Privacy Policy

Privacy Policy

Last Updated June 16, 2020

I. Personal Information Collected By the Service
II. Information You Give to ECW
III. Web Beacons
IV. Cookies
V. Information Received on Your Behalf
VI. Information Received as a Business Associate
VII. Use of Information Collected By ECW
VIII. Sharing of Information with Third Parties
IX. Security of Personal Information
X. Data Integrity and Purpose Limitation
XI. Retention of Personal Information
XII. Aggregated De-Identified Information
XIII. Links to Third Party Websites
XIV. Cross-Border Transfer of Personal Information
A. EU-U.S. Privacy Shield
XV. Right to Access and Correct Personal Information
XVI. Privacy Notice for California Residents
A. Personal Information Collected By the Services
B. How We Collect Your CCPA Personal Information
C. Our Use of Your CCPA Personal Information
D. Advertising and Third-Party Data Collection
E. Notice Concerning Do Not Track
F. Sharing of Information with Third Parties
G. Data Subject Rights
H. How to Exercise Data Subject Rights
I. Other California Privacy Rights
J. Roles
K. Individuals with Disabilities
L. Governing Law
XVII. Contact Information

This Privacy Policy (this “Privacy Policy”) informs you (or the entity on whose behalf you are using this Service) (“You” or as the context requires “Your”) what personal information eClinicalWorks, LLC (“ECW,” “we,” or “us”) may collect and how ECW uses such information. This Privacy Policy is a part of and incorporated into the Terms of Use Agreement (“Terms of Use”) posted to the applicable to the ECW website (“Site”) and any Terms and Conditions (“Terms and Conditions”) of ECW software provided at such Site (“Software”) (collectively, the applicable “Site” and “Software” are referred to herein as “Services”). Any terms capitalized herein but not defined shall have the meanings assigned to such terms in the applicable Terms of Use or Terms and Conditions. By visiting or using the Services, You agree to accept the practices described in this Privacy Policy. If You do not agree to the terms of this Privacy Policy, please do not use the Services. Please note that some privacy rights and obligations may differ in certain locations based on local law, in which case ECW will comply with the local legal requirements.

ECW reserves the right, at any time, to modify this Privacy Policy. If we make revisions that change the way we collect, use, or share Personal Information, we will post those changes in this Privacy Policy. If we make material changes to our Privacy Policy, we may also notify You by other means prior to the changes taking effect, such as by posting a notice on our Site or sending You a notification. You should review this Privacy Policy periodically so that You keep up to date on our most current policies and practices. ECW will note the effective date of the latest version of our Privacy Policy at the end of this Privacy Policy.

I. Personal Information Collected By the Services:

ECW uses information collected from users of the Services to personalize and improve Your visit and experience at the Site and for other purposes set out below. ECW gathers information in the following ways:

II. Information You Give to ECW:

Through a user’s interactions with the Services, ECW collects “Personal Information,” which is information that identifies an individual or relates to an identified individual. Personal Information includes any information You have provided in connection with Your use of the Services. Personal Information is collected when You establish an account with ECW, or when You communicate with ECW about the Site.

“Sensitive Personal Information” refers to Personal Information regarding more sensitive areas, such as Your government ID and certain other medical or health information, financial information, gender, marriage status, race/ethnicity, or veteran or disability status.

III. Web Beacons:

ECW (or service providers on ECW’s behalf) may collect information from visits to the Site through the use of “Web Beacons.” Web Beacons are web page elements which may employ cookie technology that enable ECW to record data about visits to or transactions made on the Site. This information is sometimes known as “clickstream data.” ECW may use this data to analyze trends and statistics to improve Your online experience or our customer service. No Personal Information is collected through the use of Web Beacons on the Site.

IV. Cookies:

Through the use of cookies, we may also collect and analyze the IP address used to connect Your computer to the Internet; computer and connection information such as Your browser type and version; operating system and platform; purchase history; confirmation when You open email that we send You; and the URLs which lead You to and around the website including the date and time. You can generally set Your browser to reject cookies or to notify You when You are sent a cookie. Software is also available from third parties which will allow You to visit the website without providing this information.

We may use third-party web analytics services (such as those of Google Analytics) on our Services to collect and analyze usage information through cookies and similar tools; engage in activities such as auditing, research, or reporting; and provide certain features to You. To prevent Google Analytics from using Your information for analytics, You may install the Google Analytics Opt-out Browser Add-on by clicking here.

