Telehealth Consent
By using the telehealth services offered through this platform, you consent to receive healthcare services remotely from licensed healthcare providers using electronic communications and technology, including secure online platforms, messaging, telephone, and video.
Nature of Telehealth Services
Telehealth involves the delivery of healthcare services without an in-person visit. Through telehealth, licensed healthcare providers may evaluate your health information, review symptoms and test results, provide medical advice, make diagnoses, recommend treatment options, prescribe medications when appropriate, and coordinate follow-up care.
Telehealth services may include asynchronous (“store-and-forward”) interactions, live video or audio consultations, written communications, or a combination of these methods.
You understand that healthcare providers rely on the information you provide, which may be limited compared to an in-person physical examination.
Benefits and Limitations
You understand that telehealth may offer benefits such as:
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Improved access to care
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Convenience and flexibility
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Reduced need for travel or in-person visits
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Timely review of information and follow-up care
You also understand that telehealth has limitations, including:
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Technical failures, interruptions, or delays
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Incomplete or inaccurate information provided by you
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Situations where an in-person examination, testing, or referral may be necessary
A healthcare provider may determine that telehealth is not appropriate for your situation and may recommend in-person care or refer you to another provider.
Risks of Telehealth
You understand that there are potential risks associated with telehealth, including but not limited to:
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Delays in diagnosis or treatment due to technical issues or incomplete information
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Unauthorized access to your information despite reasonable security safeguards
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Miscommunication due to the absence of a physical examination
You acknowledge that no system is completely secure and that telehealth technologies, like all electronic systems, carry some risk.
Emergencies
Telehealth services are not appropriate for medical emergencies.
If you believe you are experiencing a medical emergency, you should call 911 or seek immediate in-person medical care.
Privacy and Use of Information
Your health information is handled in accordance with applicable law and the Notice of Privacy Practices. Telehealth services use reasonable administrative, technical, and physical safeguards designed to protect the privacy and security of your information.
You acknowledge that electronic communications may involve inherent privacy risks and that some communications (such as standard email or SMS) may not be encrypted.
Electronic Communications
You consent to receive communications related to your care electronically, including through secure messaging, email, SMS, telephone, or video, as permitted by law. These communications may include appointment information, care instructions, test results, follow-up messages, and administrative notices.
You understand that you are responsible for providing accurate and current contact information.
Your Rights and Choice
You understand that:
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Participation in telehealth is voluntary
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You may withdraw your consent to telehealth at any time by notifying your provider
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You may request in-person care where available
Withdrawing consent may limit or prevent your ability to receive services through this platform.
Consent to Telehealth and Treatment
YOUR ACKNOWLEDGMENTS By clicking “I Agree”, checking a related box to signify your acceptance, using any other acceptance protocol presented through the Service or otherwise affirmatively accepting this consent, you are agreeing and providing your consent with respect to the following:
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You have read and understand this Telehealth Consent
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You understand the nature, benefits, risks, and limitations of telehealth
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You consent to receive evaluation, diagnosis, treatment recommendations, and care coordination from licensed healthcare providers through telehealth, where appropriate
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You consent to the use of electronic communications and technology to deliver healthcare services