Third Party Collection. I acknowledge that South Texas Cardiology Institute may utilize the services of a third party business associate or affiliated entity as an extended business office (“EBO Servicer”) for medical account billing and servicing.
Third Party Collection. We collect personal information from vendor partners that provide goods and services to the University the information includes: (Program Administrators, Please Check All That Apply) Identification Information, such as name, preferred name and xxxxxxx, date of birth, Social Security Number, photo, etc. Contact Information, such as email address, address, phone number, parent/guardian contact information, etc. Academic Records, such as education history, transcripts, test scores, recommendations, etc. Medical Information, such as allergies, medications, medical history, medical contacts, etc. Financial Information, such as payment method and payment details. Program Deliverables, such as portfolio of work, performance statistics and assessments, etc. User Content in Learning Management Systems and Videoconferencing Tools, such as recordings of voice, image, and surroundings, chat messages, discussion posts, uploaded files, speech to text transcripts, conversations with classmates and instructors, assignment submissions, survey and quiz responses, etc. System Logging Information, such as browser, operating system, and device type, IP and MAC address, date and time of login, length of session, time of transactions and submissions, etc. The Program Information will be used in the following manor: (Program Administrator, Please Check All That Apply) Program Enrollment and Management: support processes associated with selecting and attending programs, managing enrollment, issuing certificates, etc. Teaching and Learning Process: facilitate effective and engaging learning experiences by providing useful information to instructors and participants. Life on Campus: provide services, such as emergency alerts, housing, transportation, recreation sports, libraries, etc. Communications: provide program participants with information on relevant services, events, etc. Institutional Planning and Reporting: analyze data to assess program quality and utilization, and to identify, evaluate, and respond to trends. System Support: ensure system stability and positive user experience by monitoring service performance and providing end-user support. I hereby consent to the Program and its third party service providers to collect information from me and my child in connection with my child’s participation in the Program.
Third Party Collection. I acknowledge North Florida Internal Medicine at GFP may use the services of a third-party business associate or affiliated entity as an extended business office (“EBO Servicer”) for medical account billing and servicing.
Third Party Collection. I acknowledge that Memorial Neurospine may utilize the services of a third party business associate or affiliated entity as an extended business office (“EBO Servicer”) for medical account billing and servicing.
Third Party Collection. I acknowledge that Northeast Internal Medical Associates may utilize the services of a third party business associate or affiliated entity as an extended business office (“EBO Servicer”) for medical account billing and servicing.
Third Party Collection. I acknowledge that NW FL Heart Institute may utilize the services of a third party business associate or affiliated entity as an extended business office (“EBO Servicer”) for medical account billing and servicing.
Third Party Collection. I acknowledge that Pediatric Specialists of Texas may utilize the services of a third party business associate or affiliated entity as an extended business office (“EBO Servicer”) for medical account billing and servicing.
Third Party Collection. I acknowledge that GCP&GS may utilize the services of a third party business associate or affiliated entity as an extended business office (“EBO Servicer”) for medical account billing and servicing.
Third Party Collection. I acknowledge that Women’s Specialists of Clear Lake, PLLC may utilize the services of a third party business associate or affiliated entity as an extended business office (“EBO Servicer”) for medical account billing and servicing.
Third Party Collection. I acknowledge that iMED HEALTHCARE ASSOCIATES may utilize the services of a third party business associate or affiliated entity as an extended business office (“EBO Servicer”) for medical account billing and servicing.
