By agreeing to these terms and conditions, I acknowledge that I am requesting Sansum Clinic to grant me access to my online health record, including the ability to communicate with my health care team via the Internet using Sansum Clinic's application. In addition, I am asking Sansum Clinic to release my health information, including test results, to my online health record. I understand that medical providers are prohibited by California law from releasing certain test results to me electronically, and I may not be able to access all of my health information in my online health record. I understand that Sansum Clinic reserves the right to limit or discontinue my use of online patient services if I do not abide by these terms and conditions, or at their sole discretion.
Privacy and Security Policy - Sansum Clinic considers the privacy of your health information to be one of the most important elements in our relationship with you. Our responsibility to maintain the confidentiality of your health information is one that we take very seriously.
Summary of Requirements - Electronic Messaging should never be used for urgent matters. A valid and functional e-mail address must be provided. Your MyChart User Name and password should not be shared with anyone, including family members. Use of Sansum Clinic's MyChart application is intended for accessing private health information.
Use of Online Patient Services - I understand that Sansum Clinic's MyChart should never be used for urgent matters. I acknowledge the anticipated turnaround time for response to electronic messages is 1 to 3 business days. I understand that I have opted in to a service that provides electronic interaction with my clinician and care team.
For all urgent matters that I believe may immediately affect my health or well-being, I will, without delay, contact my clinician, and/or go to the emergency department of a local hospital, and/or dial 911.
I understand that my health care team may send me secure Electronic Messages via my MyChart account. These messages may contain information that is important to my health and medical care. It is my responsibility to monitor these messages. By entering my valid and functional e-mail address, I have enabled Sansum Clinic to notify me of messages sent to my MyChart inbox, and understand that these new message notifications cannot be disabled. I understand that maintaining my current contact information with Sansum Clinic is my responsibility and I will update my e-mail address on my account as needed.
I understand that in no event will Sansum Clinic, its affiliates, suppliers, or other third parties mentioned be liable for any damages whatsoever (including, without limitation, those resulting from lost profits, lost data, or business interruption) arising from the use, or the results of the use of MyChart, any websites linked to MyChart, or any materials or information contained at any or all such sites, whether based on warranty, contract, tort or any other legal theory and whether or not advised of the possibility of such damages.
Verification of Identity - I understand that my enrollment is contingent on verification of my identity either in person, on the phone, or by comparing my signature provided on the Release of Information form with my signature in my health record.
For purposes of establishing your identity and safeguarding it against identity theft or potential identity theft, Sansum Clinic requires that these MyChart Terms and Conditions are agreed to electronically within MyChart.
Online ID and Password - I understand that I must create a unique MyChart User Name and password to be used to access my health information. Inquiries and entries that I make will be logged with my identity.
I understand that it is extremely important that I keep my MyChart User Name and password to my account completely confidential. If at any time I feel that the confidentiality of my password has been compromised, I will change it by going to the Security Settings section on the website. I understand that Sansum Clinic takes no responsibility for and disclaims any and all liability or consequential damages arising from a breach of health record confidentiality resulting from my sharing or losing my password. If Sansum Clinic discovers that I have inappropriately shared my password with another person, or that I have misused or abused my online access privileges in any way, my participation may be discontinued by Sansum Clinic without prior notice. I understand that I must not share my Online ID and/or Password with any other website, party, or vendor (for example, a mobile app or website that collects and displays health information). In doing so, I hold myself accountable for any interaction this has between MyChart and the 3rd party and do not hold Sansum Clinic or its affiliates liable for my personal information and/or patient information being accessed by the 3rd party, or for what they do with this information.
Deactivation of My Account - I understand that my account may be deactivated upon my request or at the discretion of Sansum Clinic.
Disclaimer - I understand that my account may not be available to me at all times due to maintenance, back-up procedures, unanticipated system failures, or other causes beyond the control of Sansum Clinic. Access is provided on an "as-is as-available" basis and Sansum Clinic does not guarantee that I will be able to access my account at all times. During times when my account is unavailable, other communication methods (e.g., telephone) should be used to contact Sansum Clinic.
I understand that Sansum Clinic takes no responsibility for and disclaims any and all liability arising from any inaccuracies or defects in software, communication lines, the virtual private network, the Internet or my Internet Service Provider (ISP), access system, computer hardware or software, or any other service or device that I use to access my account.
User/Device Data Collection - I understand that in some situations I can choose to connect my personal device(s) (such as mobile phones, pedometers, or heart rate monitors) to MyChart via a data interface. Any information collected or retained in this way will be used only to facilitate my health care and will not be disclosed, sold, or otherwise provided to any party not involved in my healthcare, unless required by law. Any information provided may be made part of my permanent clinical health record.
Adults(18+) - Individuals must be age 18 or older to request access and be allowed to fully participate in MyChart.
Minors (up to 11+) - Parents or guardians of minor children may request access to the minor child's account by following the terms outlined in the "Proxy Access" section of this Terms and Conditions statement.
Age 12-17 - Under State and Federal law, there are certain types of medical information that the parent or guardian of a minor patient age 12-17 may not view without consent of the minor patient. As a result, we do not offer access to MyChart functionality and/or proxy access to parents of minor patients or the patients themselves, who are age 12-17. Thus, when a minor patient reaches age 12, access to MyChart will be automatically restricted.
Proxy Access - An adult with a MyChart account may grant proxy access to another adult by logging in to MyChart and submitting a electronic request.
An adult (18 or over) who is a patient representative or otherwise legally acting (specific documentation may be required) on behalf of another adult may request proxy access to that person's MyChart account by filling out the Consent for Proxy Access to MyChart and Protected Health Information form available HERE and submitting it using any of methods (fax, mail, email) described on the form.
A parent or legal guardian of a minor child (age 0-11) may request proxy access to their child's MyChart account by presenting in-person the Sansum Clinic location where their child receives care. No appointment is needed.
With respect to minors, proxy access will only be granted to parties with parental rights or legal guardianship over the patient and only to the extent that the party requesting proxy access can demonstrate the legal right to the patient's medical information.
Sansum Clinic's identity verification and protection requirements apply to the patient as well as to those who are requesting proxy access to a patient's MyChart account. If proxy access is granted, the patient and the proxy will receive separate MyChart accounts. The patient may revoke proxy access at any time by logging in to their MyChart account. If a proxy's legal relationship with the patient changes, the proxy must inform the Clinic immediately by contacting Sansum Clinic Health Information Services, Release of Information (ROI) Department, 89 S. Patterson St., Santa Barbara, CA 93111.
Sansum Clinic reserves the right to revoke proxy access at any time and for any reason.
Questions, Compliments, Complaints and Contacts - For questions, compliments or complaints about MyChart, and for questions regarding these Terms and Conditions, including your rights as a userof MyChart or Proxy Access, please contact the MyChart Help Desk at (805) 898;3333, Monday-Friday from 8:00 AM-5:00 PM. The MyChart Help Desk may also be contacted by U.S. Mail at the following address:
MyChart Help Desk
89 S. Patterson St.
Santa Barbara, CA 93111