V. Information Received on Your Behalf:

You may authorize us to obtain information, on Your behalf, from other third-party sources. For example, if You submit claims to the Centers for Medicare and Medicaid Services (“CMS”) You may decide to authorize us to obtain information directly from CMS. If You authorize us to collect information from a third party, or if You authorize a third party to send us information, and You later decide that You no longer want us to collect that information, You may need to go to the third party source directly and ask that they stop transmitting information to us.

VI. Information Received as a Business Associate:

Upon Your request or with Your consent, Your healthcare provider may share information about You, including Your Personal Information, with ECW. ECW shall only use such information as a “business associate” of a “covered entity” in accordance with any instructions or restrictions provided to ECW by Your healthcare provider. With regard to such information, ECW shall comply with the applicable provisions of Health Insurance Portability and Accountability Act and the regulations promulgated thereunder, and the Health Information Technology for Economic and Clinical Health Act and any regulations promulgated thereunder, to the extent such privacy laws are applicable to business associates.

VII. Use of Information Collected By ECW:

ECW uses the Personal Information collected in an effort to improve Your experience with the Services, to provide services to You and to communicate with You about information that You request. ECW may also use Personal Information to help target specific offers to You and to help ECW develop and improve its Services. Additionally, ECW may use Your Personal Information to:

  • Respond to user service requests.
  • Administer user accounts
  • Provide service to our clients, which may include healthcare providers.
  • Respond to your questions and concerns.
  • To communicate with users about our products, services, and related issues.
  • To administer fees and provide users with invoices or resolve billing issues.
  • Conduct research and analysis.

VIII. Sharing of Information with Third Parties:

ECW will not rent, sell or otherwise disclose Your Personal Information to unrelated third parties without Your consent, except as stated in this Privacy Policy:

  • ECW may disclose Personal Information to its parent, subsidiary, affiliates, and other related companies without Your consent.
  • ECW may disclose Personal Information to service providers for the purposes of operating our business, delivering, improving, and customizing our products or services, sending marketing and communications related to our business, payment processing, and for other legitimate purposes permitted by applicable law. ECW is responsible for the processing of personal data it receives from citizens of the EU and United Kingdom under the Privacy Shield Framework and subsequently transfers to a third party acting as an agent on its behalf. ECW complies with the Privacy Shield Principles for all onward transfers of personal data from the EU and United Kingdom, including the onward transfer liability provisions.
  • ECW may disclose Personal Information, including Sensitive Personal Information, to ECW’s clients, which may include healthcare providers.
  • To the extent permitted by law, ECW will disclose Personal Information to government authorities or third parties pursuant to a legal request, subpoena, or other legal process. ECW may also use or disclose Your Personal Information as permitted by law to perform charge verifications, apply or enforce the Service’s Terms of Use or Terms and Conditions, or protect ECW’s rights, interests, or property as well as those of ECW affiliates, customers, or Service users
  • If ECW sells all or part of its business or makes a sale or transfer of assets or is otherwise involved in a merger or business transfer, You agree that ECW may transfer Your Personal Information to a third party as part of that transaction.
  • ECW gives residents of certain jurisdictions, including the EU and United Kingdom, the opportunity to opt-out prior to disclosing Personal Information or using Personal Information for a purpose that is incompatible with the purpose for which it was originally collected or subsequently authorized by such individual. Additionally, ECW gives residents of certain jurisdictions, including the EU and United Kingdom, the opportunity to affirmatively opt-in prior to any additional disclosures of Sensitive Personal Information to a third party not described in this Privacy Policy or to use of Sensitive Personal Information for a purpose that is incompatible with the purpose for which it was originally collected or subsequently authorized by such individual. Exceptions to these requirements may apply where the disclosure of Personal Information is necessary for ECW to coordinate with service providers or Your selected healthcare provider, carry out its employment law obligations, or for other reasons as permitted by the Supplemental Principles under the Privacy Shield Framework or applicable law.

IX. Security of Personal Information:

ECW has reasonable and appropriate safeguards in place to help protect the Personal Information ECW collects from loss, misuse, and unauthorized access, disclosure, alteration, and destruction. Although ECW attempts to protect the Personal Information in our possession, no security system is perfect, and ECW cannot promise that Your Personal Information will remain absolutely secure in all circumstances.

