PowerChart Outreach User Request Form
Electronic Health Record Access Agreement (Virginia Mason Medical Center)
This is an Agreement ("EHR Access Agreement") between Virginia Mason Medical Center ("Virginia Mason") and the undersigned ("Company"), to which Virginia Mason has agreed to provide access to its electronic health record ("EHR Data"), subject to the terms of this EHR Access Agreement and Virginia Mason policy. The Effective Date of this Agreement shall be the date upon which access provisioning is approved for Company, pursuant to Virginia Mason policy.
Company understands and agrees to all the following terms and conditions, as a condition of such EHR Data access:
I understand and agree to all the terms and conditions of the preceding EHR Access Agreement.