Patient Portal Agreement

 

By signing this agreement I agree to the following rules for utilizing the patient portal for the above clinics. Please read the terms of this agreement as described below.

  • I the Patient/Parent understand that the patient portal is NOT to be used for urgent or emergency situations. In the event of an emergency I will call emergency medical services or 911, or go directly to the emergency room. 
  • I understand that it may take 24 hours to receive a response to an email request Monday -Friday. If I do NOT receive a response within 24 hours Monday – Friday I will contact the clinic.  Messages received on weekends and holidays will be responded to the next business day.
  • I understand that if I lose my username or password.  I may request a new one from the clinic by providing valid identification.
  • I the Patient/Parent understand that if at any time I believe my password or other security information has been obtained by or is being used by a person who I do not consent to having access to personal information on the patient portal, I must immediately notify the clinic.
  • I the Patient/Parent understand that I should remember to log out and close my browser when I am finished accessing password protected patient portal services. This prevents someone else from accessing personal information if I leave, share, or use a public computer (i.e. like a library, kiosk, or internet café).
  • I the Patient/Parent understand that the terms and conditions of this disclaimer and user agreement may change periodically. I will be notified of such modifications through the patient portal messaging and posting on the SAMC.org website.
  • I the Patient/Parent assume full responsibility for the privacy of my password and other security information.
  • I the Patient/Parent understand that access to the patient portal will be monitored through a logon audit.
  • I understand that this agreement is designed to, and by express agreement between the partied, does in fact reach as far as Alabama law permits.

 

You will obtain this agreement to sign at you participating Clinic or Office

AltaCare of Dothan

Enterprise Medical Clinic
Enterprise Pediatric Clinic

1450 Ross Clark Circle, Ste 400

Dothan, AL 36301

334-794-4582

334-671-9877 (Fax)

101 Professional Lane

Enterprise, AL 36330

334-347-3404

334-393-0613 (Fax)

101 Professional Lane

Enterprise, AL 36330

334-393-7337 

334-393-0613 (Fax)

Houston Medical Group NeuroSpine Center Osteopathic Principles & Practices

1206 Columbia Hwy

Dothan, AL 36301

334-677-5986

334-677-4901 (Fax)

102 Doctors Drive

Dothan, AL 36301

334-793-8804

334-699-4473 (Fax)

102 Doctors Drive

Dothan, AL 36301

334-793-8804

334-699-4473 (Fax)

Southeastern Cardiovascular Associates

Southeast Family Healthcare

Southeast Surgical Associates

2431 W. Main St, Ste 1001

Dothan, AL 36301

334-794-2825

334-793-5050 (Fax)

15079 South Hwy 231

Midland City, AL 36350

334-983-5994

334-983-4954 (Fax)

112 Haven Dr, Ste 1

Dothan, AL 36301

334-671-5050

334-792-5190 (Fax)

 

 

Urological Associates

 

1118 Ross Clark Circle, Ste 500

Dothan, AL 36301

334-794-4159

334-446-4424 (Fax)

 

NeuroSpine Center has satellite offices in Dothan, Enterprise, Troy and Marianna. Click here to view the locations.

Urological Associates has satellite offices in Dothan, Troy and Enterprise. Click here to view the locations.