Personal Wellness ProfileTM
Notice to End Users
Congratulations for choosing to participate in the Personal Wellness ProfileTM assessment. Consider this assessment as your first step to better health. By choosing to take personal responsibility for your good health now, you may live a longer, healthier, and happier life. This assessment is designed for adults 18 years or older.
Use of Personal Information. This sets forth Wellsource’s and Grand Valley Health Plan’s practices regarding the information it collects from Personal Wellness Profile participants. Wellsource® retains the information you submit in the course of taking the Personal Wellness Profile assessment. Upon your consent to this End User Notice, your answers to the questionnaire will be disclosed to Grand Valley Health Plan. With your consent, Grand Valley Health Plan, providing you with the opportunity to participate in this assessment, will have access to your personal information. Wellsource® and Grand Valley Health Plan have taken steps to fully comply with laws and regulations on the use of personal information; however, Wellsource® does not ultimately control the privacy and security practices of Grand Valley Health Plan. If you consent to be bound by this End User Notice, information about you may be shared with Grand Valley Health Plan in two forms: (1) aggregate data (your data combined with those of other participants which does not personally identify you), and (2) personally identifiable data (data specific to and identifiable to you). Additionally, in the course of providing services associated with the Personal Wellness Profile, Wellsource® employees and consultants may have access to your personal information. You may request that your program administrator delete your Personal Wellness Profile at any time; however, we cannot guarantee that your information in aggregate form will be completely removed from the Wellsource® system.
Consent. This notice contains our policy with respect to our security and privacy practices. This policy and notice may change at any time. By clicking "I agree" below, I acknowledge that I have read, understand, and agree to the above and assert that I am at least 18 years of age. If I choose to click "I disagree" below, I understand that I may not have access to the Personal Wellness Profile.
Please check one.