X. Data Integrity and Purpose Limitation:

ECW limits the use of Personal Information to ways that are compatible and relevant to the purposes for which the Personal Information was collected or subsequently authorized or for which consent was obtained. ECW will take reasonable steps to ensure that Personal Information is reliable for its intended use, accurate, complete, and current.

XI. Retention of Personal Information:

ECW will retain Your Personal Information as needed to fulfill the purposes for which it was collected. ECW will retain and use Your Personal Information as necessary to comply with ECW’s business requirements, legal obligations, resolve disputes, protect our assets, and enforce our agreements.

XII. Aggregated De-Identified Information:

ECW may provide aggregated information related to Your Personal Information to some of ECW’s business partners. This information is used in a collective manner and does not identify You individually in any way. In addition, as set forth in the Terms of Use and/or Terms and Conditions for the Services, ECW may, subject to the limitations set out in the Terms of Use or Terms and Conditions, use certain de-identified PHI.

XIII. Links to Third Party Websites:

The Site may contain certain links to third party websites. ECW is not responsible or liable for the privacy practices or content found on these websites. You should check the privacy notice and policies of each website You visit. Links to third party sites are provided solely for Your convenience and any use or submission of data to such sites shall be at Your sole risk.

XIV. Cross-Border Transfer of Personal Information:

ECW may transfer Your Personal Information to ECW’s entity in the United States, to any ECW subsidiary or affiliate, or to third parties as described above that are located in various countries around the world. By using ECW’s Services, or providing any Personal Information to ECW, where applicable law permits, You consent to the transfer, processing, and storage or such information outside of Your country of residence where data protection standards may be different. When ECW collects information in one country, and transfers it to another, to the extent possible

it applies the same level of data protection required under the laws in the first country even when the data is in the second country.

ECW safeguards and enables the global transfer of Personal Information in a number of ways. The following describes some of the protections that are taken with regard to data originating from certain countries:

A. EU-U.S. Privacy Shield

ECW complies with the EU-U.S. Privacy Shield Framework as set forth by the U.S. Department of Commerce regarding the collection, use, and retention of personal information transferred from the European Union and United Kingdom to the United States. ECW has certified to the Department of Commerce that it adheres to the Privacy Shield Principles. If there is any conflict between the terms in this privacy policy and the Privacy Shield Principles, the Privacy Shield Principles shall govern. To learn more about the Privacy Shield program, and to view our certification, please visit https://www.privacyshield.gov/.With respect to personal data received or transferred pursuant to the Privacy Shield Framework, ECW is subject to the regulatory enforcement powers of the U.S. Federal Trade Commission.

If You have any complaints regarding our compliance with this Privacy Policy, You should first contact ECW at the address listed below under the section titled “Contact Information.” ECW will investigate and attempt to resolve complaints and disputes regarding collection, use, and disclosure of Personal Information in accordance with this Privacy Policy.

If You are a citizen of the EU or United Kingdom and You have an unresolved privacy or data use concern that ECW has not addressed satisfactorily, please contact JAMS, ECW’s U.S.-based third party dispute resolution provider (free of charge) by clicking here. Under certain conditions, more fully described on the Privacy Shield website, You may invoke binding arbitration when other dispute resolution procedures have been exhausted. If You are an employee, past employee, or prospective employee, please see ECW’s employee privacy notice for information concerning who to contact if You have an unresolved privacy or data use concern.

XV. Right to Access and Correct Personal Information:

ECW strives to make sure that our information is reliable, accurate, and up-to-date. While Personal Information is maintained by ECW, You may access the Personal Information that ECW has collected directly from You to the extent required by law to review, update, and correct inaccuracies. Upon request made to the contact listed below under the section titled “Contact Information,” ECW will provide You with reasonable access to the Personal Information ECW has collected from You, or will forward your request to the health care provider that has contracted with eCW to provide you with Services. Because Personal information—for example, Your email address—is required to use the Site, we retain certain Personal Information as long as your account is active. You will have the opportunity to correct, transfer, update, modify, or delete this information by logging into Your account and updating Your Personal Information online or contacting ECW at the address listed below under the section titled “Contact Information.” In some situations we may forward your request to correct, transfer, update, modify or delete your information to the health care provider that has contracted with eCW to provide you with Services.

