set forth the relief you are requesting. If the parties are unable to reach an agreement to resolve the Dispute within 60 days after the notice is received, the party that sent the notice may commence arbitration.
11.5. No Class Arbitration. The arbitrator may award declaratory or injunctive relief only in favor of the individual party seeking relief and only to the extent necessary to provide relief warranted by that party's individual claim. You and Sightview agree that each may bring claims against the other in arbitration only in its individual capacity, and not as a plaintiff or class member in any purported class or representative proceeding. If a court decides that applicable law precludes enforcement of any of this section's limitations as to a particular cause of action or any particular remedy, then that cause of action or particular remedy (and only that cause of action or particular remedy) must remain in court and be severed from any arbitration.
11.6. Arbitration Procedures. The arbitration will be administered by the American Arbitration Association ("AAA") and governed by the AAA's Commercial Arbitration Rules ("AAA Rules"), as modified by these Terms. The AAA Rules are available online at www.adr.org. If the AAA is unavailable, the parties will agree to another arbitration provider or a court of competent jurisdiction will appoint a substitute.-
- a. Location of Arbitration. Unless the parties agree otherwise, any arbitration hearings will take place in the county (or parish) of your principal place of business or residence, as applicable.
- b. Issues for Arbitrator. All issues are for the arbitrator to decide, except that issues relating to the scope and enforceability of any of this arbitration agreement or the arbitrability of Disputes are for a court of competent jurisdiction to decide.
- c. Written Regardless of the manner in which the arbitration is conducted, the arbitrator will issue a reasoned written decision sufficient to explain the essential findings and conclusions on which the award is based.
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- a. $75,000 or less, Sightview will pay your share of any such AAA fees;
- b. between $75,000 and $300,000, your share of any such fees will be capped at $200; and,
- c. $300,000 or more, the allocation of AAA fees will be governed by the AAA Rules. If an arbitrator finds that either the substance of your claim or the relief sought is frivolous or brought for an improper purpose (as measured by the standards in Federal Rule of Civil Procedure 11(b)), then the payment of all AAA fees will be governed by the AAA Rules. In such cases, the arbitrator may direct you to reimburse Sightview for amounts that Sightview paid on your behalf.
11.8. Limitation on Time to Bring an Action. You agree that regardless of any law to the contrary, you must file any Dispute within 1 year after such Dispute arose or such Dispute will be forever barred.
11.9. Enforcement. Judgment on the award may be enforced by any court having jurisdiction over the award, the applicable party, or its assets.
12.0 Miscellaneous
12.1. Notice. Sightview may provide you with notices, including those regarding changes to these Terms, by postings on the Sites or in the other Services or by other means (e.g., via email).
12.2. Governing Law; Venue. These Terms and any Dispute between you and Sightview arising out of or relating to the Services or these Terms will be governed by and construed in accordance with the laws of the State of North Carolina, without regard to any provision of North Carolina law that would require or permit the application of the substantive law of another jurisdiction. Any Dispute between the parties that is not subject to arbitration or cannot be heard in small claims court, will be resolved on an individual basis in the state or federal courts of the State of North Carolina and the United States, respectively, sitting in Durham County, North Carolina. If you are a United States city, county, or state government entity, then the following applies instead of the language above: the parties agree to remain silent regarding governing law and venue.
12.3. Waiver. A waiver of a provision of these Terms must be in writing and signed by the party entitled to the benefit of such provision. Sightview's failure to exercise or enforce any right or provision of these Terms will not constitute a waiver of such right or provision.
12.4. Severability. If any provision of these Terms is declared void or unenforceable by any judicial or administrative authority, the parties will replace such provision with a substitute that as closely as possible reflects the parties' original intent (including economics and allocations of risk) and is enforceable, and the validity of the other provisions and of these Terms as a whole will not be affected.
12.5. Independent Contractor. No joint venture, partnership, employment, or agency relationship exists between you and Sightview as a result of these Terms or use of the Services.
