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Medical Consent

ShapeLast updated: June 14, 2024

Telehealth Medical Consent for Peptide Wellness

OUR PROVIDERS DO NOT ADDRESS MEDICAL EMERGENCIES. DO NOT PROCEED WITH CLINICAL SERVICES USING THE HENRY MEDS PLATFORM IF YOU BELIEVE YOU ARE HAVING A MEDICAL EMERGENCY. IF YOU BELIEVE YOU ARE EXPERIENCING A MEDICAL EMERGENCY, YOU SHOULD DIAL 9-1-1 AND/OR GO TO THE NEAREST EMERGENCY ROOM.    

IF YOU ARE CONTEMPLATING SUICIDE, CONTACT 911 OR THE NATIONAL SUICIDE PREVENTION LINE BY ONE OF THE FOLLOWING METHODS: 

DIAL 1-800-273-TALK  

DIAL OR TEXT 988 

Go to 988Lifeline.org to chat LIVE

Introuduction:

You are reviewing this Telehealth Informed Consent because you are seeking healthcare services through telehealth technologies facilitated by Peptide Wellness. By using our platform, you acknowledge the risks and consent to telehealth services. Records of this consent will be maintained.

What is Telehealth:

Telehealth involves delivering health services using electronic communications between a healthcare professional and a patient in different locations. It may be used for diagnosis, treatment, follow-up, and patient education, utilizing various modalities like asynchronous interactions, real-time video, and interactive audio.

Benefits of Telehealth:

  • Easier and more efficient access to healthcare services.

Risks of Telehealth:

  • Insufficient information may hinder appropriate services.
  • Not all clinical needs are suitable for telehealth.
  • Technical failures may delay services.
  • In rare cases, incomplete medical records or poor data quality could result in adverse effects.
  • Diagnostic tests by third-party labs may produce erroneous results, impacting diagnosis or treatment.

Patient Acknowledgments:

By accepting this Telehealth Informed Consent, you acknowledge and consent to:

  1. Understanding the risks, limitations, and benefits of telehealth.
  2. Increased privacy risks due to the electronic nature of services.
  3. Possible consultations with nurse practitioners or physician assistants instead of physicians.
  4. Presence of additional personnel for technology operation or translation during the visit.
  5. Accuracy and completeness of information you provide.
  6. Possibility of receiving asynchronous services via store-and-forward technology.
  7. No guarantee of receiving a prescription; decisions are made by your provider’s judgment.
  8. Potential technical failures during telehealth encounters.
  9. Possible defects in diagnostic testing services impacting care quality.
  10. Seeking other resources for non-available health needs on the platform.
  11. Understanding delays in communication on the platform.
  12. Right to withdraw consent without affecting future care or health benefits.
  13. Access to medical records as per applicable laws and regulations.
  14. Ability to request preferred pharmacy or lab services.
  15. Peptide Wellness’s right to enforce this consent.

Additional State-Specific Disclosures:

The following disclosures apply to users accessing Peptide Wellness for telehealth services as required by specific states:

  • Iowa: Register complaints here.
  • Kentucky: Register complaints here.
  • Maine: Register complaints here.
  • New York: Information on rights and misconduct here.
  • Oregon: Register complaints here.
  • Rhode Island: Register complaints here.
  • Texas:
    • English: Complaints about physicians can be reported here.
    • Spanish: Quejas sobre médicos pueden ser presentadas aquí.
  • Vermont: Register complaints here.
  • Wyoming: Register complaints here.