Telehealth Consent
Telehealth is the type of care that allows clients to access health services using audio-video interfaces such as videoconferencing. Electronic systems incorporate network and software security protocols to protect the confidentiality of client identification and imaging data.
Expected Benefits
• Improved access to weight loss management healthcare across distances. • More efficient medical evaluation and management. • Access to expertise of distant specialists. • Maintaining connections with established providers in other areas.
Possible Risks
• Information transmitted may be insufficient for appropriate medical decisions. • Delays due to equipment failures. • In rare cases, security protocols could fail causing privacy breach. • Lack of complete medical records may result in adverse drug interactions or judgmental errors.
Client Consent Acknowledgments
By consenting, you understand: (1) Privacy laws apply to telehealth; no information will be disclosed without your consent. (2) You have the right to withdraw consent at any time. (3) You have the right to inspect all telehealth interaction records.
(4) Alternative weight loss methods are available to you at any time. (5) It is in your best interest to inform your physician of any other healthcare providers. (6) No results can be guaranteed or assured from telehealth.
HIPAA Consent
HIPAA provides safeguards to protect your privacy regarding Protected Health Information (PHI). Our policies include: (1) Keeping patient information confidential except as necessary to provide services. (2) Reminding patients of appointments via phone, email, or mail.
(3) Vendors may access PHI but must abide by HIPAA confidentiality rules. (4) You agree to government/insurance inspections in the normal performance of their duties. (5) Your confidential information will NOT be used for marketing of products or services.
Financial Consent
You understand that a credit card may be kept on file and any remaining balances for services rendered shall be paid in full. All programs are auto-renewing. There are no refunds or exchanges. You certify that you are an authorized user of the credit card.
Shipping Authorization
All prescription medications are dispensed according to state and federal law. You disclaim and hold harmless CareValidate and trimmedi for any delays or errors during shipping. Medication is considered dispensed when it is signed out for shipping, not when it arrives.