12.6. Interpretation. Headings used in these Terms are for convenience only and will not be used in interpreting these Terms. These Terms will be deemed to be drafted by both parties and will not be construed against either party. Unless the context otherwise requires, the term "include" (and its variants) are to be construed as inclusive, not exclusive, and are deemed to be followed by the words "without limitation."
12.7. Force Majeure. Sightview will not be liable for failure or delay in performing its obligations if such failure or delay is due to a force majeure event or other circumstances beyond Sightview's reasonable control, including acts of any governmental body, war, cyber war or attack, terrorism, insurrection, sabotage, embargo, fire, flood, severe weather, earthquake, tornado, hurricane, labor disturbance, interruption of or delay in the internet or transportation, unavailability of third-party services, failure of third-party software or services, or inability to obtain raw materials, supplies, or power used in or equipment needed for provision of the Services or any other products or services contemplated by these Terms or any of the Transaction Documents.
12.8. Disclosures. The Services are offered by Sightview, Inc. (and its affiliates), located at 555 South Mangum Street, Suite 100, Durham, North Carolina 27701, email: SightviewMatters@Sightview.com, Telephone: 919-205-5907. If you are a California resident, you may have this same information emailed to you by sending a letter to the foregoing address with your email address and a request for this information.
12.9. Questions and Comments. If you have a question or comment regarding the Services, please contact us via email or at the address below. We value your input.-
- Sightview Software
Attn: Chief Legal Officer
555 South Mangum Street, Suite 100
Durham, NC 27701
919-205-5907
SightviewMatters@Sightview.com
- Sightview Software
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- a. sharing comparative user experiences that may affect patient care;
- b. developing best practices for health information technology implementation and clinician use;
- c. reporting of health information technology-related adverse events, hazards, and other unsafe conditions;
- d. reporting issues related to interoperability, information blocking, and data portability;
- e. conducting research studies for peer-reviewed journals; and (vi) participating in cyber threat sharing activities.
13.0 Digital Millennium Copyright Act Compliance
13.1. If you are a copyright owner (or an agent of a copyright owner) and believe that any third-party content on the Services infringes your copyrights, you may submit a notification pursuant to the Digital Millennium Copyright Act ("DMCA") by providing our Copyright Agent with the following information in writing (see 17 U.S.C. § 512(c)(3) for further detail):
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- a. A physical or electronic signature of a person authorized to act on behalf of the owner of an exclusive right that is allegedly infringed;
- b. Identification of the copyrighted work claimed to have been infringed, or, if multiple copyrighted works on the Services are covered by a single notification, a list of such works from the Services;
- c. Identification of the material that is claimed to be infringing or to be the subject of infringing activity and that is to be removed or access to which is to be disabled, and information reasonably sufficient to permit Sightview to locate the material;
- d. Information reasonably sufficient to permit Sightview to contact the complaining party, such as an address, telephone number, and, if available, an electronic mail address at which the complaining party may be contacted;
- e. A statement that the complaining party has a good faith belief that use of the material in the manner complained of is not authorized by the copyright owner, its agent, or the law; and
- f. A statement that the information in the notification is accurate, and under penalty of perjury, that the complaining party is authorized to act on behalf of the owner of an exclusive right that is allegedly infringed.
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- Sightview Software
Attn: Chief Legal Officer
555 South Mangum Street, Suite 100
Durham, NC 27701
919-205-5907
SightviewMatters@Sightview.com
- Sightview Software
APPENDIX A SERVICE-SPECIFIC TERMS
1. Alert Messages.- 1.1. Alerts are an automated, text message service intended to provide short message service (SMS) alerts about the status of certain Sightview services, such as system updates and service issues.
- 1.2. To receive Alerts, you must opt-in. After we receive your opt-in, we will send you an SMS message to confirm your registration. To complete registration and receive Alerts, you must respond as directed in the SMS message.
- 1.3. If you are registering someone other than yourself, then you represent and warrant that you have permission from that person to register them and provide Sightview their mobile number or otherwise have the authority to do so. Without limiting your other indemnification obligations, you and the company, practice, person, or other entity you are employed by, own, or represent will indemnify the Indemnified Parties from all claims, actions, suits, demands, liabilities, damages, losses, penalties, interest, fines, costs, and expenses (including reasonable attorneys' fees and legal costs) arising out of or related to your registration of another person.
