- My consent is for audio or video consultations with a genetic counselor through use of the DNA ALLY, Inc. (“DNA ALLY”) technology platform. I understand that I may withhold or withdraw this consent at any time by not using DNA ALLY services and deleting my account.
- I understand and acknowledge the following:
- At the completion of a consult with DNA ALLY, I will have access to a genetic counseling summary report which I should share with my healthcare provider. It is my responsibility to seek the advice of my physician or other qualified health care provider for any questions I may have regarding any medical or health-related condition.>
- The Terms of Service and Privacy Policy of DNA ALLY apply as part of this consent.
- I agree and authorize my genetic counselor to share the information I provide to the genetic counselor and the DNA ALLY Platform with DNA ALLY in connection with use of its platform, or for any other purpose as permitted or required by law.
- I understand and acknowledge that my genetic counselor or I can discontinue the use of the online consultation at any time if it is felt that the use of online consultation is not appropriate for the situation. If this is to occur, the genetic counselor may refer you to a healthcare profession and/or request that you reach out to us by going to the “contact us” form located at www.dnaally.com so that we can better access the situation.
- I understand and acknowledge that genetic counselors are consultants of DNA ALLY and that the terms in this consent apply to each genetic counseling consultation provided through the DNA ALLY platform.
- I understand and acknowledge that if I have any questions in regard to online genetic counseling services or these terms and conditions, I can contact DNA ALLY by going to the “contact us” form located at www.dnaALLY.com.
- I understand that I can only use these services if I am at least eighteen (18) years of age or older, I am a resident of the United States, and I have carefully read and consent to these terms and conditions.