You may also limit the use and disclosure of Your Personal Information by either unsubscribing from marketing communications or contacting ECW at the address listed below under the section titled “Contact Information.” Please note that some information, excluding claims data information provided by CMS as part of the “Blue Button” program, may remain in ECW’s records even after You request deletion of Your Personal Information, to the extent permitted by the Privacy Shield Principles or required by applicable laws. Additionally, there may be limits to the amount of information ECW can practically provide. For example, we may limit access to Personal Information where the burden or expense of providing access would be disproportionate to the risks to an individual’s privacy or where doing so would violate others’ rights.

Regardless of the above, however, and except as required by applicable law, ECW does not provide You with access to patient records and will recommend that You directly contact Your healthcare provider to obtain a copy of Your patient records.

XVI. Privacy Notice for California Residents:

Effective Date: January 1, 2020

Last Updated: June 16, 2020

This Privacy Notice for California Residents (this “Notice”) supplements the information contained in this Privacy Policy and applies to all visitors to the Site, users and others who reside in the State of California (“You” or as the context requires “Your”). We adopt this notice to comply with the California Consumer Privacy Act of 2018 (“CCPA”) and any terms defined in the CCPA have the same meaning when used in this notice.

A. Personal Information Collected By the Services

Through a user’s interactions with the Services, ECW collects “Personal Information,” which is information that identifies, relates to, describes, references, is reasonably capable of being associated with, or could reasonably be linked, directly or indirectly, with a particular consumer, household, or device (“CCPA Personal Information”). CCPA Personal Information includes any information You have provided in connection with Your use of the Services.

CCPA Personal Information does not include:

  • Publicly available information from government records;
  • De-identified or aggregated consumer information; or
  • Information excluded from the CCPA’s scope, like:
    • Health or medical information covered by the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”) and the California Confidentiality of Medical Information Act (“CMIA”) or clinical trial data;
    • Information we collect from our employees or business contacts pursuant to CCPA’s temporary exceptions for these categories of individuals.

In particular, through our Services, we have collected the following categories of CCPA Personal Information from its consumers within the last twelve (12) months

Commercial information.Records of personal property, products or services purchased, obtained, or considered, or other purchasing or consuming histories or tendencies.

Category of CCPA Personal InformationExamples
Identifiers.A real name, alias, postal address, unique personal identifier, online identifier, Internet Protocol address, email address, account name, Social Security number, driver’s license number, passport number, or other similar identifiers
Personal information categories listed in the California Customer Records statute (Cal.
Civ. Code § 1798.80(e)).
A name, signature, Social Security number, physical characteristics or description, address, telephone number, passport number, driver’s license or state identification card number, insurance policy number, education, employment, employment history, bank account number, credit card number, debit card number, or any other financial information, medical information, or health insurance information. Some Personal Information included in this category may overlap with other categories.
Biometric information.If you have biometric authentication integration as part of the Services, then we may collect information concerning Your fingerprints, faceprints, and voiceprints, and iris or retina scans.
Internet or other similar network activity.Browsing history, search history, information on a consumer’s interaction with a website, application, or advertisement.
Sensory data.Audio, electronic, visual, or similar information. Audio recordings of calls are typically in this category.
Professional or employment-related information.Current or past job history or performance evaluations.
Inferences drawn from other Personal Information.Profile reflecting a person’s preferences, characteristics, psychological trends, predispositions, behavior, attitudes, intelligence, abilities, and aptitudes.

In addition, for users of our Conference Events app, we have collected CCPA Personal Information that are protected classification characteristics under California or federal law (such as information on physical disability) and geolocation data (your location in the conference).

B. How We Collect Your CCPA Personal Information

We collect each of the categories of CCPA Personal Information listed above in one or more of the following ways:

  • Directly from You;
  • Indirectly from You (e.g., information collected in course of delivering services);
  • Third party applications that are integrated with our “eManager” software;
  • Other third parties that interact with us in connection with the services we perform;
  • Other medical providers, third party payors, and government authorities;
  • Data brokers or resellers from which we purchase data to supplement the data we collect;
  • From employees; and
  • From other vendors/suppliers.