- 1.4. Standard message and data rates may apply. Alerts messages recipients may opt-out at any time by replying "STOP" to any SMS. Please note that there may be a delay in applying an opt-out request. Alerts messages will be in English only. Technical restrictions apply.
- 2.1. Our Analytics Services allows Providers to analyze certain clinical, operational, and financial data in our Systems.
- 2.2. You and your users will follow all guidelines, protocols, and procedures specified by Sightview related to Analytics. You and your users are solely responsible for the accuracy, quality, integrity, legality, reliability, and appropriateness of any measures, information, data, or materials. You and the company, practice, person, or other entity you are employed by, own, or represent will cause all users to comply with these Terms.
- 2.3. Unless otherwise expressly provided in the Transaction Documents: (i) only one of a Provider's named authorized users is permitted to use Analytics ("Authorized Analytics User"); (ii) we must agree to any change in your Authorized Analytics User; and (iii) the Authorized Analytics User may not be a physician. We may require additional fees to increase the number of Authorized Analytics Users or change the identity of any Authorized Analytics User. We may also require you to take different or additional actions to become an Authorized Analytics User.
- 2.4. If you or any of your healthcare providers have elected to participate in any of Sightview's specialized registries, then we may provide certain population health data and statistics regarding such data to you through Analytics. In such case:
- a. the Authorized Analytics User must share such data and analysis with you and each of your healthcare providers participating in such registries;
- b. such providers will not use Analytics (unless such provider is an Authorized Analytics User); and,
- c. the Authorized Analytics User will only provide such providers with such data and analysis through a means other than through Analytics.
- 2.5. lf we provide any measures, information, data, or materials of third parties (whether or not aggregated with any of your measures, information, data, or materials) to you or your users through Analytics, a dashboard, or any other means, then you and your users will: (i) treat all such information as Sightview's confidential information; (ii) not provide such information to third parties; and (iii) only use such information for your internal business purposes.
- 2.6. Analytics is designed solely as a reference for practicing healthcare professionals and, as such, it may integrate clinical and financial information with other information of multiple origins. Sightview is not responsible for the accuracy of any information you obtain from Analytics or for any damages resulting from your or your users' use or misuse of such information.
- 2.7. You acknowledge and agree that:
- a. Sightview is not a healthcare provider;
- b. The treatments, procedures, information, medications, products, and other matters referenced by Analytics are not intended as a recommendation or endorsement of any course of treatment, procedure, information, product, or medication;
- c. You are responsible for verifying the accuracy, interpreting, and the use of the results produced using Analytics; and
- d. You are responsible for undertaking backup procedures to protect against loss or error resulting from use of Analytics.
- e. You have no ownership rights in Analytics.
- f. You will not sublicense, publish, display, disclose, rent, lease, modify, loan, distribute, or create derivative works of Analytics or any part of Analytics. You may not transfer Analytics.
- g. You will not reverse engineer, decompile, disassemble, translate, or adapt Analytics, nor will you attempt to create the source code from the object code of Analytics unless explicitly permitted by law.
- h. You will have no right to grant sublicenses or to assign the benefit or burden of those portions of these Terms related to Analytics, in whole or in part.
- i. You will discontinue use and destroy or return all copies of Analytics on termination of your right to use Analytics.
- 2.8. Analytics is powered by and uses software from certain third parties.
- 3.1. Our API Services permit a party to access and send data, information, or other content stored or to be stored in the Systems. By using or accessing any API Services, you agree to be bound by the applicable API Terms of Use.
- 4.1. Certain of the Services may permit you to provide, collect, store, and transfer certain biometric information, such as voice and sound files and recordings.
