Communication Agreement & Privacy Policy

I acknowledge I am aware and have been informed that transmitting information electronically over the internet, by email, text messaging, and by like means may not be secure and that corresponding with Jason Martin MD, or any of its staff or affiliates in these ways may compromise the confidentiality of my private health information.

I acknowledge that I have been advised to not transmit any information that I would wish to be held confidential in a physician-patient, or similar clinical arrangement, in this way. I agree that any request I may make for information via e-mail or text message will constitute specific permission, authorization, and release for Jason Martin MD, or any of its staff or affiliates to respond and/or provide the information or materials requested, via email, SMS/text message, phone and that these individuals and entities will be held harmless for any related breach of confidentiality that may result.

I am aware and specifically agree that any communication made with Jason Martin MD, or to any of its staff or affiliates via e-mail or text messaging will not be considered “medical information” and will not be included as part of my medical record. I acknowledge and agree however, that Jason Martin MD may, at her sole discretion, introduce any such information into my medical record that she deems relevant to my treatment and care.

How we may use your contact information:

  • Email you relevant and timely offers for our products and services;
  • Text you about promotional specials you have opted into receiving;
  • Text you appointment reminders and notifications about booking appointments;
  • Provide timely replies and responses to your email and other requests, including providing ongoing customer service in response to any issues or concerns you may have about our Website or our products, services and/or features;
  • Keep you informed (by email and text) of not only our own products and services, but also those of certain third parties that we determine would be of interest or valuable to you based on your express indicated interest;
  • Solicit and request your feedback through email, SMS/text, and telephonic calls; and,
  • Fulfill our legal and/or contractual obligations to you.

I acknowledge and agree that Jason Martin MD, and any of its staff or affiliates are released from any legal responsibility or liability for or resulting from the authorized disclosure of my health or billing information.