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.portal-card { background-color: #ffffff; border-radius: 8px; box-shadow: 0 4px 6px rgba(0, 0, 0, 0.05); padding: 24px; margin-bottom: 24px; font-family: 'Plus Jakarta Sans', sans-serif; } .scrollable-text { height: 250px; overflow-y: scroll; border: 1px solid #e2e8f0; padding: 12px; border-radius: 6px; background-color: #f7fafc; font-size: 14px; color: #4a5568; margin-bottom: 16px; } .form-group { margin-bottom: 20px; } .checkbox-group { display: flex; align-items: flex-start; margin-bottom: 12px; } .checkbox-group input[type="checkbox"] { margin-top: 4px; margin-right: 12px; width: 18px; height: 18px; accent-color: #085536; } .checkbox-group label { font-size: 14px; color: #2d3748; line-height: 1.4; } .btn-primary, .modal-btn { padding: 10px 20px; border-radius: 6px; text-decoration: none; font-weight: 600; display: inline-block; border: none; cursor: pointer; font-size: 16px; } .btn-primary { background-color: #085536; color: white; width: 100%; } .btn-primary:hover { background-color: #064028; } .form-control { width: 100%; padding: 10px; border: 1px solid #e2e8f0; border-radius: 6px; font-family: 'Plus Jakarta Sans', sans-serif; font-size: 14px; } .section-title { color: #085536; font-size: 18px; margin-bottom: 12px; margin-top: 24px; border-bottom: 2px solid #edf2f7; padding-bottom: 8px; } .progress-bar-container { background-color: #edf2f7; border-radius: 4px; height: 8px; margin-bottom: 16px; overflow: hidden; } .progress-bar-fill { background-color: #085536; width: 33%; height: 100%; } .step-text { font-size: 14px; color: #718096; margin-bottom: 24px; font-weight: 600; } /* Modal Styles */ .modal-overlay { position: fixed; top: 0; left: 0; width: 100%; height: 100%; background: rgba(0, 0, 0, 0.6); display: none; justify-content: center; align-items: center; z-index: 1000; font-family: 'Plus Jakarta Sans', sans-serif; } .modal-card { background: #ffffff; border-radius: 8px; padding: 24px; width: 90%; max-width: 500px; box-shadow: 0 10px 15px rgba(0, 0, 0, 0.1); } .modal-card h3 { color: #085536; margin-top: 0; border-bottom: 1px solid #e2e8f0; padding-bottom: 12px; } .modal-list { list-style-type: none; padding: 0; margin: 16px 0; } .modal-list li { margin-bottom: 8px; color: #4a5568; display: flex; align-items: center; } .modal-list li::before { content: '✅'; margin-right: 8px; } .modal-footer { display: flex; justify-content: flex-end; gap: 12px; margin-top: 24px; } .modal-btn-gray { background-color: #e2e8f0; color: #4a5568; } .modal-btn-gray:hover { background-color: #cbd5e0; } .modal-btn-green { background-color: #085536; color: white; } .modal-btn-green:hover { background-color: #064028; } Step 1 of 3 — Program Consent Program Consent Please review and sign the required agreements to participate in the Risk Reduction Program. @Html.AntiForgeryToken() 📋 Participation Agreement 1. Purpose and Scope of the Program The BrightPath Foundation 12-Week Risk Reduction Program is structured to provide participants with education, resources, and structured tracking intended to promote lifestyle modifications and overall wellness. The programmatic elements are developed based on general health guidelines and are aimed at fostering sustainable habits that may contribute to long-term risk reduction. By opting to participate, you acknowledge that your engagement is entirely voluntary and is undertaken for the purpose of self-improvement and wellness tracking. 2. Limitation of Liability and Medical Disclaimer This program is expressly not a substitute for professional medical advice, comprehensive diagnosis, or clinical treatment. The guidance, information, and tools provided through the BrightPath platform should not be construed as prescriptive health mandates. Participants are strongly advised to consult with a licensed healthcare provider prior to initiating any new dietary, exercise, or health-related regimen. BrightPath Foundation assumes no liability for any adverse effects, injuries, or health complications that may arise in connection with the participant's application of the program's general guidance. 3. Participant Responsibilities and Engagement As a participant, you agree to: Engage authentically with the tracking systems and educational modules provided. Maintain proactive communication regarding your progress and any technical issues encountered. Accept personal responsibility for interpreting the program materials in the context of your own health limitations and capabilities. Promptly cease any activity that induces undue discomfort, pain, or distress. Your continued participation serves as confirmation of your ongoing compliance with these responsibilities. I have read and agree to the Participation Agreement. Medical History Summary Confirmation Please confirm the following statements to the best of your knowledge: I will provide accurate baseline medical information. I am cleared by a physician to engage in physical activity. I will report any adverse symptoms during the program. I understand that nutritional guidance is general and not medical advice. I agree to update my health status if it changes significantly. 🛡️ HIPAA Authorization 1. Authorization for Data Usage and Storage By executing this authorization, I formally grant the BrightPath Foundation, alongside its designated administrative partners and technology providers, explicit permission to collect, transmit, use, and securely store the personal health information (PHI) that I voluntarily submit through the program's platform. This authorization encompasses all baseline health metrics, self-reported symptom tracking, and ongoing engagement data requisite for the administration and evaluation of the 12-Week Risk Reduction Program. 