- 4.2. When you record your voice using the microphone recording feature in a System or Systems-based Apps or in non-Systems learning environments, you and Sightview collect and store your voiceprint. Your voiceprint is biometric data under certain laws governing the collection, use, storage, and disclosure of biometric data. By using such a feature, you agree that you have been advised of, and understand that:
- a. you, Sightview, and our agents and contractors may collect, use, store, and disclose biometric data for the purposes described in these Terms; and,
- b. any recording functionality or services outside of the Systems (including those in non-Systems learning environments) may not be HIPAA compliant. Do not use any recording functionality outside the Sightview-approved functionality provided in the Systems for use with the Services (e.g., do not use your electronic device's native recording functionality).
- 4.3. You and Sightview may utilize the voiceprint in your recordings to transcribe text for a patient's medical record, to improve the microphone feature, and for other purposes, including product improvement and development.
- 4.4. If you are a Provider, you are solely responsible for complying with all requirements for the collection and use of anyone's biometric information (e.g., your users and patients), including by obtaining all required rights and consents, for vetting any Third-Party Services receiving, processing, or otherwise using such information, and entering into and complying with any associated Third-Party Services Terms.
- 5.1. Our Self-Service Portals may be available for users of our Systems, which provides users with access to, among other things, a knowledgebase, customer support request portal (which permits you to submit and track support requests), collaborative community groups and discussion forums, and an idea exchange board.
- 5.2. To use the Self-Service Portals, you must create an account, which will require you to submit contact and practice information. Before accessing the Self-Service Portals, your account must be activated by Sightview or, in some cases, another user from your practice.
- 5.3. For further information on Sightview's support of your Systems, please consult the Transaction Documents.
- 5.4. Sightview also offers you the opportunity to provide Feedback. Sightview may allow you to provide Feedback on other users' Feedback, such as by voting on future enhancements. We appreciate, but are not obligated to respond to or use, any Feedback. Any responses to Feedback are not and do not create any obligations or expectations that we will further consider any such Feedback.
- 5.5. For Content provided in Self-Service Portals, you and your users will:
- a. treat all such Content as Sightview's confidential information;
- b. not provide such Content to third parties; and,
- c. only use such Content for your internal business purposes.
- d. To be clear, nothing in these Terms should be construed to restrict or prohibit you or anyone else from disclosing to any person information relating to the performance of the Services, including for patient safety, public health, and quality improvement purposes, including for:
- i. sharing comparative user experiences that may affect patient care;
- ii. developing best practices for health information technology implementation and clinician use;
- iii. reporting of health information technology-related adverse events, hazards, and other unsafe conditions;
- iv. reporting issues related to interoperability, information blocking, or data portability;
- v. your participation in research studies for peer-reviewed journals; and,
- vi. participating in cyber threat sharing activities.
- 5.6. Users may receive points, badges, levels, etc. for participating in discussion forums and other activities within the Self-Service Portals. Any such points, badges, levels, or other items:
- a. will be awarded, removed, changed, or otherwise managed in Sightview's sole discretion;
- b. are for entertainment purposes only; and
- c. have no monetary or other value.
- 6.1. IF YOU HAVE OR THINK YOU MIGHT BE HAVING A MEDICAL EMERGENCY OR URGENT MEDICAL PROBLEM, IMMEDIATELY DIAL 911.
- 6.2. Our Patient Portal functionality permits Providers to allow existing patients to create personal, patient-portal accounts to facilitate registration, appointment scheduling, secure messaging, bill payment, and other patient engagement activities between the Provider and the patient.
- 6.3. Patient Portal is available only to patients under the active care of a Provider. Your healthcare provider must activate your Patient Portal account. To use Patient Portal, your healthcare provider will provide you with a username and password or will email you a link you can use to register. If you are sent a link, you will be required to verify your first and last name and date of birth to establish your Patient Portal account.
- 6.4. Your healthcare provider may disable your Patient Portal account at any time.
