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Patient Consent Form

Effective Date: 10/29/2025

Last Updated Date: 10/29/2025

Version: 1.0

By checking the “Terms of Use” and “Privacy Notice” boxes, you confirm that you understand and consent to the following regarding your use of the HEAL Access Platform provided through your healthcare provider, clinic, or health organization (“Organization”).

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1. Eligibility & Emergency Use

  • I confirm that I am 18 years or older; or, if under 18, I have parent/guardian consent to use the Platform as permitted by healthcare laws in my province.

  • I understand that the Platform is not for medical emergencies and agree to call 911 or local emergency services if I require urgent medical care.

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2. Custodianship, Processing & Storage

  • I consent to HEAL Access processing my personal and health information on behalf of my Organization, which remains the data custodian/controller under applicable privacy laws.

  • I consent to my data being stored in the AWS region selected by my Organization; no persistent storage will occur outside that region without the Organization’s written authorization.

  • I consent to limited, encrypted, and logged access to my data by HEAL Access technical staff outside the selected region only when necessary for support, maintenance, or emergency troubleshooting.

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3. AI Features & Sharing Controls

  • I consent to the use of AI features within the Platform to generate summaries, insights, and health information that support my care. I acknowledge that AI outputs are informational only and do not replace professional medical judgment.

  • I authorize AI access to my personal health information only when the Personal Data Access toggle is ON in my account settings. When the Personal Data Access toggle is OFF, AI will provide only generic responses and will not use my personal data for processing.

  • I consent that AI conversations, self-reported symptoms, and searches are private and will not be shared with my Organization unless I explicitly choose to share them within the Platform.

  • I understand that health assessments, surveys, and other clinical questionnaires assigned by my Organization are automatically shared with my care team, as these are part of my medical record.

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4. Rights, Deletion & Account Status

  • I consent to HEAL Access assisting with my requests to access, correct, or delete my account data, subject to applicable privacy and healthcare record retention laws.

  • If I request account deletion, I consent to the following:

    • Deletion will be completed within 30 days, depending on system requirements.

    • Account deletion is permanent and cannot be undone.

    • Information already shared with my Organization will remain part of my official medical record and cannot be deleted.

    • Independent or unshared data in my account will be securely deleted.

  • I understand that if my Organization’s agreement with HEAL Access ends, my account will be deleted in accordance with the Organization’s data retention and transition procedures.

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5. Subprocessors

  • I consent to HEAL Access using trusted third-party providers to deliver and support Platform services under contractual privacy and security safeguards.

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