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Email Consent

Here are some of the things that you can email us about

                                    ... and scroll down for the Consent Form to sign up today!

If you send us an email and don’t hear back within 2 business days then please call the office.

Here are some things we can email you about

DO NOT USE EMAIL FOR...

Email Do’s and Don’ts

Agreement

To view the Patient Email Communication Agreement, Email Consent  

Please note that email should not be used for medical emergencies or other time-sensitive matters.

Consent for Email Communication

To consent to communicate with the EWFHT via email, please click on the link below to view the full terms and conditions of email consent and complete the agreement form.    Please be aware of the guidelines and Do’s and Don’ts above with regard to what is and what is not appropriate to include in an email: protecting your privacy and confidentiality is a top priority. 

Consent for Patients Under Age 14

A parent/guardian may provide pediatric email consent on behalf of a child under 14 by confirming they have read and agree to the terms, and agree that communication with EWFHT via email is for the purpose of clinical care of the named child. The parent/guardian must provide their name, telephone number, relationship to the child, and the email address to be used.  The parent/guardian does not need to be a patient of EWFHT.  

Prior to the expiration of a pediatric email consent, the EWFHT will contact the parent/guardian and the patient with information on options for patients 14 and over.  If consent is not received from the patient to continue email communication with the original parent/guardian email, that email address will be removed.

IMPORTANT:  In all email communications, please provide the FULL NAME and DATE OF BIRTH of the patient you are writing about.  This is particularly important for spouses and families sharing the same email address.

Inquiries regarding EWFHT’s privacy policies and procedures as they affect any email communications should be directed here