In order to communicate with you by email or text message, I need to make sure you are aware of the confidentiality and other issues that arise when we communicate this way and to document that you are aware of these and agree to them. I understand that all email messages are sent over the internet and are not encrypted, are not secure, and may be read by others. I understand that email communications with Peak Family Practice will NOT been encrypted and, therefore, Peak Family Practice can NOT guarantee the confidentiality and security of any information I send to her or that he/she sends to me via email. I understand that SMS messages are even less secure than email, and the same conditions apply. I understand that for this reason my provider has advised me not to send sensitive information via email or SMS messaging. This includes information about current or past symptoms, conditions, or treatment, as well as identifying information such as social security numbers or insurance identification information. I hereby give permission for my provider to reply to my messages via email, including any information that he/she deems appropriate, that would otherwise be considered confidential. I agree that Leslie M Dawdy, FNP-BC or Peak Family Practice will not be liable for any breach of confidentiality that may result from the use of email via the internet. I understand that Peak Family Practice will limit SMS messages to brief inquiries or responses regarding scheduling. I understand that Leslie M Dawdy, FNP-BC or staff at Peak Family Practice may at times email me information about resources that I can use as part of my treatment. I hereby consent to receive such information via email. I understand that email and SMS communication should not be used for urgent or sensitive matters since technical or other factors may prevent a timely answer. I understand that if I use email or SMS to make or request scheduling changes it is my responsibility to confirm that Leslie M Dawdy, FNP-BC has received my communication more than 24 hours before the appointment time being changed. If I believe I need a response within 48 hours, I will not use email but will call my provider. If I don’t receive an answer to a routine email or text message within two working day, I understand that I should call my provider. I understand that all email and SMS communications may be made part of my permanent medical record and would be accessible anyone given access to those records. I also understand that I may withdraw permission for my provider to communicate with me via email or SMS by notifying Leslie M Dawdy, FNP-BC and Peak Family Practice in writing.