Email Consent
New regulations and hospital policy require that anyone using email to communicate with health care providers understand and agree to a number of conditions and limitations. Stanford has created consent for this purpose. Please review this form and, if you agree with these conditions, please send an email to gloria.relloma@medcenter.stanford.edu stating your agreement. Please include in this email the name and birthdate, as well as the Stanford Medical Record number if possible, of the patient this agreement applies to. Thank you.
Please review the email consent form (30 KB PDF-will appear in new window).
