You have requested that Avadyne Health (“We”, “Us”, “Our”) provide you electronic Communications (defined below) rather than traditional paper copies of such Communications. By clicking here and following the instructions at the page displayed, you will be able to commence receipt of electronic Communications from Us. Your accessing of such site will serve as your acknowledgment that you have reviewed and consented to the provisions of this E-Sign Disclosure and Consent (“Disclosure”) as set forth below.

Before enabling electronic Communications with Us, please read the following Disclosure as it contains important information regarding your rights with respect to electronic Communications.

As used in this Disclosure, “Account” means the account you have with Us. “Communication” means any customer agreements or amendments thereto, monthly billing or account statements, tax statements, disclosures, notices, responses to claims, transaction history, privacy policies and all other information related to the product, service or Account, including but not limited to information that We are required by law to provide to you in writing.

1. Scope of Communications to Be Provided in Electronic Form.

   You agree that We may provide you with any Communications that We may choose to make available in electronic format, to the extent allowed by law, and that We may discontinue sending paper Communications to you, unless and until you withdraw your consent in the manner described in Section 3 below. Your consent to receive electronic Communications includes all Communications from Us to you. From time to time We may contact you directly by phone; however, unless you ask Us to communicate with you using paper, We may use electronic Communications to communicate with you.

2. Method of Providing Communications to You in Electronic Form.

   All Communications that We provide to you in electronic form will be provided either (a) via e-mail, (b) by access to a web site that We will designate in an e-mail notice We send to you at the time the information is available, (c) to the extent permissible by law, by access to a web site that We will designate in advance for such purpose, or (d) by requesting that you download a PDF file containing the Communication.

3. How to Withdraw Consent.

   You may withdraw your consent to receive Communications in electronic form by calling Us at (800) 777-8645 (toll free), by email sent to estatement@paymentcenteronline.com, or in writing at Avadyne Health, 10604 Justin Drive, Des Moines, Iowa, 50322. At Our option, We may treat your provision of an invalid e-mail address, or the subsequent malfunction of a previously valid e-mail address, as a withdrawal of your consent to receive electronic Communications. We will not impose any fee to process the withdrawal of your consent to receive electronic Communications. Any withdrawal of your consent to receive electronic Communications will be effective within two (2) business days of Our receipt of your withdrawal of consent.

4. How to Update Your Records.

   It is your responsibility to provide Us with true, accurate and complete e-mail address, contact, and other information related to your Account(s), and to maintain and update promptly any changes in this information. You can update information through the website by clicking here.

5. Hardware and Software Requirements.

   In order to access, view, and retain electronic Communications that We make available to you, you must have:

   1. Sufficient electronic storage capacity on your computer’s hard drive or other data storage device;
   2. An e-mail account with an Internet service provider and e-mail software in order to participate in Our electronic Communications programs;
   3. A personal computer that meets the minimum system requirements needed to run the application Internet Explorer Version 7 or newer and Adobe PDF Reader Version 9 or newer in order to participate in Our electronic Communications programs;
   4. An Internet connection allowing you to access Our Website and your e-mail account; and
   5. 128 bit SSL encryption enabled in the Internet Explorer Version 7 or newer application.

6. Requesting Paper Copies.

   We will not send you a paper copy of any Communication which is available electronically from Us, unless you request it, or We otherwise deem it appropriate to do so. You can obtain a paper copy of an electronic Communication by printing it yourself after accessing it from the website, or by requesting that We mail you a paper copy, provided that such request is made within a reasonable time after We first provided the electronic Communication to you. To request a paper copy, call Us at (800) 777-8645 (toll free), write to Us at Avadyne Health, 10604 Justin Drive, Des Moines, Iowa, 50322, or send Us an email at estatement@paymentcenteronline.com. We may charge you a reasonable service charge, of which We have provided you prior notice, for the delivery of paper copies of any Communication provided to you electronically pursuant to this authorization. We reserve the right, but assume no obligation, to provide a paper (instead of electronic) copy of any Communication that you have authorized Us to provide electronically.

7. Communications in Writing.

   All Communications in either electronic or paper format from Us to you will be considered “in writing.” You should print or download for your records a copy of this Disclosure and any other Communication that is important to you. You will be able to access eStatements on the website by clicking here.

8. Federal Law.

   You acknowledge and agree that your consent to electronic Communications is being provided in connection with a transaction affecting interstate commerce that is subject to the federal Electronic Signatures in Global and National Commerce Act, and that you and We both intend that the Act apply to the fullest extent possible to validate our ability to conduct business with you by electronic means.

9. Termination / Changes.

   We reserve the right, in our sole discretion, to discontinue the provision of your electronic Communications, or to terminate or change the terms and conditions on which We provide electronic Communications. We will provide you with notice of any such termination or change as required by law.