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  • Consumer Disclosure & Consent Agreement

    Effective date: February 19, 2021

    Please read the following information carefully. By selecting the checkbox next to the text “I agree to electronically sign the form”, you are agreeing that you have reviewed the following Consumer Disclosure & Consent Agreement (the “Disclosure”) and consent to transact business using electronic communications, to receive notices and disclosures electronically, and to utilize electronic signatures in lieu of using paper documents. This electronic signature service is provided by Teleon Health to allow its customers (hereinafter referred to as “Sender”) to send electronic documents, notices, disclosures to, or request electronic signatures from, you.

    This Disclosure is provided in compliance with the Electronic Signatures in Global and National Commerce Act, 15 USC §7001, et seq. (“E-SIGN Act”) and the Uniform Electronic Transactions Act (“UETA”), as adopted by the various states. Capitalized terms used in this Disclosure have the meaning set forth in the Service Agreement or Terms of Use to which this Disclosure is attached.

    This Disclosure relates to the use of Teleon Health’s products, services, and applications (collectively, the “Services”) including, without limitation, the use of electronic signatures and the use and storage of electronic records as defined in the E-SIGN Act. This Disclosure describes how Teleon Health delivers communications to you electronically on behalf of the Sender. Teleon Health may amend this Disclosure at any time by posting a revised version on its Website. The revised version will be effective when posted by Teleon Health.

    Electronic Delivery of Communications

    By entering into and accepting this Disclosure, you agree and consent to receive all communications, agreements, notices, documents and disclosures in connection with your use of the Services (“Communications”) electronically. Communications include communications related to the Services and updates to the Terms of Use, including the Privacy Policy. Teleon Health will provide Communications to you by posting them on its Website and/or by emailing or texting them to you at the primary email address or mobile phone number designated by you for the purpose of receiving electronic Communications and on file with the Sender.

    Hardware and Software Requirements

    In order to access and retain electronic Communications, you will need the following computer hardware and software: a computer with an Internet connection; current version of standards-compliant web browser which supports the HTTPS protocol, HTML, and cookies; current version of Adobe Acrobat Reader or similar software to open documents in PDF format; a valid email address or mobile phone number (the primary email address or mobile phone number designated by you for the purpose of receiving electronic Communications and on file with the Sender); and sufficient storage space to save past Communications or an installed printer to print them.

    Teleon Health will notify you if there are any material changes to the hardware or software needed to receive electronic Communications from Teleon Health. By giving your consent, you are confirming that you have access to the necessary hardware and software and are able to receive, open, and print or download a copy of any Communications for your records. You may print or save a copy of these Communications for your records as they may not be accessible online at a later date.

    Withdrawing Your Consent

    You have the right to withdraw your consent to receive electronic Communications or sign documents electronically at any time. To withdraw your consent, please contact the Sender by telephone, postal mail, or email. In your request, please provide your name, your primary email address or mobile phone number designated by you for the purpose of receiving electronic Communications and on file with the Sender, the date, your telephone number, and your mailing address.

    Requesting Paper Copies

    You are not required to receive Communications or sign documents electronically and may request paper copies of Communications from the Sender. Please contact the Sender by telephone, postal mail, or email. In your request, please provide your name, your primary email address or mobile phone number designated by you for the purpose of receiving electronic Communications and on file with the Sender, the date, your telephone number, your mailing address, and title of the form or document. The Sender may apply a charge for requesting paper copies.

    Updating Your Contact Information

    You are responsible for keeping your primary email address or mobile phone number on file with the Sender up-to-date so that the Sender can communicate with you electronically. You understand and agree that if the Sender sends you an electronic Communications but you do not receive it because your primary email address or mobile phone number on file with the Sender is incorrect, out of date, blocked by your Internet service provider, or you are otherwise unable to receive electronic Communications, the Sender still will be deemed to have provided the Communications to you. To update your primary email address or mobile phone number, please contact the Sender by telephone, postal mail, or email. In your request, please provide your name, your new primary email address or mobile phone number designated by you for the purpose of receiving electronic Communications, the date, your telephone number, and your mailing address.

    By selecting the checkbox next to the text “I agree to electronically sign the form”, you confirm that:

       ●     You can access and read this Disclosure, and

       ●     You can print on paper this Disclosure, or save or send this Disclosure to a location where you can print it, for future reference and access; and

       ●     Until or unless you notify the Sender as described above, you consent to receive exclusively through electronic means all Communications that are required to be provided or made available to you by the Sender during the course of your relationship with the Sender.

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