THE HEALTH APPRAISAL AND CONSUMER HEALTH TOOLS DO NOT PROVIDE MEDICAL ADVICE. They are intended for informational purposes only. They are not a substitute for professional medical advice, diagnosis or treatment. Never ignore professional medical advice in seeking treatment because of something you have read on the HealthCheck 20/20 Site. If you think you may have a medical emergency, immediately call your doctor or dial 911.
Your responses to the health appraisal questionnaire and/or consumer health tools will be analyzed to produce your personal wellness reports. Your reports will give you information about your major health risks, your healthy habits, and habits you might change to reduce your risks. These reports can give you ideas for healthy living and for minimizing your risks of being sick or injured in the future. By accessing the health appraisal and consumer health tools, you hereby acknowledge that you have read, accept, agree and consent to the following:
a. I agree to participate in HealthCheck 20/20's health appraisal and consumer health tools. I understand that this assessment and these tools will be used to determine possible health risks. I understand that my participation is voluntary and that I am not required to participate for any reason.
b. I understand that the data derived from this assessment and these tools are preliminary or for information only. I will not receive a diagnosis. I understand that if the assessment or tools identify certain health risk factors, I may need to consult a physician for further evaluation and/or treatment.I understand that my data will be kept confidential within HealthCheck 2020 and that HealthCheck 2020 will not disclose the information without permission unless permitted by law.
c. I understand that HealthCheck 20/20 will keep all personal data secure within its computer systems and not allow the use or disclosure in any format of personal data prohibited by law.
d. I understand that HealthCheck 20/20 may use aggregate (group) health data for the purposes of quality improvement and scientific research.
e. I understand that HealthCheck 20/20 may use my nonpublic personal information, including PHI, to provide me with educational materials and programs, free of charge, relevant to my personal wellness reports.
f. I understand that HealthCheck 20/20 may disclose my nonpublic personal information, including PHI, to my health plan for purposes of incentive administration, if applicable.
g. I understand that this consent will remain in effect for as long as my data are needed by HealthCheck 20/20 and as authorized by me. If I do not consent, I will not be allowed to participate in the assessment or to use the consumer health tools.
h. I release the authorized representatives of HealthCheck 20/20 from any and all liability arising from the assessment and consumer health tools and the reporting of information concerning such analysis by HealthCheck 20/20 to my health plan's authorized representatives, to the extent that it does not violate federal or state privacy laws.
i. I declare that I have read, understood, and agree to the contents of this informed consent agreement in its entirety. I understand and agree that an electronically imaged version of this information will be as legally valid as an original.