By registering for use of this website, I agree to the following:"

1. In addition to the requirements below, my use of this website is governed by the Site Use Agreement. I reviewed the Site Use Agreement and agree to its terms and conditions.

2. Citrus has given me authorization to register for this website. I will use this website only for authorized purposes.

3. I will immediately request that Citrus disable my website access if my employment or responsibilities no longer require my use of this website.

4. The personal information that I provide during registration to this website will be used by Citrus to determine if I am a valid user. The information also may be used for reporting purposes. Citrus will not use the information for any other purpose or disclose it to a third party unless required by law.

5. I will be provided with Patient Passwords by Citrus or by patients. I will access a patient's health information through use of this Patient Password. If I determine that I received a Patient Password in error (i.e., the patient is not my patient), I will immediately notify Citrus by calling ____________________ between the hours of _____________, Eastern Time, Monday through Friday.

6. I will protect from unauthorized disclosure and use the Patient Password. I will also protect from unauthorized disclosure and use the User Name and Password that I choose during the registration process. I take full responsibility for all actions related to use of a Patient Password and my User Name or Password by myself or by others. If I believe that a Patient Password or my User Name and Password has been compromised, I will immediately notify Citrus by calling ____________________ between the hours of _____________, Eastern Time, Monday through Friday. I will immediately notify Citrus and my employer if I suspect actual misuse of a Patient Password or my User Name and Password.