Telehealth informed consent

This consent explains the nature of telehealth services provided through this platform. You will be asked to acknowledge it before a clinician reviews your intake.

What asynchronous telehealth means

You provide your medical history, symptoms and relevant records in writing. A licensed clinician reviews that information at a later time — not in real time — and responds in writing with an assessment, a plan or a request for more information. There is generally no live video or telephone visit.

Benefits

• Access to licensed clinicians without travel or scheduling.
• A written record of every clinical exchange, which you can re-read.
• Time for the clinician to review records carefully rather than within an appointment slot.

Limitations and risks

• No physical examination is performed, which limits what can be assessed.
• Information you provide may be incomplete or inaccurate, affecting clinical judgement.
• Delays in response are possible; this format is not suitable for urgent problems.
• Technology failures could delay or interrupt communication.
• Your clinician may determine that in-person evaluation is required, and will tell you so.

Your rights

• You may withdraw this consent at any time without affecting your right to future care.
• You may request a copy of your records.
• You may request an alternative form of care, including referral for in-person evaluation.
• All exchanges are confidential and subject to the same privacy protections as in-person care.

Emergencies

Telehealth is never appropriate for emergencies. Call 911 or go to the nearest emergency department if you experience chest pain, difficulty breathing, severe abdominal pain, signs of an allergic reaction, or any other symptom you believe may be life-threatening.