TELEHEALTH INFORMED CONSENT

Telehealth Informed Consent Agreement

Redefined Health & Wellness LLC

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

Nature of Telehealth

I understand that telehealth may include:

  • Medical evaluations

  • Consultations

  • Follow-up care

  • Education and counseling

  • Treatment recommendations

Potential Benefits

Benefits may include:

  • Improved access to healthcare

  • Reduced travel time

  • Increased convenience

  • Continuity of care

Potential Risks

Risks may include:

  • Technical failures

  • Internet interruptions

  • Unauthorized access despite security measures

  • Incomplete transmission of information

Emergencies

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

Privacy

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

Patient Responsibilities

I agree to:

  • Provide accurate medical information

  • Participate in a private setting when possible

  • Notify the provider of any changes in my condition

Consent

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.