TERMS OF SERVICE FOR THE USE OF THIS WEB SITE AND FOR ONLINE COMMUNICATION WITH DR. ROTHSCHILD

By reading the material on this Web site, and/or by communicating with Dr. Rothschild through the Internet, you are acknowledging that you have read and fully understand these terms of service. You affirm that you understand the risks and benefits associated with online communication with a health care provider, and consent to the conditions outlined herein. In addition, you agree to the instructions outlined herein, as well as any other instructions that the provider may impose to communicate with patients/guardians through the Internet.


READING GENERAL INFORMATION ON THE WEB SITE:

The content of these pages is provided as general information, and should not be considered as advice for a specific child. Every patient is different, and requires individualized management by a health care provider who has been able to meet and examine them in person. Simply reading the information provided here does not constitute a doctor-patient relationship.

It is hoped that this material will be useful to parents and other caregivers in understanding their children's health problems, but it is no substitute for personal medical care. It should also be understood that many topics in medicine are controversial, and there may be several alternate approaches to a given problem.

Users of this web site accept full responsibility for the use of information from this site and any sites linked to or from it. No representation is made as to its completeness or appropriateness for a particular purpose. Dr. Rothschild is neither responsible nor liable for any claim, loss or damage resulting from use of information on this site. The mention of a specific product or service does not constitute a recommendation unless so stated. No change should be made in a healthcare regimen based solely on information obtained over the Internet, but only after consultation with a health care provider who has had the opportunity to evaluate the patient in person.


COMMUNICATING ONLINE WITH DR. ROTHSCHILD REGARDING GENERAL MATTERS OR A PATIENT THAT HE HAS NEVER SEEN

While Dr. Rothschild is happy to answer general questions about pediatric ear, nose and throat problems as time allows, it is important that several points be understood. Any comments made about patients that have not been seen by Doctor Rothschild in person are provided as general information only, and should not be considered as advice for a specific child. Every patient is different, and requires individualized management by a health care provider who has been able to meet and examine him or her in person. An exchange of e-mail correspondence over the Internet does not constitute a doctor-patient relationship.

The correspondence generated by these pages has apparently been useful to parents and other caregivers in helping them to better understand their children's health problems, but it is no substitute for personal medical care. It should also be understood that many topics in medicine are controversial, and there may be several appropriate alternative approaches to a given problem.

Online correspondents accept full responsibility for the use of information obtained in this manner. No representation is made as to its completeness or appropriateness for a particular purpose. Dr. Rothschild is neither responsible nor liable for any claim, loss or damage resulting from use of information received solely through e-mail, without an in-person consultation. The mention of a specific product or service does not constitute a recommendation unless so stated. No change should be made in a healthcare regimen based solely on information obtained over the Internet, but only after consultation with a health care provider who has had the opportunity to evaluate the patient in person.

Any correspondence submitted to Dr. Rothschild may occasionally be used elsewhere for the purpose of illustrating commonly asked questions. However, identifying information (such as names or geographic locations) will not be included. Unsolicited correspondence remains the property of Dr. Rothschild, and no other copyright may be implied or reserved.

Finally, it must be understood that any comments sent or received through e-mail are potentially insecure, and may be intercepted, read and forwarded without the knowledge of the original author or recipient. While this is uncommon, it is not possible with the present level of technology to ensure complete privacy in Internet based communications.


COMMUNICATING ONLINE WITH DR. ROTHSCHILD REGARDING AN ESTABLISHED PATIENT

1. RISK OF ONLINE CONTACT:

Dr. Michael Rothschild (hereafter known as the provider) offers the patient and or patient’s guardian (hereafter knowns as patient/guardian) the opportunity to communicate with the provider through the Internet. Online transmission of medical information, however, has a number of risks that the patient/guardian should consider before using this mode of communication. The use of secure messaging in place of routine e-mail reduces, but may not eliminate, all of these risks. These include, but are not limited to, the following:

a. Messages can be circulated, forwarded, and stored in numerous paper and electronic files.
b. Messages can be immediately broadcast worldwide and be received by many intended and unintended recipients.
c. Messages can be misaddressed
d. Electronic documents are easier to falsify than handwritten and/or signed documents.
e. Backup copies of messages may exist even after the sender or the recipient has deleted his or her copy.
f. Employers and online services have a right to archive and inspect material transmitted through their systems.
g. Electronic messages may be intercepted, altered, forwarded or used without authorization or detection.
h. Online communication can be used to introduce viruses into computer systems.
i. Messages can be used as evidence in legal proceedings.

2. CONDITIONS FOR USE OF ONLINE CONTACT:

The provider will use reasonable means to protect the security and confidentiality of information sent and received through the Internet. However, because of the risks outlined above, the provider cannot guarantee the security and confidentiality of online communication, and will not be liable for improper disclosure of confidential information that is not caused by the provider’s intentional misconduct. Thus, the patient/guardian must consent to the use of the Internet for the transmission of medical information. Consent to the use of the Internet includes agreement with the following conditions:

a. All messages to or from the patient/guardian may be printed out and made a part of the patient’s medical record. Because they are a part of the record, other individuals authorized to access the record (such as staff and billing personnel) will have access to these messages.
b. The provider may forward these messages internally within the practice to the staff and agents as necessary for diagnosis, treatment, reimbursement and other handling. The provider will not, however, forward messages to independent third parties without the patient’s/guardian’s prior written consent, except as authorized and required by law.
c. Although the provider will endeavor to read and respond promptly to messages from the patient/guardian, the provider cannot guarantee that any particular e-mail will be read and responded to within any particular period of time. Thus, the patient/guardian shall not use the Internet for medical emergencies or other time-sensitive matters.
d. If the patient’s/guardian’s message requires or invites a response from the provider, and the patient/guardian has not received a response within a reasonable time period, it is the patient’s/guardian’s responsibility to follow up to determine whether the intended recipient received the message and whether the recipient will respond.
e. The patient/guardian should use careful judgment before using the Internet to communicate regarding sensitive medical information, such as that involving sexually transmitted diseases, AIDS/HIV, mental health, developmental disability or substance abuse. f. The patient/guardian is responsible for informing the provider of any types of information the patient/guardian does not want to be sent over the Internet, in addition to those mentioned in 2e above.
g. The patient/guardian is responsible for protecting his or her password or other means of access to the Internet and any secure messaging service. The provider is not responsible for breaches of confidentiality caused by the patient or any third party.
h. The provider shall not engage in online communication that is otherwise deemed unlawful.
i. It is the patient’s/guardian’s responsibility to follow up and/or schedule an appointment as necessary.


3. INSTRUCTIONS:

To communicate through the Internet, the patient/guardian shall:

a. Inform the provider of any changes in his or her Internet access that would affect communication
b. Include the patient’s (and guardian’s) full name in any messages
c. Follow any and all instructions generated by the messaging system, including requested information to facilitate message delivery
d. Review the message to ensure that all relevant information is included before sending it to the provider.
e. Take precautions to preserve the confidentiality of online messages, such as preventing the use of his or her computer by unauthorized persons.
f. Withdraw this consent by written communication with the provider.