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Statement of Participation John C. Lincoln Health Network (Lincoln) is pleased to offer you online computer access to portions of your medical record through JCLMyChart. JCL MyChart is an Internet application that enables you to have secure web-based access to portions of your electronic health record, and allows a secure, convenient communications channel with Lincoln for non-urgent messages. Use of this service is optional. JCL MyChart and its related services are provided by Lincoln to its patients subject to compliance with the terms and conditions set forth below. Please read the following information carefully. Your acceptance of these terms and conditions and your continued use of JCL MyChart indicates your agreement with said terms and conditions. If you do not agree to be bound by these terms and conditions, promptly exit JCL MyChart. Privacy Your privacy is of the utmost importance to us. Lincoln will use your confidential medical information in order to provide you with health care services. Lincoln will, at all times, maintain your confidential medical information in strict confidence and will not disclose any of your information to any unaffiliated third party unless you authorize that party to receive your information or the information is permitted to be disclosed by law. Please review the Notice of Privacy Practices for a thorough description of how Lincoln gathers, uses and protects your confidential medical information. JCL MyChart Features At this time, Lincoln anticipates that JCL MyChart will provide the following services: • Ability to review, request, confirm and cancel appointments; • Ability to view select portions of your medical record such as allergies, medications, and your problem list; • Ability to receive certain types of lab results; • Tools to communicate with your physician’s office via secure messaging; • Ability to request prescription refills; • Links to other sites that will provide you with health information. Other services may be added as Lincoln implements the JCL MyChart web portal. Lincoln reserves the right to change, add and/or discontinue any/all JCL MyChart services. Electronic Messaging Lincoln providers and/or staff may send you messages via JCL MyChart. All communications between you and Lincoln using JCL MyChart occur over a secure connection. It is your responsibility to monitor these messages and respond in an appropriate manner. You must provide Lincoln with a valid email address and update Lincoln if you change your email account. You may receive Internet e-mail messages notifying you that new information is available in your JCL MyChart account. You should be aware that any person with access to your e-mail will be able to see this notification. This could include your spouse, employer or anyone else that can access your e-mail account. Although no private medical information will be sent, the notification that new medical information is available by accessing JCL MyChart may be information that you would not want others to know. Thus, you should take this into account when providing an e-mail address. You should not send Lincoln messages via your personal email that contain personal health information as they may not be secure. If you do send Lincoln an e-mail communication, it may be shared with the Lincoln staff who assist the physician/provider with your medical care. Your confidential medical information in JCL MyChart will be accessible only to appropriate Lincoln staff. JCL MyChart should never be used for urgent matters The anticipated turnaround time for response to electronic messages is two business days. Therefore, if you believe you are experiencing an urgent or life threatening health condition, please contact your physician, go directly to an emergency department, or dial 911. If your Lincoln provider is out of the office or unavailable, messages sent via JCL MyChart may be routed to another provider in order to facilitate a timely response to your request. Confidentiality Lincoln employees are subject to strict standards on maintaining your confidentiality. By allowing you access to your medical information you must share this responsibility. Please read the Lincoln Notice of Privacy Practices for more information. Lincoln is dedicated to keeping your medical information confidential and Lincoln affords the same degree of confidentiality to medical information stored on JCL MyChart as is given to medical information stored by Lincoln in any other medium. Lincoln limits its employees’ access and ability to enter or view information based upon their role in your care. Firewalls, passwords, encryption, and audit trails are further used to safeguard your information. Lincoln shall identify the records released and note the time and date of access each time a patient or their approved Proxy accesses JCL MyChart. Although JCL MyChart is configured to be secure from unauthorized access, Lincoln cannot be held responsible for: a. Absolute security of all electronic communication transmissions between patient and provider practice; b. Unauthorized disclosure resulting from a user not logging out of an active session; c. Unauthorized disclosure resulting from a lost or stolen user ID and password; d. Unauthorized disclosure resulting from information printed by the user from JCL MyChart; e. Unauthorized disclosure resulting from personal computer settings or installed software products that may compromise information security; or f. Similar events outside the substantial control of Lincoln. Personal Identification Code and Password Your login name and password are key to protecting the confidentiality of your information. It is your responsibility to keep your