[Community] uses the EyeWatch LIVE® audio/video monitoring system in some apartments to identify resident health or safety risks, including fall detection, wander risk, and intrusion for residents with cognitive impairment. EyeWatch LIVE® employs artificial intelligence (AI) software and human intelligence (HI) licensed nurse supervised monitoring and audio/video cameras to detect, monitor, and inform of potential resident safety incidents.

• The purpose of EyeWatch LIVE® audio/video monitoring is to intervene, detect, monitor, and inform of potential resident safety incidents.
• Artificial Intelligence (AI) software will alert EyeWatch LIVE® licensed nurse supervised staff to notify and inform onsite community staff of potential resident falls.
• Audio/video recording does not substitute for adequate hands-on care per statutory and regulatory requirements and is not a guarantee against health and safety risks.
• EyeWatch LIVE® records for a predetermined period of time the audio/video incidents in order to detect, notify, and inform on resident safety.
• EyeWatch LIVE® service may experience periods of downtime due to power, internet interruptions, or natural disasters. EyeWatch LIVE® does not guarantee a prevention in safety incidents.
• EyeWatch LIVE® system is not a screen for abuse or theft and serves to monitor & inform on resident safety, particularly around falls, wandering, & intrusions.
• EyeWatch LIVE® system requires there to be a sign on or near the door to inform visitors and staff of EyeWatch LIVE® audio/video monitoring in use.
• All residents of a shared room must consent to EyeWatch LIVE® audio/video monitoring for it to be enabled.
• If evidence of abuse is discovered, it will be reported following all legal and statutory requirements.
• I have the right to decline to use of EyeWatch LIVE® audio/video monitoring or to withdraw temporarily or permanently at any point without penalty or loss of benefits to which I am otherwise entitled.
• I consent to allow EyeWatch LIVE® to invoice the resident/user’s healthcare insurance(s) for but not limited to remote therapeutic monitoring.
• If I am signing on behalf of the resident, I am certifying that I have the legal authority to do so (example: Power of Attorney, Conservator, Guardian, etc.).

Upon submitting this form, a PDF copy of your signed agreement will be sent to the email address you provided.