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INTAKE PRO DATA SHEET
Revised: 11/01/2024
This Data Sheet describes the Intake Pro product, a digital intake form program by Office Ally, Inc ("Office Ally") to the user named on an applicable Order (the "User").
1. USER INTAKE FORMS
The Intake Pro service allows User's patients to complete intake forms and sign documents from a tablet. Office Ally digitizes User's intake forms and enables their access from designated tablets. Completed form information is automatically populated into Office Ally's Practice Mate and EHR 24/7 platforms. Patients can also complete their Intake Documents online before their appointment visits via Office Ally's patient portal, Patient Ally.
2. SERVICE REQUIREMENTS
In order to access the Service, User must have an active account with Practice Mate and/or EHR 24/7 currently enabled.
3. FEES FOR SERVICE
The Intake Pro service is free of charge. Tablets are available for purchase at a cost of $1 per tablet. Use of the Intake Pro service requires active account with Office Ally's Practice Mate and EHR 24/7 platforms.
4. CANCELLATION OF SERVICES
User can cancel use of Intake Pro at any time. Cancellation of this Intake Pro service does not cancel or otherwise change any other service that Office Ally is providing to User.
5. SYSTEM & SECURITY REQUIREMENTS
Office Ally's products and services are internet-based programs accessed through the Office Ally website. For optimal performance users should be in compliance with Office Ally's System Requirements and Recommendations available here: https://cms.officeally.com/formsmanuals.
These system requirements are subject to change. User designates Office Ally to manage security controls using industry standards and HIPAA best practices to include but not limited to: unique user ids, password complexity, minimum password length, limiting password reuse, lock-out parameters, banner notification and password expiration notice.
6. CHANGES
Office Ally may, from time to time and in its sole discretion, make changes to this document or the terms and conditions set forth herein. When Office Ally makes material changes prominent notice will be provided as appropriate under the circumstances, e.g., by displaying a prominent notice within the applicable Office Ally products or services and/or by sending User an email. Office Ally shall have the right to increase prices from time to time, upon notice to User not less than thirty (30) days prior to the effective date of such increase.
8. TERMS AND CONDITIONS
User’s execution of an applicable User Agreement for the products and services applicable to this Data Sheet signifies User’s agreement to the terms and conditions in this Data Sheet and its acknowledgment that products and services are provided under and is governed by such applicable Order and User Agreement.
This document constitutes a Data Sheet as defined in the User Agreement. OFFICE ALLY MAKES NO WARRANTIES, EXPRESS OR IMPLIED, IN THIS DOCUMENT.
Need further information? Please contact Office Ally support.
