Patient Consent for use of Electronic Messages revised 01/2012
What are Electronic Messages?
For the purpose of this consent, electronic messages include use of facsimile (fax), recorded phone messages such as voice mail and messages left on an answering machine, e-mail, and contact through a web site.
Use of Electronic Messages:
Use of an electronic messaging system is often very efficient. Dr. Ricca's office will do its very best to maintain the respect and privacy every patient deserves. Dr. Ricca's staff will make every effort to save any electronic message it receives in the appropriate patientís chart.
Access to Electronic Messages: Any person who has appropriate, authorized access to the patientís medical records will have access to the electronic messages stored in that patientís chart. This includes Dr. Ricca, his staff, occasionally insurance carriers, workers compensation carriers, attorneys, government auditors, etc.
Risks of Electronic Messages: Use of electronic messages, however, has unique risks. An electronic message could be inadvertently sent to or received by an unintended third party. It is very easy to misaddress an email. Electronic messages can be stored even though the sender and receiver deleted their copies. The world wide web (www.) is not a secure environment and messages can be intercepted, altered, forwarded without authorization or detection. Messages can be used to introduce computer viruses, which can be forwarded to many individuals without the knowledge of the sender.
If You Use Electronic Messaging: If you use electronic messaging to contact us, please always include your name and birth date. On phone messages, please also include the time of your call. If you do not get a response within a reasonable amount of time, please contact Dr. Ricca's office to make sure your message got to the intended recipient. Each time you receive an electronic message from Dr. Ricca's office, please respond to it so we know you got the message.
When NOT to Use Electronic Messaging: Please DO NOT use electronic messaging for any time sensitive information. If you have an emergency or think that your problem just cannot wait, please call 911 or go to the closest Emergency Department. If you have a significant problem that needs attention and is not an emergency then please call our office. After hours you will be provided the number to our answering service on our recorded message. The answering service will contact the physician on call. Do not use electronic messaging for information that is very personal and sensitive to you. Discuss this directly with Dr. Ricca.
710 Marion Street, Suite 303 Searcy, AR 72143 Ph: 501/278-8330 Fax: 501/278-8331