CHARLES DREW Diabetes Concierge Care Program
I have read and agree to the Authorization to Use and/or Disclose Protected Health Information provided by Charles Drew Health Center (Charles Drew). As a participant in this program, I agree to:
- Receive text messages related to diabetes for a period of 6 months
- Click the links to view the educational information and videos related to my condition
- Complete and submit online and/or mobile program health survey(s)
- Help improve my health by following my doctor’s care plan instructions and recommendations in the messages to the best of my ability.
This program is not designed to and does not provide medical advice, professional diagnosis, opinion, treatment or services. Medical information provided by Charles Drew and GoMo Health is for informational and educational purposes only. After reading care messages or web pages, you are encouraged to review the information carefully with your physician. Never disregard professional medical advice, delay in seeking treatment, or rely on the information contained in this program in place of seeking professional medical advice. The information sent through text or email should not be considered as a medical consultation, nor is it meant to replace the physician’s decisions about the appropriateness or risks of a procedure given to a patient. If you think you may have a medical emergency, call your physician or 911 immediately.
Medical information changes constantly. Charles Drew and GoMo Health do not guarantee the accuracy, adequacy, timeliness or completeness of any of the information on this site or on the linked web sites and is not responsible for any errors, omissions, or any consequences arising from the use of the information contained at this or any linked web site.
References to any entity, product, service, or source of information not related to Charles Drew and GoMo Health should not be considered an endorsement, either direct or implied, by Charles Drew or GoMo Health. Charles Drew and GoMo Health do not recommend or endorse any specific tests, products, procedures, opinions or other information that may be provided on any linked web sites. The linked web sites may contain text, graphics, images or information that you find offensive. Charles Drew and GoMo Health have no control over and accepts no responsibility for such materials.
We hope that you find this program useful in providing information about certain conditions and helpful in making your own health care decisions.
I understand that text and email are not considered secure technologies and that the messages I receive may indicate the nature of my condition. Beyond the nature of my condition, Charles Drew and GoMo Health will not send Protected Health Information (PHI) via text or email as part of this program.
I agree to waive my right to health care information privacy for use within this program and to share my Protected Health Information.
If I have provided the contact information of a family member or caregiver, I understand that person will receive the same information with my name, and I have given permission for this information to be shared.
Health Safety Procedures
I understand and acknowledge that this program is not a substitute for receiving proper provider care and following my physician prescribed care plan, but as a supplemental approach to better managing my condition to avoid readmission.
GoMo Health respects your privacy. GoMo Health Concierge Care® is a software platform with educational content that is available via a web link in a text message or email. GoMo Health does not sell, trade or rent your personal information to other companies or individuals. GoMo Health uses industry-leading Secure Sockets Layer (SSL) technology to keep your personal information as secure as possible. Participant information will only be used for its intended purpose. By participating, you give GoMo Health permission to provide your contact information to Charles Drew.
GoMo Health may use information collected through its services for research and development purposes. However, such usage will not include any personally identifiable information in such research or development. Personal information collected is stored in our secure cloud-based database, and we reserve the right to divulge information only as mandated to comply with state and federal laws.
GoMo Health aggregates the participant information voluntarily submitted from this program, to improve the program performance. GoMo Health may also receive Personal Health Information about participant health from Charles Drew. GoMo Health may also aggregate the information from the two sources listed above.
Text and E-mail
When a participant sends a text message and/or email with program-specific data, their mobile phone number and/or e-mail address, the full content of the message, attached files, or other information provided may be recorded. The program may use this information to determine and send appropriate information or educational content to participants. Participants may indicate their preference to stop receiving communications or opt-out at any time. (See Your Choices Regarding Your Personal Information).
Information Collected Via Technology
Use and Disclosure of Information
In general, Personal Health Information and other information submitted and/or shared with the program, may be used for the following purposes: to enable participant access to program services; to personalize the content received by the program; and/or to provide additional information and functionality upon request.
We may, when required, provide Personal Health Information to third-party service providers or affiliates who work on our behalf, to provide some of the services features necessary to help us communicate with participants. Examples of such services include sending texts or e-mails, analyzing data, processing rewards payments and providing customer service. Participant information provided under BAA to the aforementioned affiliates and third party service providers are not to be utilized in any manner except as necessary to provide the relevant program services. If you are not willing for the program to use or disclose your collected Personal Health Information as identified above, you may choose to not participate in the program.
The program uses Google Analytics to analyze how visitors interact with the program web site. This service provides non-personally identifiable data including but not limited to data on where visitors came from, what actions they took on our site and where visitors went when they left our site.
The program may disclose Personal Health Information if it is believed in good faith that such disclosure is necessary to; (a) comply with relevant laws or to respond to subpoenas or warrants served on us; or (b) to protect and defend our rights, property, or you the participant. You hereby consent to us sharing your Personal Health Information under the circumstances described herein
Your Choices Regarding Your Personal Information
This program offers choices to participants regarding the collection, use and sharing of their Personal Health Information. Participants have a right at any time to opt out of the program (removed from the program database) to discontinue program contact by replying “STOP” at any time after receiving a text message. If the participant selected email for program communication, the participant will have the opportunity to “opt-out” by following the unsubscribe instructions provided in the e-mail message. Participants may also contact GoMo Health directly, via email, at firstname.lastname@example.org.