As part of Data Independence Day, consumers will be asking their providers for electronic copies of their health data. We want to be able to point them to products and services that can help them manage and use their health information. Please fill out this brief survey so that we can learn more about your product and share this information with Data Independence Day participants

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* 1. Company/product name, brief description of your product, company/product url and email address of person who completed survey

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* 2. What tasks does your product help clients perform? (check all that apply)

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* 3. How do you help clients assemble their health data? (check all that apply)

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* 4. What types of data do you accept? (check all that apply)

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* 5. What are the charges and fees for using your product?

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* 6. We will ask every participating company/product to fill out and post the model privacy notice - http://www.healthit.gov/policy-researchers-implementers/your-organizations-phr-data-practices

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* 7. For what purposes do you release clients' data?

  Marketing and advertising Medical and pharmaceutical research Reporting about our company and our customer activity Your insurer and employer Developing software applications
We release clients' personal (identifiable) health data for
We release statistical (de-identified) data for

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* 8. Do you require limiting agreements that restrict what third parties can do with your Personal Data?

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* 9. Do you stop releasing clients' personal data if they close or transfer their account?

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* 10. Can clients download their health data from your site?

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