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Patient Portal Agreement

This account is for the patient. For parents/legal guardians of patients under 16 years of age, the parent should have a proxy account along with the account of the patient. The proxy account can be set up at the next office visit.

In consideration of participation, I understand and agree to the following:

  1. Use of the Patient Portal
    1. I understand that anyone I share my Patient Portal user name and password with will be able to see my confidential medical record information. Greenville Health System and GHS Partners in Health, Inc. (GHS) will not have responsibility for breach of my confidential information due to my sharing or losing my user name and password.
    2. I will select a password and maintain it in a secure manner. If I ever believe that my password is not secure, I will change it by following the procedures in the Patient Portal.
    3. I will not use the Patient Portal in an emergency. In that case, I will seek emergency care.
    4. I will use the Patient Portal only as permitted in this Agreement.
    5. The Patient Portal is being provided as a convenience. GHS may terminate my access at any time for any reason, including if GHS determines it is not in my best interest to have access.
    6. The Patient Portal does not give access to my complete medical record.
  2. Provision of Services
    1. There is no charge for the Patient Portal.
    2. GHS will try to keep the Patient Portal free from error, but cannot guarantee the completeness, accuracy, or adequacy of the information. GHS does not guarantee that the Patient Portal will be fault-free, but GHS will attempt to correct reported problems in a reasonable period of time. If I believe that my information is not accurate, I will contact my physician's office immediately.
  3. Privacy
    1. A copy of the HIPAA Notice of Privacy Practices can be found online or at any GHS location.
    2. GHS may use Patient Portal data without further authorization from me for GHS educational activities and programs, and for research purposes so long as the information is de-identified and used in accordance with state and federal regulations.
  4. Security
  5. The Patient Portal is protected using industry standard security measures. If I have concerns, I may decide to terminate my account.

  6. Disclaimer
  7. I understand and agree to the following:

    1. GHS takes no responsibility for and disclaims any and all liability arising from any inaccuracies or defects in the information, software, communication lines, internet or my internet service provider, computer hardware or software, or any other service or device that I may use to access the Patient Portal.
    2. My medical information, including but not limited to information regarding substance abuse, pregnancy and treatment, testing and diagnosis of sexually transmitted diseases (STDs) and human immunodeficiency virus (HIV), may be published to the Patient Portal.
    3. This Agreement is in effect for all GHS providers and all locations or until such time that I choose to terminate this Agreement. In order to terminate this Agreement and my access to the Patient Portal, I will go to a GHS practice or facility and complete termination documentation.
    4. GHS may modify these terms and conditions, other terms and materials referenced in this document, the Patient Portal, or the content of the Patient Portal website at any time.
    5. The Patient Portal is provided solely for my personal use. Republication, distribution, or use of the Patient Portal inconsistent with the terms and conditions described is strictly prohibited.

    This Agreement will be governed in accordance with the laws of the State of South Carolina.

For Patient Access

I attest that I have read and assent to these terms and conditions and I am fully aware of and understand that if it is found that I have misrepresented myself, my access to the Patient Portal may be terminated and GHS may pursue other legal remedies available. If I am between the ages of 12-15, I understand that my parent/legal guardian will have access to my health information. I agree to protect the healthcare information of the patient through all reasonable measures.

For Parent/Legal Guardian

I hereby attest that I am the parent and/or legal guardian of the patient, and do hereby attest that I have read the above information. I further attest that I have the authority to agree to these terms and conditions and I am fully aware of and understand that if it is found that I have misrepresented myself, my access to the Patient Portal may be terminated and GHS may pursue other legal remedies available. I agree to protect the healthcare information of the patient through all reasonable measures.

I further attest that access to the patient's medical records on the Patient Portal has been granted to me by the patient, if the patient is between the ages of 12-15. I further attest that I have read and assent to the terms and conditions of the Patient Portal.