Logiforms Agreement

Enter your name as it appears on your RN license. If you sign your clinical notes with your middle name, please include your middle name or middle initial with your first name.

Enter the email address you want associated with your Logiforms account. This will be your Logiforms User Name. This is where you will receive notification when a visit note has been approved or revisions have been requested.

► The Logiforms HHC Nurse Portal is a secure, encrypted platform that stores PHI and requires compliance with HIPAA and associated confidentiality and privacy laws.

► I understand the general rules and regulations of HIPAA and my obligations to protect private patient information in all forms whether printed, electronic, or electronically transmitted.

► The Logiforms HHC Nurse Portal is an online web-based platform (not an app).

► The Logiforms HHC Nurse Portal requires the use of a data-connected mobile device such as a 3G/4G/5G enabled cell phone, tablet or laptop.

► I understand that technology is not 100% reliable and that cellular service may be inaccessible at some residential locations. For these reasons I agree to have paper documentation available to utilize at each visit when documentation cannot be completed through the Logiforms platform.

► I will not share my Logiforms login information with anyone.

► I will not save my Logiforms login information to a shared or public device.

► I will logout of Logiforms immediately following use on a shared or public device.

► I understand that my use of Logiforms is voluntary at this time, but will required for all infusion visits starting July 11, 2021.

► I understand that there is no additional compensation for my use of Logiforms at this time.

► I understand that some forms within the Logiforms platform will require the client to sign with a finger or stylus pen on my touch device.

► I understand that HHC will provide me with a stylus pen for clients and I to utilize with my touch device.

► I understand that HHC is not responsible for my device(s) and will not reimburse or compensate me if my device is damaged while utilizing the Logiforms platform.

► I agree not to hand my device to the client and instead I will hold the device or place the device on a stable, flat surface for the client to sign when applicable.

Read & acknowledge each term of the agreement.

Sign your name and submit the form to complete the agreement and account setup. You will receive a "Welcome" email with instructions and an access link once your account has been approved by an Administrator.

GENERAL REQUIREMENTS

I understand

I understand that electronic charting via Logiforms is the only acceptable method for charting and submission of clinical documentation with HHC.

I understand

I understand that charting manually (on paper) and submitting via upload to the Logiforms platform is for emergency situations only and paper charting is not acceptable as a default charting method.

I agree

I agree to maintain and have access to paper copies of all HHC visit forms for use in emergency situations (device failure, signal loss, etc.)

DEVICE REQUIREMENTS

I understand

I understand that the HHC Visit Note Portal (a.k.a. Logiforms) is a secure web-based platform (not an app) that requires the use of my personal electronic device, connected to a cellular network or Wi-Fi signal (e.g. mobile phone, tablet, or computer).

I understand

I understand the Logiforms platform will require the client to sign with a finger or stylus pen and that HHC will provide me with a stylus pen for clients and I to utilize with my touch device.

I understand

I understand that HHC is not responsible for my device(s) and will not reimburse or compensate me if my device is damaged while utilizing the Logiforms platform.

I agree

I agree not to hand my device to the client and instead I will hold the device or place the device on a stable, flat surface for the client to sign when applicable.

SECURITY & PRIVACY

I agree

I agree not to share my Logiforms login information with anyone other than an HHC Administrator.

I agree

I agree no not to save my Logiforms login information to a shared or public device.

I understand

I understand Logiforms is a secure, encrypted platform that stores PHI and requires compliance with HIPAA and associated confidentiality and privacy laws.

I understand

I understand the general rules and regulations of HIPAA and my obligations to protect patient information in all forms whether printed, electronic, or electronically transmitted.

ACCURACY & FRAUD

I agree

I agree to obtain authentic electronic signatures from clients and/or caregivers aged 18 or older. I will not sign for a client even if a client verbally authorizes me to do so.

I will

If a client is physically unable to sign, and a caregiver is not present to sign on their behalf, I will mark an “X” for the signature and detail in the narrative regarding such.

I will

I will ensure all electronic charting information whether clinical or clerical, including arrival & departure times, travel time and mileage will be accurate and true.