Children's Health Network Referral System Confidentiality Statement

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Continued use of this system indicates your acceptance of the following information

This system is the property of Children's Health Network and is for the exclusive use of authorized users. Authorized users will respect and protect the confidentiality of all patient, employee, and organizational information at all times. This information includes, but is not limited to, user names and passwords for entering the system. In accordance with state and federal privacy laws it also includes all protected health information of member name, address, date of birth, health plan member number, social security number, medical record number, phone or fax numbers, dates of service, any uniquely identifying number, characteristic or code and any other data and information contained in, disclosed by, or displayed through the Children's Health Network (CHN) Referral System.

Individuals using this system are subject to having their activities monitored and recorded. Your use of this system implies consent to such monitoring.

By using this system, I agree to abide by the above information and use this system only for its intended purpose. Any questions regarding this information may be directed to the Referral and Care Management Department at Children's Health Network at (612) 813-7447.

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