By accepting this disclosure, you are consenting: (i) to execute documents with All Care Health Solutions using e-signature; (ii) to exchange documents with All Care Health Solutions electronically. If you do not consent, All Care Health Solutions will provide an alternative method of document execution.
Additionally, by selecting “Accept” you are agreeing:
- That your use of a keypad, mouse, touchscreen, or other electronic device to select an item, button, icon or similar action, or to otherwise provide All Care Health Solutions with your assent during the document transaction (the “e-Signature”) constitutes your signature and acceptance of the content of the documents.
- That your e-Signature is the legal equivalent of your manual signature on the agreement.
- That your e-signature will be witnessed and verified by a member of All Care Health Solutions staff, and as such will require no certification authority or other third-party verification to validate your e-Signature, and the lack of such certification or third-party verification does not affect the enforceability of your e-Signature.
- That you represent that you are authorized to enter into the agreement for the patient, or yourself, if applicable.
- To conduct business with All Care Health Solutions via electronic documents.
- That All Care Health Solutions will provide a non-electronic copy of all records if you decline to consent the usage of electronic signature and records, upon request.