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TELEHEALTH CONSENT

Last Updated: January 12, 2026

This Telehealth Consent (“Consent”) applies to telehealth services provided by independent licensed healthcare providers (“Providers”) through third-party professional entities made available via the OptimizeMD platform.

OptimizeMD itself does not provide medical care. Medical services, if any, are provided solely by independent Providers using telehealth technologies.


What Is Telehealth

Telehealth involves the delivery of healthcare services using electronic communications and technology, rather than in-person visits. This may include the secure transmission of medical information, intake forms, images, audio, or live two-way video to allow Providers to evaluate and manage care remotely.

The systems used for telehealth services employ security measures designed to protect the privacy and confidentiality of your information.


Potential Benefits of Telehealth

Telehealth may offer the following benefits:

  • Access to care without the need for an in-office visit

  • Greater convenience and flexibility in scheduling

  • Ability to consult with Providers from your location


Potential Risks and Limitations

You understand and acknowledge that:

  • Telehealth is not a substitute for ongoing, in-person care with a local physician.

  • Remote care has limitations, including the inability to perform physical examinations and reliance on the information you provide.

  • Incomplete or inaccurate medical history, including failure to disclose diagnoses, medications, supplements, or prior treatments, may result in misdiagnosis or inappropriate care.

  • Providers may determine that telehealth is not appropriate for your condition and may recommend in-person care or decline to prescribe treatment.

  • Technical issues (such as poor internet connection, audio/video disruptions, or system outages) may delay or interrupt services.

  • Telehealth is not appropriate for medical emergencies. In the event of an emergency or severe reaction, call 911 or seek immediate in-person medical care.

  • Although safeguards are in place, there is a small risk of unauthorized access or privacy breaches inherent in electronic communication.

  • State laws may limit or restrict telehealth services or prescribing in certain jurisdictions.


Your Consent to Telehealth

By using the telehealth services, you acknowledge and agree that:

Provider Qualifications and Scope of Care

  • Healthcare services are provided via telehealth technologies.

  • Your Provider may be a physician, nurse practitioner, or physician assistant.

  • You consent to receiving care from non-physician providers where permitted by law.

  • Telehealth technology and processes may evolve over time.

  • No specific medical outcomes or results are guaranteed, including laboratory or treatment outcomes.

  • Your condition may remain unchanged or worsen despite care.


Your Responsibilities

You acknowledge and agree that:

  • You have reviewed and understand the benefits, risks, and alternatives to telehealth.

  • Telehealth sessions are not recorded.

  • Providers will independently determine whether telehealth is appropriate for your situation.

  • You agree to provide complete, truthful, and accurate medical information and emergency contact details.

  • Failure to provide accurate information may negatively impact your care.

  • Providers may recommend or require in-person evaluation if clinically necessary.


Withdrawal of Consent

  • You may withdraw your consent to telehealth at any time by providing written notice to your Provider.

  • Withdrawal does not affect care or actions already taken.

  • Continued use of telehealth services constitutes ongoing consent.


Electronic Communications & Privacy

  • Telehealth services involve electronic communication of personal and health information.

  • Your information will be handled in accordance with applicable privacy laws and the relevant providers’ privacy policies and Notices of Privacy Practices.


Financial Responsibility

You understand and agree that:

  • You may seek care from other healthcare providers at your discretion.

  • Prescriptions, if issued, will be fulfilled by pharmacy partners of the professional entities.

  • You are financially responsible for all costs associated with services and prescriptions.

  • Services are provided on a cash-pay basis, and you will not seek reimbursement from Medicare, Medicaid, or other government healthcare programs.