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Telehealth Pod Use Acknowledgement

By reserving the Telehealth Pod, you acknowledge that:

• Telehealth appointments may be conducted by videoconferencing, video images, still (high quality photo) images, or by telephone conference and that this appointment will not be the same as a direct patient/health care provider visit, due to the fact that I will not be in the same room as my health care provider.
• There are potential risks to this technology, including interruptions, unauthorized access, and technical difficulties and that you or your healthcare provider can discontinue the telehealth appointment at any time if it is felt that the videoconferencing connections are not adequate for the situation.
• The Washington County Free Library does not clean the Telehealth Pod between uses. Please use appropriate health and safety precautions. Use of the Telehealth Pod is solely at the discretion of the individual who agrees to hold the library harmless in all matters related to its use.
• The Washington County Free Library is simply providing a location to conduct a telehealth appointment and is not responsible for any non-HIPAA compliant software used during my appointment by my telehealth specialist.
• The use of the Telehealth Pod is at the discretion of the Library; this privilege can be withdrawn at any time with or without reason.
• While this Pod has been designed for enhanced sound and visual privacy, the Pod is located in a public space and complete privacy, especially when entering or exiting the space, cannot be guaranteed.

The user understands the above acknowledgement and waives litigation against the Washington County Free Library, its staff, and/or related telehealth associates for any reason prior to, during, and at the conclusion of the Telehealth Pod use.