- 6.5. If you are a Patient User, you acknowledge and agree:
- a. that all communication through the Patient Portal is between you and the Provider;
- b. Sightview has no responsibility or liability for your activity and communications using the Patient Portal;
- c. your healthcare provider may send you messages, reports, billing statements, and other information via the Patient Portal regarding your healthcare and the provider-patient relationship, including diagnosis and treatment, and you consent to receive these messages at any time of day or night;
- d. that healthcare providers are communicating solely with you about your own personal conditions and that your asking for advice on behalf of another person could potentially be harmful and is prohibited; and
- e. that it is your responsibility to monitor and respond to these messages and that we will not be responsible, and you will not hold us liable, for any loss, injury, or claims of any kind resulting from your failure to read or respond to these messages, your failure to comply with any treatment recommendations or instructions from your healthcare provider, or your compliance with any treatment recommendations or instructions from your healthcare provider.
- 7.1. We provide Providers with access to and use of our Systems and associated systems and services such as practice management systems.
- 7.2. Systems are governed by the Transaction Documents and these Terms supplement the Transaction Documents.
- 7.3 These Terms also apply to patient-facing products that we make available, such as the Patient Portal.
- 7.4. You agree that Sightview:
- a. may use data and information provided by you through the Systems to create de-identified data in accordance with the Health Insurance Portability and Accountability Act of 1996, (Pub. L. 104-191, August 21, 1996, 110 Stat. 1936), 42 U.S.C. § 1320d -1320d-8, as amended ("HIPAA");
- b. may use, create, sell, provide to third parties, and otherwise commercialize such data that has first been de-identified in accordance with HIPAA or that is not Protected Health Information (as defined by HIPAA); and,
- c. owns all right, title, and interest in such de identified data and any data, information, and material created by Sightview with such de-identified data.
- 7.5. Certain Third-Party Services, such as third-party software embedded within the Systems, may be subject to Third-Party Services Terms. Your use of such Third-Party Services constitutes your acceptance of such Third-Party Services Terms and your continued use of such Third-Party Services constitutes your acceptance of any changes to such Third-Party Services Terms.
- 8.1. IF YOU HAVE OR THINK YOU MIGHT BE HAVING A MEDICAL EMERGENCY OR URGENT MEDICAL PROBLEM, IMMEDIATELY DIAL 911. THE USE OFTELEHEALTH SERVICES MIGHT NOT BE APPROPRIATE FOR ALL MEDICAL CONDITIONS OR CONCERNS.
- 8.2. Our telehealth Services permit Providers to allow existing patients to send information to, receive information from, and otherwise interact with a Provider, whether via an App or other technology over the internet. Providers may use telehealth Services to deliver healthcare services when the Provider and the patient are not in the same physical location and, with certain telehealth Services, when the Provider and the patient or are not available at the same time. Telehealth Services should not be used to treat urgent or emergency medical conditions.
- 8.3. If you are a Provider:
- a. Depending on the telehealth Service, you may have to activate it for you and your patients to use it.
- b. Without limiting your other obligations in these Terms, you are solely responsible for reviewing and responding to any and all messages sent by your patients and for any and all medical advice, treatment decisions, or other exercises of your professional medical judgment including determining:
- i. whether a patient should receive healthcare services via telehealth Services; and,
- ii. if so, what healthcare services are necessary and appropriate.
Sightview does not make any representations or warranties that the information you can or do receive in connection with the telehealth Services is or will be sufficient to support your provision of services to your patients. Without limiting your other indemnification obligations, you and the company, practice, person, or other entity you are employed by, own, or represent will indemnify the Indemnified Parties from all claims, actions, suits, demands, liabilities, damages, losses, penalties, interest, fines, costs, and expenses (including reasonable attorneys' fees and legal costs) arising out of or related to any medical malpractice or similar claim brought against the Indemnified Parties by any third party relating to the care or treatment provided by you to your patients in connection with the telehealth Services.
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- c. You are solely responsible for determining, obtaining, and maintaining all consents required to:
- i. provide care, treatment, or advice to your patients, including any informed consent or similar treatment consents that may be required by applicable law; and,
- ii. use and bill for any telehealth Services with your patients.
