Telehealth Informed Consent
Introduction
Telehealth involves the delivery of healthcare services using electronic communications, information technology, or other means between a healthcare provider and a patient who are not in the same physical location. By using Helmd's telehealth services, you consent to receiving care through these technologies.
Nature of Telehealth Services
Helmd provides telehealth consultations for the evaluation and potential treatment of erectile dysfunction. Our licensed healthcare providers will review your medical history, current medications, and health information to determine whether prescription treatment is appropriate for you. Consultations are conducted asynchronously through our secure online platform.
Benefits of Telehealth
Telehealth offers improved access to healthcare by enabling you to consult with qualified providers without the need for in-person visits. Benefits include convenience, reduced travel time, and the ability to receive care from the privacy of your own location.
Risks and Limitations
As with any medical consultation, telehealth has potential risks and limitations, including but not limited to:
- The inability of the provider to conduct a physical examination
- Potential delays in evaluation and treatment due to technology failures
- The possibility that information transmitted may not be sufficient to allow for appropriate medical decision-making
- A determination that the services are not appropriate for your condition and a referral to in-person care may be necessary
- Security risks related to electronic communication, despite reasonable safeguards
Prescriptions
If a prescription is issued, it will be for compounded medication prepared by a licensed US pharmacy. Compounded medications are not FDA-approved and are prepared based on a patient-specific prescription. You acknowledge that compounded medications may carry different risks than commercially manufactured drugs.
Your Responsibilities
You agree to provide accurate and complete medical history, current medications, allergies, and other health information. You agree to inform your provider of any changes in your health status. You understand that withholding or providing inaccurate information may affect the safety and effectiveness of your treatment.
Privacy and Confidentiality
Your health information will be protected in accordance with applicable federal and state privacy laws, including HIPAA. Information may be shared with the compounding pharmacy to fulfill your prescription and with other entities as required by law.
Right to Withdraw Consent
You may withdraw your consent to telehealth services at any time by contacting us at support@helmd.com. Withdrawal of consent will not affect any services already provided.
Emergency Situations
Telehealth is not intended for medical emergencies. If you are experiencing a medical emergency, call 911 or go to your nearest emergency room immediately.
Contact
If you have questions about this consent or our telehealth services, contact us at support@helmd.com.