5. Privacy & Communication Agreement

Root Cause Nurse – Confidentiality and Client Contact Policy

Your Privacy Matters

Root Cause Nurse values your privacy and is committed to maintaining confidentiality within the bounds of Florida’s Registered Nurse practice and HIPAA-conscious standards.

Communication Channels

Virtual Appointments: All consultations are conducted via Google Meet

Email & Text: These are used for follow-up reminders and educational materials

Data Storage: Electronic client notes, consents, and lab results are stored securely using HIPAA-conscious platforms

Forms & Documents: May be completed via secure links (e.g., Website Forms, Google Forms or Jotform)

Your Responsibilities

You agree to provide accurate, up-to-date contact and health information

You are responsible for ensuring you have access to a private and secure internet connection during sessions

You are responsible for reviewing your own lab and supplement orders before purchase

Confidentiality Limitations

Communications are not encrypted to HIPAA standards unless stated

Sensitive health information is only discussed during scheduled, secure sessions

In the event of a medical emergency, you are advised to contact 911 or your physician immediately

Consent to Privacy & Communication Terms

By signing below, I acknowledge:

I understand how Root Cause Nurse communicates and protects my information

I agree to use the approved methods to contact my nurse educator

I accept responsibility for my own security and privacy when using email or other platforms

Digital Signature Clause:
By digitally signing this form, you agree that your electronic signature is the legal equivalent of your manual signature on a paper document.

This field is mandatory

This field is mandatory

5. Privacy & Communication Agreement Root Cause Nurse – Confidentiality and Client Contact Policy Your Privacy Matters Root Cause Nurse values your privacy and is committed to maintaining confidentiality within the bounds of Florida’s Registered Nurse practice and HIPAA-conscious standards. Communication Channels Virtual Appointments: All consultations are conducted via Google Meet Email & Text: These are used for follow-up reminders and educational materials Data Storage: Electronic client notes, consents, and lab results are stored securely using HIPAA-conscious platforms Forms & Documents: May be completed via secure links (e.g., Website Forms, Google Forms or Jotform) Your Responsibilities You agree to provide accurate, up-to-date contact and health information You are responsible for ensuring you have access to a private and secure internet connection during sessions You are responsible for reviewing your own lab and supplement orders before purchase Confidentiality Limitations Communications are not encrypted to HIPAA standards unless stated Sensitive health information is only discussed during scheduled, secure sessions In the event of a medical emergency, you are advised to contact 911 or your physician immediately Consent to Privacy & Communication Terms By signing below, I acknowledge: I understand how Root Cause Nurse communicates and protects my information I agree to use the approved methods to contact my nurse educator I accept responsibility for my own security and privacy when using email or other platforms Digital Signature Clause: By digitally signing this form, you agree that your electronic signature is the legal equivalent of your manual signature on a paper document.*

This field is mandatory

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