C. Our Use of Your CCPA Personal Information

ECW uses the CCPA Personal Information collected in an effort to improve Your experience with the Services, to provide services to You and to communicate with You about information that You request. ECW may also use CCPA Personal Information to help target specific offers to You and to help ECW develop and improve its Services. Additionally, ECW may use Your CCPA Personal Information for one or more of the following business purposes:

  • To respond to user service requests
  • To administer user accounts;
  • To provide service to our clients, which may include healthcare providers;
  • To respond to Your questions and concerns;
  • To market and communicate with users about our products, services, and related issues;
  • To administer fees and provide users with invoices or resolve billing issues;
  • To conduct research and analysis;
  • To carry out our obligations and enforce Company’s rights arising from any contracts entered into between You and us;
  • As necessary or appropriate to protect the rights, property or safety of us, our clients or others;
  • To provide, support, personalize, and develop our products and services;
  • To help maintain the safety, security, and integrity of our website, products and services, databases and other technology assets, and business;
  • As described to You when collecting Your CCPA Personal Information or as otherwise set forth in the CCPA;
  • To respond to law enforcement requests and as required by applicable law, court order, or governmental regulations;
  • Detecting security incidents, protecting against malicious, deceptive, fraudulent, or illegal activity, and prosecuting those responsible for that activity; and
  • Undertaking activities to verify or maintain the quality or safety of a service of the Business and to improve, upgrade, or enhance such service.

D. Advertising and Third-Party Data Collection

We may enter into relationships with third-party advertising companies to drive traffic to and serve ads on our Sites. These third-party companies may also collect information through the use of their own cookies and other technology (including JavaScript and web beacons) to measure the effectiveness of their ads and to personalize advertising content. We do not have access to or control over cookies or other features used by these advertisers, and their information practices are not covered by this Privacy Policy. Please contact them directly for more information about their privacy practices. In addition, the Network Advertising Initiative offers useful information about Internet advertising companies (also called “ad networks” or “network advertisers”), including information about how to opt-out of their information collection, here.

E. Notice Concerning Do Not Track

Do Not Track (“DNT”) is a privacy preference that users can set in certain web browsers. We are committed to providing You with meaningful choices about the information collected on our website for third-party purposes, and that is why we provide the variety of opt-out mechanisms listed above. To learn more about Do Not Track, You can do so here.

F. Sharing of Information with Third Parties

ECW does not generally sell information as the term “sell” is traditionally understood. To the extent “sale” under the CCPA is interpreted to include advertising technology activities such as those disclosed in the Web Beacon and Cookie sections of this Privacy Policy as a “sale,” we will comply with applicable law, including the CCPA, as to such activity. We may disclose Your CCPA Personal Information to third parties for commercial or business purposes, such as our affiliates; our service providers; other medical providers, third party payors, and patients; government authorities; third parties for provide the services for which you have contracted; third parties to whom you or your agents authorize us to disclose your Personal Information or to which we must provide your Personal Information to provide services to you, such as health care clearinghouses; and third parties to comply with applicable law, such as law enforcement.

In the preceding 12 months, we have disclosed the following categories of CCPA Personal Information to the preceding categories of third parties: identifiers and personal information; characteristics of protected classifications under California or federal law (for user of our Conference Events app); commercial information; biometric information (for users who have biometric authentication as part of the Services); Internet or other similar network activity; geolocation data (for users of our Conference Events app); sensory data; professional or employment-related information; and inferences that we draw from Your CCPA Personal Information to create a profile about Your preferences. We also disclose other information voluntarily and incidentally disclosed by You through Your interactions with ECW that falls under one of the enumerated categories above.

In the preceding 12 months, third parties have that have advertising technology activities on eCW websites such as those disclosed in the Web Beacon and Cookie sections have received the following categories of CCPA Personal Information: identifiers and personal information, and inferences that we draw from Your CCPA Personal Information to create a profile about Your preferences.

We do not knowingly disclose or sell Personal Information of minors under 16 years of age to third parties.

G. Data Subject Rights

As a California resident, You have the right to: (i) request additional disclosures about the CCPA Personal Information we collect, use, disclose and sell; (ii) request information regarding and deletion of Your CCPA Personal Information; (iii) opt-out of the sale of CCPA Personal Information if ECW were to sell CCPA Personal Information; and (iv) obtain a copy of Your CCPA Personal Information. ECW will not discriminate against You for exercising any of these rights, for example, by charging a different price or denying goods or services. However, ECW may charge a different price or rate or provide a different level or quality of goods or services when that difference is reasonably related to the value provided to us by the data.

