Telehealth Consent
Telehealth (also called telemedicine) involves the use of electronic communications and technology (such as video conferencing, phone, secure messaging, or apps) to provide healthcare services when the patient and provider are not in the same physical location.
By consenting to telehealth services provided through [Your Company/Practice Name], you acknowledge and agree to the following:
1. Nature of Telehealth Services
Telehealth allows me to consult with licensed healthcare providers for diagnosis, treatment, follow-up, education, and prescriptions where appropriate. It is not a substitute for in-person care when clinically necessary.
2. Benefits
Convenient access to care without travel.
Faster consultations in many cases.
Continuity of care from home or other locations.
3. Risks and Limitations
Technology issues (e.g., poor video/audio quality, dropped connections, or delays) may occur and could affect the quality of the visit.
There is a risk of security breaches with electronic communications, though we use HIPAA-compliant, encrypted platforms to minimize this.
The provider may not have access to your full medical history or be able to perform physical exams (e.g., palpation, auscultation).
In emergencies, telehealth is not appropriate—call 911 or seek immediate in-person care.
Technical failures may result in loss of data or inability to complete the visit.
4. Privacy and Confidentiality.
All telehealth services comply with HIPAA regulations to protect your protected health information (PHI). We use secure, encrypted technology. Information from your visit may be shared as needed for treatment, payment, healthcare operations, or as required by law. See our [Privacy Policy] and [Notice of Privacy Practices] for details.
5. Alternatives
You may choose in-person visits instead of telehealth at any time. If telehealth is not suitable, your provider will discuss alternatives.
6. Patient Rights
You can ask questions about telehealth at any time
You may withdraw consent for telehealth and request in-person care (subject to availability).
You have the right to refuse telehealth without affecting other care options.
7. Recording and Participants
Sessions are not recorded without your explicit consent. Authorized personnel (e.g., tech support) may be present but will adhere to privacy policies.vider will discuss alternatives.
By using our telehealth services, you consent to these terms. If you have questions, contact us at 1-844-426-9364 | support@terrahealthrx.com