eUNITY SMIL PACS viewer - Login Request

HIPAA AGREEMENT
BY SUBMITTING THIS FORM YOU AGREE TO THE FOLLOWING:

ACCEPTANCE AGREEMENT

This system gives you access to your patients' diagnostic images and interpretation via the Internet. The first step in accessing this system is to obtain your secure username and password by completing this form. Please include a business phone number that can be verified. If you do not receive an acknowledgment email within 2 business days please call 602.521.6373.

As healthcare providers, we are bound by the Health Insurance Portability and Accountability Act (HIPAA) to protect patient protected health information (PHI). SMIL Medical Imaging is dedicated to maintaining strict compliance and adhering to all privacy standards set forth by HIPAA rules and regulations.

SECURITY AGREEMENT

In using SMIL Medical Imaging's eUNITY SMIL PACS viewer, you hereby agree to use protected health information (PHI). This site is intended for authorized physician and/or healthcare provider use for the sole purpose of treating and diagnosing your patient(s) only and for no other purpose except those allowed by federal and state laws.
By submitting this form you also agree to:

1. Notify the privacy officer of SMIL Medical Imaging of any use or disclosure of PHI not permitted by this agreement or by federal and state laws. hipaa@sdil.net
2. Access only such PHI for which you are authorized by federal and state laws.
3. Implement appropriate safeguards to prevent the use or disclosure of PHI not permitted by this agreement or by federal and state laws.
4. Ensure compliance of those users for whom you have authorized access to https://eunity.sdil.net
   • 4.1. Each authorized user must request a unique username and password.
5. Use appropriate safeguards to protect your username and password from unauthorized access including:
   • 5.1. Controlling the dissemination and use of your username and password.
   • 5.2. Monitoring the use of your username and password.
   • 5.3. Notify 'ITHelpdesk' helpdesk@sdil.net if there is any need to deactivate your username and password or those belonging to any user you have authorized.
   • 5.4 Notify 'IT Helpdesk' helpdesk@sdil.net when any of your authorized users have terminated employment with your practice so we may deactivate their username and password.

SMIL Medical Imaging reserves the right to monitor the usage of this system to ensure this service remains available to authorized users. To ensure the data transmitted between you and SMIL Medical Imaging is not viewed by unauthorized users, this website is encrypted. Any attempt to modify this program or associated information is strictly prohibited under the Computer Fraud and Abuse Act of 1986.

SMIL Medical Imaging reserves the right to terminate this agreement and use of https://eunity.sdil.net upon making the determination that there has been a violation or breach of the terms and conditions of this agreement. This allows us to reserve the right to monitor usage which includes but is not limited to audit logs/trails. Any covered entities or individuals found to have divulged or allowed unauthorized disclosure of patients' PHI may have their access terminated and may be reported to Office for Civil Rights (OCR). Failure to comply with HIPAA requirements can result in civil and criminal penalties. These civil and criminal penalties can apply to both covered entities and individuals.

PRIVACY STATEMENT

SMIL Medical Imaging requests only such personal information necessary to verify your identity and create secure access. We may revise or update this statement to remain in compliance with security and privacy laws. Your continued use of these sites constitutes your agreement/acceptance to these revisions. If you do not agree to the conditions set forth in these statements, please discontinue use of this site immediately and notify the privacy officer at hipaa@sdil.net

SMIL Medical Imaging
eUNITY SMIL PACS viewer - Login Request Form