You may also limit the use and disclosure of Your CCPA Personal Information by either unsubscribing from marketing communications or contacting ECW at the address listed below under the section titled “Contact Information.”

H. How to Exercise Data Subject Rights

If You wish to exercise any of these rights please complete this web form https://eclinicalworks.com/privacyrequests/ You may also call us toll-free at +1 (866) 888-6929 .

To the extent ECW sells your personal information as the term “sell” is defined under the CCPA, you have the right to direct us to not sell your personal information at any time (the “right to opt-out”). Consumers who opt-in to personal information sales may opt-out of future sales at any time.

To exercise the right to opt-out, you (or your authorized representative) may also submit a request to us by visiting the following Internet Web page link “Do Not Sell My Personal Information“.

We will review Your requests and respond accordingly. The rights described herein are not absolute and we reserve all of our rights available to us at law in this regard. Additionally, if we retain Your CCPA Personal Information only in de-identified form, we will not attempt to re-identify Your data in response to a Data Subject Rights request.

If You make an information request/request to know or request to delete CCPA Personal Information about You, You will be required to supply a valid means of identification as a security precaution. We will verify Your identity with a reasonably high degree of certainty using the following procedure where feasible: we will match identifying information You provide when making the request to the CCPA Personal Information maintained by ECW, or use a third-party identity verification service. If it is necessary to collect additional information, ECW will use the information only for verification purposes and will delete it as soon as practicable after complying the request. For requests related to particularly sensitive information, we may require additional proof of identification.

If You make a Data Subject Rights request through an authorized agent, we will require written proof that the agent is authorized to act on Your behalf.

We will process Your request within the time provided by applicable law.

I. Other California Privacy Rights

In addition to the rights already described, California’s Shine the Light law permits California residents to request certain details about how their information is shared with third parties and, in some cases, affiliates, for those third parties’ and affiliates’ own direct marketing purposes. Under the law, a business must either provide this information or permit California customers to opt in to, or opt out of, this type of sharing.

We may from time to time elect to share certain information about You collected by us through the Services with third parties or affiliates for those third parties’ or affiliates’ own direct marketing purposes. If You are a California resident, You may opt out of such future sharing of Your personal information (as defined by the California Shine the Light law) by contacting our Privacy Officer at privacy@eclinicalworks.com with the phrase “Do Not Share” in the subject line.

J. Roles

If You are a California resident and we, as a service provider, have processed personal information about You on behalf of our customers and You wish to exercise your CCPA rights, please inquire with our customer directly. If You wish to make your request directly to us, please provide the name of our customer on whose behalf we processed Your personal information. We will refer your request to that client and will support them to the extent required by California privacy law in responding to Your request

K. Individuals with Disabilities

If You have a disability and would like to access this Notice in a different format, You may contact us at privacy@eclinicalworks.com with the phrase “Alternative Format California Privacy Notice” in the subject line.

L. Governing Law

This Notice will be subject exclusively to the laws of the State of California within the United States of America. We make no representation that this Notice and such practices comply with the laws of any other country. Visitors who use this Site and reside outside the United States do so on their own initiative and are responsible for compliance with local laws, if and to the extent local laws are applicable. If You reside outside of the United States, by using our Site, You consent to the transfer and use of Your information outside Your country.

XVII. Contact Information:

If You have any questions or concerns related to this Privacy Policy, please contact the ECW Chief Privacy Officer at:

eClinicalWorks, LLC
2 Technology Drive
Westborough, MA 01581
Attn: Chief Privacy Officer
privacy@eclinicalworks.com

If You are not satisfied with ECW’s response, and are in the European Union or United Kingdom, You may have a right to lodge a complaint with Your local supervisory authority.

Pursuant to applicable law, ECW may be required to send You notice of known or suspected security breaches that impact Your Personal Information. In the event that ECW must provide a notice of a security breach to You, ECW will send security breach notices to the contact information contained in Your account information unless ECW is required by law to notify You using another method. Otherwise, if ECW needs, or is required, to contact You concerning any event that involves information about You we may do so by email, telephone, or mail.

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