By checking the Terms & Conditions box, you confirm that:
You can be assured that the confidentiality of your PHI will be protected regardless of where or how this information is collected, used or disclosed by TWIG.
You understand and agree that this consent shall apply to this appointment and any future appointments with Twig Fertility
By checking the “I have read, agree, and consent to the terms above” box, you are signing this Agreement electronically. You agree your electronic signature is the legal equivalent of your manual signature on this Agreement.