PLEASE READ BELOW BEFORE PROCEEDING
You are about to view personal and private medical information. If you received this message in error or this is not a current medical emergency to which you have been allowed specific access, DO NOT PROCEED.
The owner of this information has authorized, In the event of an emergency, first responders and emergency medical personnel to use and disclose the protected health information that the owner specifically chose to share in conjunction with this product.
This authorization for release of information covers a dynamic time period of healthcare only as required for emergency situations or as otherwise specified by the owner.
This medical information may be used by first responders, emergency medical personnel or any person authorized to receive this information for medical treatment or consultation or other purposes as directed.
This authorization shall be in force and effect until the owner so chooses to no longer use the Emergency Medical Red Alert ID product and physically delete their medical information and account from its server, at which time this authorization expires.
The owner understands that they have the right to revoke this authorization by removing their medical information from Emergency Medical Red Alert ID’s server at any time.
The owner understand that a revocation is not effective to the extent that any person or entity has already
acted in reliance on the owner’s authorization.
The owner understands that information used or disclosed pursuant to this authorization maybe disclosed by the recipient and may no longer be protected by federal or state law.
The owner has certified and acknowledged they have been provided access to the HIPAA release form used to create this authorization agreement.
The emergency medical information belongs solely to the user of this product and no one else. It is the owner’s liability and obligation to update and keep safe access to this information as they require.
If you received this message in error or this is not a current medical emergency to which you have been allowed specific access, DO NOT PROCEED. Thank you!