Sightview do not make any representations or warranties that anything we provide, including any sample consent language, meets any requirements for billing (including those for Medicare or state Medicaid programs or others related to remote patient monitoring codes) or for you to provide care to your patients under applicable law and standards governing patient consent for medical treatment - d. You acknowledge and agree that:
- i. Your use of the telehealth Services may be subject to various laws, including those applicable to the practice of medicine, the use of telehealth technology in the provision of medical care and treatment to patients, and the use and disclosure of patient information.
- ii. Payment or reimbursement from patients or governmental, commercial, or other third-party payors for services you provide using telehealth Services may be limited or unavailable under applicable laws or the terms and conditions of any agreement between you and any governmental or commercial payor, and that such laws may be changed, modified, or waived by the relevant governmental
- iii. You are solely responsible for determining whether: (i) your and your patient's use of the telehealth Services comply with all applicable laws and professional guidelines and standards, including all applicable privacy, telemedicine, and telehealth regulations and requirements pertaining to practitioner licensing, practice standards, technology standards, in-person consultations, prescribing and patient consents, and the terms and conditions of any agreement between you and any governmental or commercial payor, and (ii) you will be able to obtain payment or reimbursement for services using telehealth Services.
- iv. Sightview makes no guarantees, representations, or warranties of any kind that:
- (1) your use of the telehealth Services will comply with applicable laws, professional guidelines or standards, or the terms and conditions of any agreement between you and any governmental or commercial payor; or,
- (2) you will be able to receive payment or other reimbursement for services provided using the telehealth Services.
- v. Sightview will have no responsibility or liability for:
- (1) your failure to comply with any laws, professional standards or guidelines, or with the terms and conditions of any agreement between you and any governmental or commercial payor or
- (2) your delay or failure to receive payment or other reimbursement for services provided using the telehealth Services.
- c. You are solely responsible for determining, obtaining, and maintaining all consents required to:
- 8.4. If you are a Patient User:
- a. ANY CARE OR TREATMENT DECISIONS WILL BE MADE SOLELY AND EXCLUSIVELY BY YOUR HEALTHCARE PROVIDER AND SIGHTVIEW WILL HAVE NO RESPONSIBILITY OR LIABILITY FOR SUCH CARE AND TREATMENT, INCLUDING ANY RESULTS OF SUCH CARE AND TREATMENT OR ANY MEDICAL MALPRACTICE OR SIMILAR DAMAGES OR CLAIMS YOU MAY ASSERT AGAINST YOUR HEALTHCARE PROVIDER. SIGHTVIEW WILL HAVE NO RESPONSIBILITY OR LIABILITY FOR YOUR HEALTHCARE PROVIDER'S DELAY OR FAILURE TO RESPOND TO A TELEHEALTH REQUEST, TO NOTIFY YOU THAT USE OF THE TELEHEALTH SERVICES ARE NOT AVAILABLE, OR TO PROVIDE YOU WITH NEXT STEPS OR FOLLOW-UP INFORMATION.
- b. When using telehealth Services, you will be sending information for a consultation with your healthcare provider using electronic communications, information technology, or other means when not in the same physical location. Telehealth Services may be used for diagnosis, treatment, follow-up, and patient education as your healthcare provider deems appropriate.
- c. If you access the telehealth Services from an App, such App or other Services may be subject to additional Your healthcare provider may disable telehealth Services at any time.
- d. PLEASE NOTE THAT YOUR HEALTHCARE PROVIDER MAY CHARGE YOU, YOUR HEALTH INSURANCE PROVIDER, OR BOTH (AS APPLICABLE), FOR TELEHEALTH SERVICES. You agree that you are:
- i. fully responsible for payment for all fees billed to you related to telehealth Services; and,
- ii. responsible for asking any questions that you may have about and fully understanding your financial responsibility before using telehealth Services. Please contact your healthcare provider or insurance provider for any questions regarding fees, billing, or insurance coverage for telehealth Services.
- e. In some cases, telehealth Services may not be the most appropriate way for you to seek medical care and treatment. For example, certain medical conditions may require an in-person procedure, more urgent attention, or a healthcare provider other than your healthcare provider using telehealth Services.
