Telemedicine Information & Consent

I understand that telehealth services offer several benefits, including:

• Improved access to healthcare services
• Reduced travel time and associated costs

I also acknowledge the following limitations:

• Lack of a physical examination, which may impact diagnostic accuracy
• Possible challenges with the quality and security of electronic communication
• Potential risks of technical difficulties or interruptions

I understand that my healthcare provider will take all reasonable measures to protect the privacy and security of my personal and medical information. However, I acknowledge that electronic communications carry inherent risks, including the potential for unauthorized access, interception, or disclosure of my information.

I understand that:

• I have the right to withdraw my consent for telehealth services at any time without affecting my right to future care.
• I may request an in-person visit with my healthcare provider instead of telehealth services.
• My healthcare provider reserves the right to discontinue telehealth services if they believe it is not in my best interest.

I understand that my telehealth visit will be documented, and my medical records will be maintained in accordance with applicable regulations. I acknowledge that, if necessary, my information may be shared with other healthcare providers to ensure continuity of care.