Medical Consent for Telehealth Services
By using the telehealth services offered by R&A Wellness and Regenerative Medicine, you consent to the terms outlined below. Please read this Medical Consent carefully before proceeding with any telehealth consultations or treatments.
1. Nature of Telehealth Services
Telehealth involves the use of electronic communications (such as video conferencing, telephone, or other digital means) to provide medical care and consultation without the patient being physically present in the same location as the healthcare provider. The scope of services may include:
- Evaluation and treatment of medical conditions
- Prescription of medications
- Follow-up care and consultations
- Delivery of wellness and medical advice
2. Acknowledgment of Limitations
By participating in telehealth consultations, you understand and agree that:
- Telehealth consultations are not a substitute for all types of care.
- In the event of an emergency or life-threatening condition, you must contact emergency services (e.g., call 911) immediately.
- Telehealth may have limitations in assessing certain medical conditions, particularly those requiring physical examination.
- Technical difficulties (e.g., poor video/audio quality) may occur, potentially affecting the delivery of healthcare.
3. Consent to Treatment
By proceeding with a telehealth appointment, you consent to:
- Receiving medical care via telehealth technologies.
- The use of electronic communication for diagnosis, treatment, and follow-up care.
- Sharing of your medical information with the appropriate healthcare providers involved in your care.
4. Risks of Telehealth
You acknowledge that there are potential risks associated with telehealth services, including but not limited to:
- Information transmission challenges due to technology failure.
- Delays in medical evaluation or treatment due to technological limitations.
- In rare cases, insufficient information may be available to make an appropriate medical decision.
5. Confidentiality and Security
R&A Wellness and Regenerative Medicine takes reasonable steps to ensure that your medical information is secure and confidential. However, despite our best efforts, no technology is completely secure, and there is always a small risk that medical information could be intercepted by unauthorized parties. By consenting to telehealth services, you acknowledge this risk.
6. Alternatives to Telehealth
You have the option to decline telehealth services at any time. If at any point you or your healthcare provider believe telehealth is not appropriate for your medical situation, you may be referred to an alternative service.
7. Payment
By using telehealth services, you understand that:
- Fees for telehealth services are due at the time of service unless prior arrangements have been made.
8. Right to Withdraw Consent
You have the right to withhold or withdraw your consent to telehealth at any time without affecting your right to future care or treatment. If you decide to withdraw consent during a telehealth consultation, please notify your healthcare provider immediately.
9. Dispute Resolution
In the event of any disputes arising from the use of telehealth services, you agree that such disputes will be resolved under the laws of the State of Florida, and any legal action will take place in the state or federal courts located in Tampa, Florida.
10. Contact Us
If you have any questions or concerns regarding the use of telehealth services or this consent form, please contact us at:
- Email: legal@rnawellness.com
- Phone: 813-440-3060
- Address: 400 N Ashley Dr Ste 2600, Tampa, FL 33602