- i. We may ask you a series of initial questions before you are able to use certain telehealth Services to try and help you determine whether the use of such telehealth Service is appropriate. Based on your responses to these questions, we may determine that such telehealth Service may not be appropriate for the particular issue for which you are seeking to use such telehealth Service or for other reasons related to your health status. In such a case:
- (1) you will receive an alert notifying you that you will be unable to use such telehealth Service for the particular issue you submitted;
- (2) your request to use such telehealth Service will not be submitted to your healthcare provider;
- (3) your healthcare provider will not receive any of the information that you submitted; and,
- (4) you will need to seek any needed care in another way.
- i. We may ask you a series of initial questions before you are able to use certain telehealth Services to try and help you determine whether the use of such telehealth Service is appropriate. Based on your responses to these questions, we may determine that such telehealth Service may not be appropriate for the particular issue for which you are seeking to use such telehealth Service or for other reasons related to your health status. In such a case:
- f. Your use of the telehealth Services may have the following possible benefits:
- i. Making it easier and more efficient for you to access medical care and treatment for the conditions treated by your healthcare provider;
- ii. Allowing you to obtain medical care and treatment by your healthcare provider at times that are convenient for you; and
- iii. Enabling you to interact with your healthcare provider without the necessity of an in-office appointment.
- g. Although your use of the telehealth Services may provide you potential benefits, there are also potential risks. These risks include:
- i. The information transmitted to your healthcare provider may not be sufficient (e.g., poor image resolution) to allow your healthcare provider to make an appropriate medical
- ii. Your healthcare provider's inability to conduct certain tests or assess vital signs in-person may in some cases prevent the provider from providing a diagnosis or treatment or from identifying the need for emergency medical care or treatment for you.
- iii. Your healthcare provider may not be able to provide medical treatment for your particular condition and you may be required to seek alternative healthcare or emergency care services.
- iv. Delays in medical evaluation/treatment or a failure to obtain needed treatment could occur due to unavailability of your healthcare provider, deficiencies or failures of the technology or electronic equipment used, a transmission delay or failure, issues with the internet or other communications means, or for other reasons.
- v. The electronic systems, public networks, or security protocols or safeguards used in the Services could fail, causing a breach of privacy of your medical or other information.
- vi. Your healthcare provider's diagnosis and treatment options, especially pertaining to certain prescriptions, may be limited.
- vii. A lack of access to all of your medical records may result in adverse drug interactions or allergic reactions or other judgment errors.
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- h. By using the telehealth Services, you also represent and warrant the following:
- i. Your healthcare provider has discussed the use of the telehealth Services with you, including the benefits and risks of such use and the alternatives to the use of the telehealth Services, and you have provided consent to your healthcare provider for the use of the telehealth Services.
- ii. You understand that the use of the telehealth Services involves electronic communication of your personal medical information to your healthcare providers who may be located in other areas, including outside of the state in which you reside, and that the electronic systems, public networks, or security protocols or safeguards used in the Services could fail, causing a breach of privacy of your medical or other information.
- iii. You understand that it is your duty to provide truthful, accurate, and complete information, including all relevant information regarding care that you may have received or may be receiving from other healthcare providers or outside of the Services.
- iv. You understand that your healthcare provider may determine that your condition is not suitable for diagnosis or treatment using the telehealth Services and that you may need to seek medical care and treatment from your healthcare provider, a specialist, or other healthcare provider outside of the telehealth Services.
- v. You acknowledge that some photographic or other images you submit using the telehealth Services that will be shared with your healthcare provider may include portions of or all of your breast or genitalia, and your healthcare providers will receive such images solely for the purposes of such Providers providing you medical care and treatment via the telehealth Services.
- vi. You understand the risks and benefits of the telehealth Services and its use in the medical care and treatment provided to you by your healthcare provider.
- vii. No potential benefits from the use of the telehealth Services, care provided via the telehealth Services, or specific results can be guaranteed. Your condition may not be cured or improved and in some cases may get worse.
- h. By using the telehealth Services, you also represent and warrant the following: