Consent to Telehealth

3. Telehealth Informed Consent

Telehealth involves the use of secure electronic communications, information technology, video, audio, messaging, asynchronous intake, remote monitoring, or other permitted technologies between me and a licensed healthcare provider or care team for healthcare delivery.

Telehealth services may include patient consultation, asynchronous review, diagnosis, treatment recommendation, medication review, prescription consideration, refill review, lab recommendation, monitoring, patient education, follow-up, and referral to in-person care, as determined clinically appropriate.

I understand that telehealth may provide benefits, including convenience, access to care, reduced travel, faster communication, remote monitoring, and care coordination.

I understand that telehealth has limitations and risks, including technical failures, incomplete information, delayed communication, privacy or security risks, and the inability to perform a full physical examination in some circumstances.

I understand that telehealth may not be appropriate for all medical concerns. A clinician may determine that I need in-person care, labs, imaging, specialist care, urgent care, or emergency care.

I agree to provide accurate information about my location, identity, symptoms, medical history, medications, allergies, and emergency contact information when requested.

I understand that I may be asked to confirm the state where I am physically located or the state of care. I understand that clinician availability and treatment options may depend on state law and provider licensure.

I agree not to use telehealth for emergencies. If I believe I may be experiencing an emergency, I will call 911 or seek emergency medical care.

By signing this Agreement, I consent to receive healthcare services through telehealth when clinically and legally appropriate. I understand that I may withdraw consent to telehealth, but doing so may affect my ability to receive services through the Regulate platform.