password confidential. It is only known by you and can be changed online at any time by you. The first time you log into JCL MyChart you will be required to create a unique six character User ID and a six-character password. It is extremely important that you keep your login name and password completely confidential. Anyone with access to your login name and password will be able to access your confidential medical information. That person will also be able to read your messages and send new messages as if they were you. It is your responsibility to prevent disclosure of your login and password, and to change your password if you feel that your security has been compromised. You may change your password at any time, but it is recommended that you change your password every 180 days. Designating a Proxy You may give access to your JCL MyChart information by completing a JCL MyChart Adult Proxy Form. Access to your JCL MyChart account will be activated for the proxy. Your Proxy will be responsible for complying with these same terms and conditions. Minor Eligibility and Access to Minor Patient Information JCL MyChart users must be eighteen (18) years of age or older to request a personal account, with the exception of emancipated minors who provide written documentation to prove their emancipated status. Parents or guardians of minor children may request access to the minor child’s account by completing the JCL MyChart Child Proxy Form. Such access will only be granted to parties with parental rights or legal guardianship over the child and only to the extent that the party requesting proxy access can demonstrate the legal right to account holder's medical information. Under State and Federal Law, there are certain types of medical information that the parent or guardian may not view without the consent of the minor patient. See your practice location for information regarding these limitations. Other Terms Lincoln shall not be liable for any damages suffered by you or other third parties related to, directly or indirectly, the material and information contained in JCL MyChart. Under no circumstances will Lincoln be liable to you or any other person for direct, indirect, special, incidental or consequential damages of any type, even if informed of the possibility of such damages. Lincoln cannot guarantee access to the JCL MyChart system and is not liable for your inability to access or view the information contained in JCL MyChart. By downloading or viewing the information on JCL MyChart, you agree to hold Lincoln harmless and indemnify Lincoln against any damages, claims, or other claims asserted against Lincoln arising out of, or in any way connected with, your utilization of JCL MyChart or the information contained therein. Information Does Not Constitute Medical Advice Lincoln assumes no responsibility for how you use the information you obtain from JCL MyChart. You should consult with a physician or other health care provider regarding your own condition and how JCL MyChart content may or may not apply to you. Neither JCL MyChart nor any other application available through JCL MyChart is a substitute for appropriate and timely contact with your physician. JCL MyChart is not a substitute for consultation with your physician. You should never change or stop any course of treatment prescribed by your physician without first consulting him or her. Availability JCL MyChart may not always be available due to system maintenance, back-ups or failures. Access is provided on an "as is available" basis and Lincoln does not guarantee access at any particular time. If access is restricted for planned maintenance of JCL MyChart, every effort will be made to communicate downtime to all users in advance. Patient Requests to Discontinue Use of JCL MyChart You may disenroll from JCL MyChart at any time by completing the appropriate online request to disenroll or by calling your provider office. Termination of Access Access to the JCL MyChart system is granted to users for the purpose of furthering their medical care. Use of the system unrelated to this purpose may result in the suspension or termination of access privileges. Improper activities include, but are not limited to, as the use of inappropriate or abusive language, or frequently cancelled appointments and other activities that are deemed to cause a disruption to operations at the sole discretion of Lincoln. Accuracy and Integrity of Information Although Lincoln attempts to ensure the integrity of JCL MyChart, it makes no guarantees whatsoever as to the correctness or accuracy of information contained in JCL MyChart. It is possible that JCL MyChart could include typographical errors, inaccuracies or other errors. In the event that you see an inaccuracy, please inform your practice so that it can be corrected. Information contained in JCL MyChart may be changed or updated without notice. Links to Other Sites Lincoln makes no representations whatsoever about any other website that you may access through JCL MyChart or any entity that may post its advertisements on JCL MyChart. When you access a non-Lincoln site, please be advised that it is independent from Lincoln, and that Lincoln has no control over the content on that website. Lincoln does not endorse or accept any responsibility for the content or use of any other linked site. If you decide to access any third party sites linked to JCL MyChart, you do so entirely at your own risk. Governance This Agreement shall be governed by and construed in accordance with the laws of the State of Arizona. Additional Terms The terms of this Agreement may be changed at any time at the discretion of Lincoln. Updates to JCL MyChart Terms and Conditions will be posted on JCL MyChart for patient access.