ONS understands that the privacy of personal health information is of utmost importance and we are committed to protecting that information. We appreciate your willingness to share the experiences you, your child or a patient for whom you are the legal representative had at ONS, but because of our commitment to our patients' privacy, we must obtain written or electronic authorization before we use any of the information you submit to The ONS Experience (referred to in this Authorization as "ONS Experience").
This Authorization provides the confirmation ONS needs and helps us make sure you understand what information we will use, how we will use it and who will have access to it. It serves as confirmation that, if you are not the patient yourself, you are authorized to submit information on behalf of that patient. Please read the following information carefully before agreeing to the terms of this Authorization.
By voluntarily submitting your personal story for The ONS Experience, you must understand that it will be available for view by any individual who visits ONSMD.COM and may appear as a result of a Google search for a specific injury, condition, treatment or procedure. You are not required to provide this information. You will not be refused health care services by ONS. Neither the fee for you/the patient's health care nor you/the patient's health care benefits will be affected if you do not agree to the terms of this Authorization. If you do not accept this Authorization, we will not publish your information in any of The ONS Experience media.
This Authorization covers only the information that you submit to ONS through the form accessible on ONSMD.COM. This Authorization does not permit the release or disclosure of any other information from the patient's medical file with ONS.
If we select your story to share on The ONS Experience, you will be contacted by an ONS representative prior to it being posted to confirm your Authorization and the information that you submitted via the online form. In order to contact you in this manner, your name and email address may be shared with one or more ONS staff to verify information for use as part of The ONS Experience. Contact information obtained through The ONS Experience page will not be shared with outside parties for other purposes.
The information used and disclosed will be limited to the information you submit to The ONS Experience through the form available on the website. For clarification, that information may include:
If we select your testimonial for use in The ONS Experience, once verified with you, it may be published on the ONS website ONSMD.COM and/or through ONS's social media channels. In addition, ONS may use your Experience Information for (a) ONS's educational, training and/or promotional purposes; (b) publicity, advertising, publications and/or (c) broadcast or other public display purposes, in each case, in any media selected by ONS.
In addition, your Contact Information may be used by ONS or our designees to contact you to verify your information, to confirm your Authorization to use you information, to confirm your authority to submit information on behalf of this patient, or to request permission to use the information you submitted in a manner other than specified in this Authorization.
Nothing in this Authorization requires ONS to use any of the information you submit for any purposes. You acknowledge and agree that ONS may decide in their sole discretion not to use the information you submit and that you have no recourse and no claims as a result of ONS's decision not to use your information.
Anyone visiting the website and/or ONS's social media channels, attending any educational or training sessions in which we use the information, or anyone viewing any other advertising, publication, solicitation materials, broadcasts or displays we produce may see your The ONS Experience information. Because it will be posted on the Internet on this website and in social media channels, The ONS Experience information is available and may be viewed by the general public.
We strictly adhere to the HIPAA guidelines and respect that certain details about your treatment may be sensitive information (such as any information related to HIV, substance abuse, psychiatric care, sexually transmitted disease; tuberculosis and genetics. PLEASE DO NOT INCLUDE ANY SUCH SENSITIVE INFORMATION IN THE MATERIALS YOU SUBMIT TO ONS VIA THE ONS Experience.
If we identify such sensitive information in your submissions and we are considering your submission for use with The ONS Experience, this sensitive information will be deleted from the materials before use. If we cannot retain the substance of your submission without such information we will not use your submission. Notwithstanding our right to review submissions and remove sensitive information, we are under no obligation and assume no duty to do so and if you submit the sensitive information to The ONS Experience via the questionnaire on the website, ONS is not responsible if such information is made public.
You are encouraged to provide photos or videos with your submissions. By submitting such photos or videos (the "Images") you consent to ONS's broadcasting, internet posting, publication, distribution or other use of the Images and your likeness in any medium whatsoever. You acknowledge and agree that the Images may be used as you provide them, or may be edited or incorporated into other images, recordings, videos, or formats and may be used any number of times. You also acknowledge and agree that you will not receive any compensation or other remuneration for the use of the Images as provided for in this Authorization. You specifically release and agree not to sue ONS or any of its employees, officers, agents or designees, from or for any liability or other obligation arising from the broadcasting, internet posting, publication, distribution or other use of the Images. This consent extends to any use by ONS or third party acting on behalf of ONS with ONS's authorization.
By agreeing to the terms of this Authorization, you consent to the use or disclosure of all information you submit to The ONS Experience, including any of the patient's protected health information, as described in this Authorization. You acknowledge and agree that the information used in The ONS Experience, whether on the website, the social media channels or in other media, is accessible by the general public and once published on these platforms, the information is available to third parties who have no obligations to maintain the confidentiality of this information and such information is no longer protected by federal health information privacy regulations. These third parties who view your information may copy and redistribute the information without our authorization, and ONS has and assumes no liability for use of the information by third parties.
You have a right to receive a copy of this Authorization after you have agreed to its terms. If you would like a copy of this Authorization, please send your request to: Orthopaedic & Neurosurgery Specialists.
You have the right to revoke this Authorization in writing at any time, provided that any revocation is effective only as to future uses of your information. We will remove your information from any postings that are currently active at the time of your revocation, but we are not responsible for any publication that has already occurred, and except for electronic postings, we are not required to remove, replace or redact any publications (for example, if we used your information in a mail-out or in an advertisement, we are not required to retract such publication, but we will agree not to publish such advertisement again in the future). To revoke this Authorization, please write to Orthopaedic & Neurosurgery Specialists.
ONS will only accept this Authorization (a) with respect to your personal information, provided that you are over the age of 18 or (b) with respect to the personal information of a patient other than yourself, with confirmation that you are the patient's parent, guardian, or other legal representative. We reserve the right to take whatever steps we deem necessary to confirm your legal authorization to provide information about a patient other than yourself.