PACS Registration PACS REGISTRATION To gain access to our PACS system, please complete the Confidentiality Agreement form below PACS REGISTRATIONTo gain access to our PACS system, please complete the Confidentiality Agreement form below, or download and complete the Confidentiality Agreement form and email it to pacs@vandykbfn.co.za. Also be sure to read the POPI act, attached below. We will respond with a user name and password if your request has been approved. 1. Confidentiality Agreement 2. POPI ActFirst Name *Last NameID Number *Practice Number *Business address *Office contact number *Drs mobile number *Email Address *Disclaimer *I undertake in favour of Drs Van Dyk and Partners to use the PACS system in such a manner that shall not breach confidentiality of patient information stored on the PACS system. I hereby indemnify Drs Van Dyk and Partners and hold them harmless from any claim, damages or costs arising, directly or indirectly, from the breach of confidentiality. I further acknowledge by breaching patient confidentiality that I am transgressing the POPI Act of 2013.I agree to the terms and conditions above. Submit
