HOST – SAMHSA Youth Support Program
GoMo Alerts

This form will be used to provide Bridgeway Rehabilitation Services with basic information about an individual that you are referring to be evaluated. It does not constitute a contract or a commitment for services for the individual.

References to any entity, product, service or source of information not related to Bridgeway and GoMo Health should not be considered an endorsement, either direct or implied, by Bridgeway or GoMo Health. Bridgeway and GoMo Health do not recommend or endorse any specific tests, products, procedures, opinions or other information that may be provided on any linked websites. The linked websites may contain text, graphics, images or information that you find offensive. Bridgeway and GoMo Health have no control over and accept no responsibility for such materials. 

HIPAA Disclosure

GoMo Alerts sends standard emails. Beyond the individual’s name, no other information about the individual is included in the email. Any information about the nature of an individual’s condition is in a secure, password-protected database. Bridgeway Rehabilitation Services and GoMo Health will not send Protected Health Information (PHI) via text or email as part of this program. Protected Health Information (PHI) will be used and disclosed in accordance with HIPAA and applicable privacy laws.

Privacy Policy

GoMo Health does not sell, trade or rent personal information to other companies or individuals. GoMo Health uses industry-leading Secure Sockets Layer (SSL) technology to keep personal information as secure as possible. Participant information will only be used for its intended purpose.

GoMo Health and Bridgeway may use information collected through its services for research and development purposes. However, such usage will not include any personally identifiable information in such research or development. Personal information collected is stored in our secure cloud-based database, and we reserve the right to divulge information only as mandated to comply with state and federal laws.

Personal Information

GoMo Health aggregates the participant information voluntarily submitted to this program, to improve the program performance.  GoMo Health may also receive Personal Health Information about participant health from Bridgeway. GoMo Health may also aggregate the information from the two sources listed above. 

Text and E-mail

When a participant sends a text message and/or email with program-specific data, their mobile phone number and/or e-mail address, the full content of the message, attached files, or other information provided may be recorded. The program may use this information to determine and send appropriate information or educational content to participants. Participants may indicate their preference to stop receiving communications or opt-out at any time. (See Your Choices Regarding Your Personal Information).

Information Collected Via Technology

As you use these pages, certain message delivery information may be passively collected and stored on GoMo Health’s or our service providers’ server logs, including your Internet protocol address, browser type, and operating system. We also use Cookies and navigational data like Uniform Resource Locators (“URLs”) to gather information regarding the date and time of your web page visit and the information viewed. “Cookies” are small pieces of information that a website sends to your computer’s hard drive while you are viewing the site. An Internet protocol (or IP) address is a number that is automatically assigned to a participant computer when they use the Internet. In some cases, an IP Address may stay the same from browser session to browser session; but if participants use a consumer internet service provider (ISP), your IP Address will likely vary from session to session. The program may use both session Cookies (which expire once the web browser closes) and persistent Cookies (which remain on the computer until deleted) to provide a more personal and interactive program experience. Persistent Cookies can be removed by following the Internet browser’s help file directions. Participants may manage cookie preferences via browser settings (see http://www.aboutcookies.org for more information)

Use and Disclosure of Information

In general, Personal Health Information and other information submitted and/or shared with the program may be used for the following purposes: to enable participant access to program services; to personalize the content received by the program; and/or to provide additional information and functionality upon request.

Except as otherwise stated in this Privacy Policy, the program does not sell, trade, rent or otherwise share the Personal Information that we collect with third parties.

We may, when required, provide Personal Health Information to third-party service providers or affiliates who work on our behalf, to provide some of the services features necessary to help us communicate with participants. Examples of such services include sending texts or e-mails, analyzing data and providing customer service. Participant information provided under a Business Associate Agreement to the aforementioned affiliates and third-party service providers are not to be utilized in any manner except as necessary to provide the relevant program services. If you are not willing to allow the program to use or disclose your collected Personal Health Information as identified above, you may choose to not participate in the program.

The program uses Google Analytics to analyze how visitors interact with the program web site. This service provides non-personally identifiable data including but not limited to data on where visitors came from, what actions they took on our site and where visitors went when they left our site.

The program may also develop non-personal information concerning visitors to GoMo Health web pages, using de-identification processes to help ensure that such information cannot reasonably be re-associated or connected with participants. Generally, this information is de-identified and aggregated to be used in statistical analysis to help analyze patterns of use. This Privacy Policy does not limit use or disclosure of de-identified information (i.e., that is not connected with an individual user) in any way, and we reserve the right to use and disclose such information to program partners, sponsors and other third parties at our discretion.

In the event we go through a business transition such as a merger, acquisition by another company or sale of all or a portion of our assets, your Personal Health Information may be among the assets transferred. Program participants acknowledge that such transfers may occur and are permitted by this Privacy Policy and that any acquirer will continue to process Personal Health Information with HIPAA compliance and as set forth in this Privacy Policy.

