Redefined Health & Wellness LLC

Telehealth Informed Consent

Telehealth Informed Consent Agreement

Telehealth involves the use of electronic communications to enable healthcare services when the patient and provider are not physically located in the same place.

  • I understand that telehealth may include:

    • Medical evaluations

    • Consultations

    • Follow-up care

    • Education and counseling

    • Treatment recommendations

  • Benefits may include:

    • Improved access to healthcare

    • Reduced travel time

    • Increased convenience

    • Continuity of care

  • Risks may include:

    • Technical failures

    • Internet interruptions

    • Unauthorized access despite security measures

    • Incomplete transmission of information

  • I understand telehealth is not intended for emergencies.

    If I experience a medical emergency, I will:

    • Call 911

    • Proceed to the nearest emergency department

    • Contact local emergency services

  • Reasonable efforts will be made to protect confidentiality and comply with applicable privacy laws.

  • I agree to:

    • Provide accurate medical information

    • Participate in a private setting when possible

    • Notify the provider of any changes in my condition

  • By utilizing telehealth services, I acknowledge that:

    • I have read and understand this consent.

    • My questions have been answered.

    • I voluntarily consent to receive telehealth services.