Welcome to our Telemedicine platform

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By using this service, you agree to our Terms & Conditions and Privacy Policy.

Secure by design

Encrypted sessions, no card data stored, and real-time infrastructure for a smooth consultation.

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TELEMEDICINE INFORMED CONSENT

Telemedicine is healthcare provided by any means other than a face-to-face visit. In telemedicine services, medical and mental health information is used for diagnosis, consultation, treatment, therapy, follow-up, and education. Health information is exchanged interactively from one site to another through electronic communications. Telephone consultation, videoconferencing, transmission of still images, e-health technologies, patient portals, and remote patient monitoring are all considered telemedicine services.

I understand that telemedicine involves the communication of my medical/mental health information in an electronic or technology-assisted format.
I understand that I may opt out of the telemedicine visit at any time. This will not change my ability to receive future care from us.
I understand that all electronic medical communications carry some level of risk. While the likelihood of risks associated with the use of telemedicine in a secure environment is reduced, the risks are nonetheless real and important to understand. These risks include but are not limited to:
- It is easier for electronic communication to be forwarded, intercepted, or even changed without my knowledge and despite taking reasonable measures.
- Electronic systems that are accessed by employers, friends, or others are not secure and should be avoided. It is important for me to use a secure network.
- Despite reasonable efforts on the part of my healthcare provider, the transmission of medical information could be disrupted or distorted by technical failures.
I agree that information exchanged during my telemedicine visit will be maintained by the doctors, other healthcare providers, and healthcare facilities involved in my care.
I understand that the laws that protect the privacy and confidentiality of health and care information also apply to telemedicine. By agreeing to use telemedicine services, I am consenting to the sharing of my protected health information with certain third parties. I understand, agree, and expressly consent to the obtaining, using, storing, and disseminating to necessary third parties, information about me, including my image, as necessary to provide the telemedicine services.
I understand that I must take reasonable steps to protect myself from unauthorized use of my electronic communications by others.
I acknowledge that the healthcare provider is not responsible for breaches of confidentiality caused by an independent third party or by me.
I agree that I have verified to my healthcare provider my identity and current location in connection with the telemedicine services. I acknowledge that failure to comply with these procedures may terminate the telehealth visit.
I understand that I have a responsibility to verify the identity and credentials of the healthcare provider rendering my care via telemedicine and to confirm that he or she is my healthcare provider.
I understand and agree that the health information I provide at the time of the telemedicine session may be the only source of health information used by the healthcare provider during the course of my evaluation and treatment at the time of my telemedicine session and that the healthcare provider may not have access to my full medical records or information.
I understand that I will be given information about test(s), treatment(s) and procedure(s), as applicable, including the benefits, risks, possible problems or complications, and alternate choices for my medical care through the telemedicine session.
I understand and agree that a medical evaluation via telemedicine may limit my healthcare provider’s ability to fully diagnose a condition or disease. As the patient, I agree to accept responsibility for following my healthcare provider’s recommendations, including further diagnostic testing, such as lab testing, a biopsy, or an in-office visit.
I understand that electronic communication cannot be used for emergencies or time-sensitive matters.
I understand that electronic communication may be used to communicate highly sensitive medical information, such as treatment for or information related to HIV/AIDS, sexually transmitted diseases, or addiction treatment (alcohol, drug dependence, etc.).
I understand that my healthcare provider may choose to forward my information to an authorized third party. Therefore, I have informed the healthcare provider of any information I do not wish to be transmitted through electronic communications.
By signing below, I understand the inherent risks of errors or deficiencies in the electronic transmission of health information and images during a telemedicine visit.
I understand that there is never a warranty or guarantee as to a particular result or outcome related to a condition or diagnosis when medical care is provided.
To the extent permitted by law, I agree to waive and release my healthcare provider and his or her institution or practice from any claims I may have about the telehealth visit.
I understand that electronic communication should never be used for emergency communications or urgent requests.
I acknowledge that our service does not prescribe controlled drugs. This includes benzodiazepines, painkillers, and ADHD medications.

Final Acknowledgements

I have read and understand the information provided above regarding telemedicine, and all of my questions have been answered to my satisfaction.

I hereby give my informed consent for the use of telemedicine in my care. I also consent to photographs of this video encounter being taken and stored in my patient file.