The program may disclose Personal Health Information if necessary to comply with relevant laws or to respond to subpoenas or warrants served on us. You hereby consent to us sharing your Personal Health Information under the circumstances described herein.

PROHIBITED USES OF THE PLATFORM

You shall not transmit, redistribute, or promote any communications, content, or materials that (a) contain corrupted files, viruses, or any other similar software files, the intent of which is to damage the operation of another’s computer; (b) are unlawful, threatening, harassing, abusive, defamatory, invasive of privacy or publicity rights, obscene, or otherwise objectionable; (c) infringes, misappropriates, or violates the intellectual property rights or other rights of any third party; (d) impersonate any person, business, or entity, including our company, employees, or agents; (e) violate any law (including, but not limited to, HIPAA); or (f) amounts to any conduct that, in our judgment, restricts, impairs, interferes, or inhibits any other user from using or enjoying, or is otherwise detrimental to, the Platform.  You shall not: (g) use automated means, including spiders, robots, crawlers, data mining tools, or the like to download data from the Platform; (h) cover, obscure, block, or in any way interfere with any advertisements and/or safety features (e.g., report abuse button) on the Platform; or (i) access or use the Platform to collect any market research for a competing business.

DISCLAIMER AND LIMITATION OF LIABILITY

THE CONTENT PROVIDED ON THE PLATFORM AND IN ANY OTHER COMMUNICATIONS FROM, OR PROVIDED THROUGH, THE PLATFORM IS NOT INTENDED AS A SUBSTITUTE FOR, NOR DOES IT REPLACE, PROFESSIONAL MEDICAL ADVICE, DIAGNOSIS, OR TREATMENT.  GOMO HEALTH MAKES NO REPRESENTATIONS OR WARRANTIES, WHETHER EXPRESSED OR IMPLIED, WITH RESPECT TO THE ACCURACY AND COMPLETENESS OF THE CONTENT AS IT RELATES TO YOUR MEDICAL HISTORY OR MEDICAL RECORDS.

YOU ACKNOWLEDGE THAT THE PLATFORM MAY CONTAIN BUGS, ERRORS, AND OTHER PROBLEMS THAT COULD CAUSE SYSTEM FAILURES.  CONSEQUENTLY, THE PLATFORM AND THE CONTENT ARE PROVIDED “AS IS” AND “AS AVAILABLE” WITHOUT ANY WARRANTIES OF ANY KIND, INCLUDING THAT THE PLATFORM OR CONTENT WILL OPERATE ERROR-FREE OR THAT THE PLATFORM, ITS SERVERS, OR THE CONTENT ARE FREE OF COMPUTER VIRUSES OR SIMILAR CONTAMINATION OR DESTRUCTIVE FEATURES.

GOMO HEALTH AND BRIDGEWAY DISCLAIM ALL WARRANTIES, INCLUDING, BUT NOT LIMITED TO, WARRANTIES OF TITLE, MERCHANTABILITY, NON-INFRINGEMENT OF THIRD PARTIES’ RIGHTS, AND FITNESS FOR PARTICULAR PURPOSE AND ANY WARRANTIES ARISING FROM A COURSE OF DEALING, COURSE OF PERFORMANCE, OR USAGE OF TRADE.

IN CONNECTION WITH ANY WARRANTY, CONTRACT, OR COMMON LAW TORT CLAIMS: (I) GOMO AND BRIDGEWAY  SHALL NOT BE LIABLE FOR ANY INCIDENTAL OR CONSEQUENTIAL DAMAGES, LOST PROFITS, OR DAMAGES RESULTING FROM LOST DATA OR BUSINESS INTERRUPTION RESULTING FROM THE USE OR INABILITY TO ACCESS AND USE THE PLATFORM OR THE CONTENT, EVEN IF WE HAVE BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES; AND (II) ANY DIRECT DAMAGES THAT YOU MAY SUFFER AS A RESULT OF YOUR USE OF THE PLATFORM OR THE CONTENT SHALL BE LIMITED TO FIFTY UNITED STATES DOLLARS (US$50).

SOME JURISDICTIONS DO NOT ALLOW THE EXCLUSION OF CERTAIN WARRANTIES. THEREFORE, SOME OF THE ABOVE LIMITATIONS ON WARRANTIES IN THIS SECTION MAY NOT APPLY TO YOU.

Termination

We reserve the right, in our sole discretion, to restrict, suspend, or terminate your access to all or any part of the Platform, at any time and for any reason without prior notice or liability.  We reserve the right to change, suspend, or discontinue all or any part of the Platform at any time without prior notice or liability.

Your Choices Regarding Your Personal Information

This program offers choices to participants regarding the collection, use, and sharing of their Personal Health Information. Participants have a right at any time to unsubscribe and discontinue program contact by replying “STOP” at any time after receiving a text message. Participants may contact GoMo Health directly, via email, at support@mymobilemsg.com.