CONSENT FORM

Last updated: 2023-09-27

This consent form (the "Form") is intended to obtain your consent so that your healthcare professional can collect your Personal Information as part of their use of the Coeurway Platform. Coeurway will then be able to collect, process, and store your Personal Information according to the healthcare professional's instructions through the Platform. We ask you to read this Form carefully to give your informed consent if applicable.

If you do not consent to this Policy, the healthcare professional will not be able to use the Platform to take notes about you, to record your consultations or otherwise, if the professional decides to do so according to their practices, to open a file about you.

For more information regarding your Personal Information, how it is collected, its use, the third parties who may have access to it, its storage, the security measures in place, or your rights, we invite you to read our Privacy Policy before giving your consent.

If you have any questions, if you want to exercise any of your rights under applicable laws, or if you wish to withdraw your consent, you can do so at any time by writing to us as described in our Privacy Policy.

In any case, you can at any time ask your healthcare professional to stop recording or otherwise pause it for any reason, such as questions about a highly confidential topic, for your comfort, or for any other reason.

1. PERSONAL INFORMATION COLLECTED, PROCESSED, AND STORED

As otherwise described in more detail in our Privacy Policy, the healthcare professional will be able to use your Personal Information as part of their use of the Platform.

This includes, but is not limited to, recording your vocal exchanges during your consultations. During these exchanges, you may discuss your medical history, your symptoms, and any necessary treatments. You may also provide information regarding your personal, family, financial, or legal situation. The healthcare professional may also provide us with your first name, last name, address (email and postal), phone number, social security number, or information about your insurance and social benefits to create and manage your file.

The healthcare professional may also provide their observations, notes, and remarks regarding their examination and evaluation of your health condition or otherwise record any information regarding the prescription of medication, requests for diagnostic tests, or referrals to other healthcare professionals for examination, follow-up, or care.

2. DECISION BASED SOLELY ON AUTOMATED PROCESSING

Specifically, you understand that to improve the efficiency of managing your file within the platform, we use AI-based technologies. This allows us to perform the following actions:

  • Record exchanges during your consultation with the healthcare professional;
  • Record the healthcare professional's notes and comments regarding your file;
  • Automatically convert these recordings into text;
  • Analyze and classify these transcriptions, including in your file if applicable.

    • You understand that these AI-based technologies make decisions regarding the cleaning of recordings (removal of silences, hesitations, etc.), the transcription of recordings into text, the analysis of transcriptions, or their classification in your file if it exists.

    Upon request, we can clarify for you in each case:

  • The personal information used;
  • The reasons and logic behind each decision;
  • The main factors considered by the AI.

    • Regarding these decisions, you have specific rights in addition to those available:
    1) You have the right to access, correct, or contest any of these decisions (for example, an automatic transcription) by contacting us as provided in the Privacy Policy.
    2) If you contest such a decision, you can also contact us as provided in the Privacy Policy to have it reviewed.

    3. YOUR CONSENT

    By accepting this Consent Form, you indicate that:

    • I understand and accept that Coeurway, through the healthcare professional, collects, uses, discloses, and stores my personal information, including information about my identity, medical condition, health history, or related to my personal, financial, family, or legal situation, in order to provide the healthcare professional with access to the platform and its features for managing your file.
    • I understand that refusal to provide my consent will prevent the healthcare professional from using the Coeurway platform during our consultations, to manage my file, or to take notes.
    • I understand that the collection, use, and disclosure of my personal information will be carried out in accordance with Coeurway's Privacy Policy, which you have had the opportunity to read and understand.
    • More specifically, I understand and accept that:
      • Coeurway will collect my personal information, including information about my identity, medical condition, health history, or related to my personal, financial, family, or legal situation that I provide during my consultations with the healthcare professional or that I may have otherwise provided;
      • Coeurway will use my personal information for the following purposes:
        • To provide access to the healthcare professional through the Platform and otherwise allow them to manage and process it through the Platform;
        • To identify and authenticate me in order to manage my file if applicable and the information concerning me for the healthcare professional; and
        • With my explicit consent, for any other purpose compatible with the platform's objective.
        • Following the depersonalization of my personal information for the following purposes:
          • For product development purposes;
          • For service and platform quality verification purposes;
          • For research purposes (such as medical research and studies);
          • For improving our marketing materials;
          • For managing the services provided and the relationship with our clients;
          • For data analysis purposes, including combining it with other information that may concern me but does not directly identify me because it is depersonalized (for example, to understand and demonstrate the use and utility of the platform);
          • And for creating depersonalized, aggregated reports that do not allow my identification or are anonymized.