Request an Appointment

I understand that I am voluntarily using an online appointment that is transmitted through the internet and third-party carrier lines. I understand that the internet transmission may not be secure and that I am sharing individually identifiable information related to my health services. State and federal laws protect the privacy and security requirements regarding my protected health information. However, by using the site and voluntarily submitting the information via the internet, I understand that I am waiving my privacy and security protections and acknowledge the risk that my information may be accessed by unauthorized individuals. Optim Healthcare implements reasonable administrative and technical safeguards to protect my data, but I understand that there is a risk in using the internet to transmit such data and by using the site, I assume such risk.

I understand and acknowledge that some or all of the health care professionals performing services at Optim Healthcare locations are independent contractors and are not Optim Healthcare agents or employees. Independent contractors are responsible for their own actions, and Optim Healthcare is not liable for the acts, billing, or omissions of any such independent contractors.