Healthix END USER AGREEMENT

I understand and agree that the following terms are a condition of my use of the Healthix system:

The Healthix system contains a partial medical history. Any unexpected results or results inconsistent with clinical observation or history should be repeated or confirmed. It is understood that receipt and review of information contained in the Healthix system will not substitute for independent examination, diagnosis, and treatment of the patient and the ultimate judgement regarding the patient's medical condition, diagnosis, and treatment must be made by the physician and other health care providers in light of the individual circumstances presented by the patient at the time of treatment.

All access is recorded and subject to audit. Unauthorized access or use of the Healthix system is prohibited and subject to disciplinary action. The sharing of user names and passwords is prohibited.

The information contained within the Healthix system is CONFIDENTIAL and may contain sensitive patient information, which may be re-disclosed only to the extent permitted by applicable laws and regulations, including, but not limited to, the following:

Article 27-F of the N.Y. Public Health Law Section 2782

To the extent you receive through Healthix any patient data subject to Article 27-F of the NYS Public Health Law Section 2782, this information is being disclosed to you from confidential records which are protected by NY State Law. NY State law prohibits you from making any further disclosure of this information without the specific written consent of the person to whom it pertains, or as otherwise permitted by law. Any unauthorized further disclosure in violation of State Law may result in a fine or jail sentence or both. A general authorization for the release of medical or other information is NOT sufficient authorization for further disclosure of such patient data.

NYS Mental Hygiene Law Section 33.13

To the extent you access patient data subject to NYS Mental Hygiene Law Section 33.13, you shall ensure that any confidential health information shall remain confidential and shall only be stored, accessed, used, or disclosed in accordance with applicable provisions of State and Federal law. Under the NYS Mental Hygiene Law, further disclosure of such confidential mental health information is strictly limited to those circumstances in which consent of the patient is obtained, a court order is issued, or the recipient of the disclosed information is otherwise authorized to receive such information under NYS Mental Hygiene Law Section 33.13.

42 CFR Part 2 (Substance Abuse)

This information has been disclosed to you from records protected by federal confidentiality rules (42 CFR Part 2). The federal rules prohibit you from making any further disclosure of this information unless further disclosure is expressly permitted by the written consent of the person to whom it pertains or as otherwise permitted by 42 CFR Part 2. A general authorization for the release of medical or other information is NOT sufficient for this purpose. The federal rules restrict any use of the information to criminally investigate or prosecute any alcohol or drug abuse patient.