This agreement is put in place between Palmetto Care Connections (PCC) and the Digital Literacy Ttrainee (““Trainee””) on this day,
for the purpose of creating a partnership for the Digital Inclusion Program. The purpose of the Digital Literacy Training is to teach participants Trainees the following: Tablet Basics, Internet Basics and Cybersecurity, Email Basics, Virtual Connections, Telehealth Basics, and Health Literacy. PCC is NOT a medical provider; health literacy is meant to empower the participant to research general health information for educational purposes only. It is not meant to diagnose or treat any health condition and should not take the place of a medical provider’’s diagnosis.
As a participant in this training, I agree to the following:
• To be contacted periodically via phone (SMS included) or email for education, reporting, and technical assistance.
• To use the tablet for my personal use and NOT to give the digital device to a friend or family member and to take care of the digital device so that it continues to operate effectively. The digital device can be damaged by dropping it on hard surfaces and/or in any type of liquid, being exposed to extreme temperatures, food, and drink, etc.
• I understand that I must complete the pre-assessment, all assigned training and videos, and the post-assessment prior to the tablet being unlocked for personal use. Once the post-assessment is completed,
your device will be ready to use within 3 business days (Mon.-Fri). Please note: Calling our office prior to the 3 business days (36 hours) will not speed up the process of unlocking the device. If your device is not unlocked/ working after that time, call us for assistance.
• I hereby consent to be interviewed, recorded, photographed, videotaped, or filmed by representatives of PCC, for purposes of publication, display, or broadcast (print, web, digital display, and all other forms of media). I agree that such interviews, recordings, articles, quotes, photographs, films, audio, or video and/or any reproductions of same in any form, are the property of Palmetto Care Connections, and I relinquish any present or future claim for reimbursement for said photographic or film reproduction of my likeness or for said testimonials by me. I hereby release Palmetto Care Connections, its affiliates, employees, representatives, and agents from any and all claims, demands, costs and liability that may arise from the use of these interviews, recordings, photographs, videotapes or films, and/or any reproductions of same in any form, as described above, arising out of being interviewed, recorded, photographed, videotaped or filmed.
Initial below to opt out of Photo/video