2. Permitted Uses and Disclosures My health information may be utilized for the following specific purposes: Direct administration of program activities and personalization of the user experience. Internal auditing, quality improvement initiatives, and systemic performance evaluation. Aggregation into anonymized, de-identified datasets designed to generate population health metrics and research insights. I understand that any data disseminated for external reporting, academic research, or broad demographic analysis will be strictly de-identified in compliance with the Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule standards. 3. Rights of the Participant and Revocation I acknowledge my right to request a copy of the specific data retained by BrightPath Foundation. Furthermore, I retain the unalienable right to revoke this authorization at any time by providing formal written notice to the BrightPath Privacy Officer. I understand that such revocation will not affect any actions taken by the Foundation in reliance on this authorization prior to the receipt of my written revocation. I also recognize that revoking this authorization may inhibit my ability to fully participate in the program. I agree to the HIPAA Authorization terms. 🔒 Privacy Notice 1. Data Encryption and Security Protocols The BrightPath Foundation is uncompromising in its commitment to data security. All personal and health-related information submitted through our digital portal is safeguarded using industry-standard, end-to-end encryption protocols, both during transit and while at rest on our secure servers. We implement robust access controls, continuous monitoring, and periodic security audits to mitigate the risk of unauthorized access, data breaches, or cyber threats. Your privacy is paramount, and our infrastructure is designed to reflect that priority. 2. Prohibition on Third-Party Data Sales We maintain a strict and unequivocal policy against the monetization of participant data. Under no circumstances will the BrightPath Foundation sell, lease, or rent your personally identifiable information (PII) or protected health information (PHI) to third-party marketers, advertisers, or unassociated commercial entities. Any collaboration with external service providers is governed by stringent Data Processing Agreements that legally bind those entities to our privacy standards and strictly limit their use of your data to authorized program operations. 3. Retention and Deletion Practices Your data is retained only for the duration necessary to fulfill the operational, legal, and regulatory requirements associated with your participation in the program. Upon the conclusion of the mandatory retention period, or upon your verified request for account deletion, all identifiable records will be systematically purged or irrevocably anonymized. We encourage you to review our comprehensive Privacy Policy for detailed information regarding your rights under applicable data protection laws, including mechanisms for accessing or correcting your stored information. I agree to the Privacy Notice. ✍️ Digital Signature & Onboarding Full Legal Name * Preferred Name (optional) Date of Birth * Type your full name to sign electronically: Date: Submit Consent Review Your Consent Please review the agreements you have accepted before final submission. Digital Signature Go Back to Edit Confirm & Submit @section Scripts { document.addEventListener("DOMContentLoaded", function() { var form = document.getElementById('consentForm'); var preSubmitBtn = document.getElementById('preSubmitBtn'); var modal = document.getElementById('summaryModal'); var btnGoBack = document.getElementById('btnGoBack'); var btnConfirmSubmit = document.getElementById('btnConfirmSubmit'); var modalAgreementsList = document.getElementById('modalAgreementsList'); var modalSignatureDisplay = document.getElementById('modalSignatureDisplay'); var modalDateDisplay = document.getElementById('modalDateDisplay'); preSubmitBtn.addEventListener('click', function(e) { // Check HTML5 validity if (!form.checkValidity()) { form.reportValidity(); return; } // Custom validation var checkboxes = form.querySelectorAll('input[type="checkbox"]'); var allChecked = Array.from(checkboxes).every(c => c.checked); if (!allChecked) { alert('Please check all boxes to provide consent.'); return; } // Populate modal modalAgreementsList.innerHTML = ''; var agreementsMap = { 'agreeParticipation': 'Participation Agreement', 'mh1': 'Baseline Medical Info', 'mh2': 'Physician Clearance', 'mh3': 'Report Adverse Symptoms', 'mh4': 'Nutritional Guidance Understanding', 'mh5': 'Update Health Status', 'agreeHipaa': 'HIPAA Authorization', 'agreePrivacy': 'Privacy Notice' }; checkboxes.forEach(function(checkbox) { if (checkbox.checked && agreementsMap[checkbox.id]) { var li = document.createElement('li'); li.textContent = agreementsMap[checkbox.id]; modalAgreementsList.appendChild(li); } }); modalSignatureDisplay.textContent = document.getElementById('signatureName').value; modalDateDisplay.textContent = document.getElementById('signatureDate').value; // Show modal modal.style.display = 'flex'; }); btnGoBack.addEventListener('click', function() { modal.style.display = 'none'; }); btnConfirmSubmit.addEventListener('click', function() { modal.style.display = 'none'; form.submit(); }); }); }
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