Statement of Electronic Disclosure:
In order to electronically review and retrieve the documents related to your account(s) with CrowdHealth Inc. and delivered to you in connection with this request for consent (Documents), you will first need to review and accept this consent form.
With your consent, CrowdHealth Inc. can deliver the Documents and other disclosures and contracts related to your account(s) to you by displaying or delivering them electronically, and requesting that you print or download them and retain them for your records.
This notice contains important information that you are entitled to receive before you consent to electronic records and electronic signatures in connection with your account(s) at CrowdHealth Inc. Please read this notice carefully and print or download a copy for your files.
After you have read this information, if you agree to receive and accept the Documents from CrowdHealth Inc. electronically, and if you agree to general use of electronic records and electronic signatures in connection with your account(s) at CrowdHealth Inc., please acknowledge your acceptance of this consent by checking the box before you are able to continue with your application. In doing so, you are providing your affirmative consent to use electronic communications. By checking the box, you are also confirming that you meet the system requirements described below, that you have demonstrated your ability to receive, retain, and view electronic documents on your access device, and that you have a current email address.
Right to change back to non-electronic delivery of statements. We do not offer a non-electronic delivery of statements. If you choose this option, you agree that your account(s) will be closed, and existing balance(s) will be returned to you.
You agree to print out or download the Documents and keep them for your records. If you have any trouble printing or downloading any of the Documents, you may contact us by telephone at (512-722-7693) or by email at hey@crowdhealth.support.
If you wish to change your notification email address, you may do so within the mobile app, by logging in to your account through our website or by email at hey@crowdhealth.support
In order to access the Documents electronically, you must have:
- A computer or mobile device with an Internet connection
- We support personal computers, iOS and Android devices running on both phone and tablets.
- The last three major versions of the following web browsers are supported: Safari, Microsoft Edge, Google Chrome and Firefox
- The ability to view and retain Portable Document Format (PDF) files
- An email address
- Either a printer, hard drive or other storage device
You represent that you have the hardware, software, email address and capacities described above, and your ability to read this Consent demonstrates that you have the necessary hardware and software to receive Communications electronically.
Your consent does not mean that the CrowdHealth Inc. must provide all Documents related to your account(s) electronically. CrowdHealth Inc., at its option, may deliver documents or otherwise communicate with you on paper if it chooses to do so. CrowdHealth Inc. may also require that certain communications from you be delivered to CrowdHealth Inc. on paper at a specific address.
I have read the information about the use of electronic records, disclosures, notices, and email, and consent to use of electronic records for the delivery of documents, including disclosures and other notices, in connection with my account(s) at CrowdHealth, Inc.. I have been able to view this information using my computer and software. I have an account with an Internet Service Provider, and I am able to send email and receive emails with hyperlinks to websites and attached files. I also consent to the use of electronic records and electronic signatures in connection with my account(s) to CrowdHealth Inc. in place of written documents and handwritten signatures.
IMPORTANT: PLEASE PRINT AND RETAIN THIS CONSENT AND AUTHORIZATION