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Email Consent Regarding Use of Information

Aesthetique Boutique  uses email to correspond with patients as a convenience. However, these emails are not encrypted and could theoretically be read by a malicious outside party with the technical skills to interpret such correspondences. By signing below you are consenting to allow Aesthetique Boutique and its healthcare providers to correspond with you via email in spite of these potential risks.

● Email is never appropriate for urgent issues or emergency situations

● Email is not confidential. Our providers have the right to monitor emails if they choose; systems operators for most email systems have access to all email that passes through their systems.

● All email correspondence will become part of my medical record. It is important to include your name on email sent to Cascade or its providers.

I have been provided with information about the use of internet email to communicate matters pertaining to my health and treatments. I understand the issues and privacy concerns of internet usage. I have been provided with information about the use of email communications between Cascade and its providers, including information concerning my personal medical information. I understand I may revoke this agreement at any time by contacting Aesthetique Boutique. 

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