1. Nature of Telehealth
Telehealth involves the delivery of healthcare services using electronic communications, information technology, or other means between a provider and patient who are not in the same physical location. Services may include asynchronous messaging, secure video, and remote monitoring.
2. Provider Review
A licensed provider will review your intake, health history, and any submitted information to determine whether telehealth care is clinically appropriate. Not every condition is suitable for telehealth, and your provider may recommend in-person care.
3. Prescription Decisions
Prescription decisions are made solely at the discretion of your licensed provider based on medical necessity and applicable law. Submission of an intake does not guarantee that a prescription will be issued.
4. Emergency Limitations
Telehealth is not appropriate for medical emergencies. If you are experiencing an emergency, call 911 or go to your nearest emergency room. For mental health crises, call or text the 988 Suicide & Crisis Lifeline.
5. Privacy & Confidentiality
Your telehealth encounters and health information are protected under HIPAA and applicable state law. See our HIPAA Notice for details on how PHI is used and disclosed.
6. Risks & Benefits
Benefits of telehealth include improved access and convenience. Risks may include technology failures, delays in evaluation, and limitations of remote assessment. Your provider will discuss these with you as needed.
7. Consent Acknowledgment
By using GOODNCO telehealth services, you acknowledge that you have read this consent, understand the nature, benefits, and risks of telehealth, and voluntarily consent to receive care via telehealth. You may withdraw consent at any time.
8. Questions
Questions about this consent? Email support@goodnco.com.