I. Introduction
You are reviewing and acknowledging this Telehealth Informed Consent because you are seeking healthcare services utilizing telehealth technologies facilitated through the Healthie website, iOS mobile app, web mobile app, or other telehealth technologies, collectively the “Healthie platform.” This Telehealth Informed Consent supplements and does not modify or supersede any Terms of Use, Privacy Policy, or Notice of Privacy Practices of Healthie or your healthcare provider(s).
By creating an account, starting a consult, clicking “I consent to telehealth,” checking a related box to signify your acceptance, or using any other acceptance protocol presented through the Healthie platform, you indicate that you have reviewed the risks described herein of receiving services using telehealth technologies and consent to receiving these services. A record of this Telehealth Informed Consent is maintained in the files and records of the provider delivering your services, and your ongoing use of telehealth services serves as your continued acknowledgment of and agreement to this consent.
II. What is Telehealth?
Telehealth involves the delivery of health and wellness services using electronic communications, information technology, or other means between a licensed, certified, or registered healthcare professional at one location and a patient at another. Telehealth may be used for diagnosis, treatment, follow-up, and/or patient education. These services may involve asynchronous interactions, real-time (synchronous) video and audio sessions, and interactive audio using store-and-forward technologies. This consent outlines the treatment methods, risks, and limitations associated with using telehealth to support your healthcare needs.
III. What are the Possible Benefits of Telehealth?
Benefits of telehealth include easier and more efficient access to healthcare. You may obtain services at times that are convenient for you, without needing an in-person appointment. This may also include follow-up care. If you need follow-up services, you can contact your provider directly through the Healthie platform.
IV. What are the Possible Risks of Telehealth?
Diagnostic testing services offered via the Healthie platform may involve third-party labs. While these tests support clinical care, they may occasionally produce inaccurate or inconclusive results. Such limitations may impact the quality or accuracy of your care.
Third-Party Laboratory Products and Services:
Providers may recommend that you undergo diagnostic tests. These tests are conducted by third-party laboratories, and neither Healthie nor your provider can guarantee the reliability of these tests. Errors such as false positives or false negatives may impact your diagnosis or treatment.
V. Patient Acknowledgments
By accepting this Telehealth Informed Consent, you acknowledge and agree that:
VI. Additional State-Specific Disclosures
The following disclosures apply to users accessing the Healthie platform for the purposes of participating in a telehealth visit as required by the states listed below:
Iowa
I have been informed that if I want to register a formal complaint about a provider, I should visit the medical board’s website, here: https://medicalboard.iowa.gov/consumers/filing-complaint.
Kentucky
I have been informed that if I want to register a formal complaint about a provider, I should visit the medical board’s website, here: https://kbml.ky.gov/grievances/Pages/default.aspx.
Maine
I have been informed that if I want to register a formal complaint about a provider, I should visit the medical board’s website, here: https://www.maine.gov/md/complaint/file-complaint.
New York
I have been informed that to get information regarding your rights and how to report professional misconduct, I should visit here: https://www.health.ny.gov/professionals/doctors/conduct.
Oregon
I have been informed that if I want to register a formal complaint about a provider, I should visit the medical board’s website, here: https://www.oregon.gov/omb/investigations/pages/how-to-file-a-complaint.aspx.
Rhode Island
I have been informed that if I want to register a formal complaint about a provider, I should visit the medical board’s website, here: https://health.ri.gov/complaints/.
Texas
I have been informed of the following notice:
NOTICE CONCERNING COMPLAINTS- Complaints about physicians, as well as other licensees and registrants of the Texas Medical Board, including physician assistants, acupuncturists, and surgical assistants may be reported for investigation at the following address: Texas Medical Board, Attention: Investigations, 333 Guadalupe, Tower 3, Suite 610, P.O. Box 2018, MC-263, Austin, Texas 78768-2018, Assistance in filing a complaint is available by calling the following telephone number: 1-800-201-9353, For more information, please visit our website at www.tmb.state.tx.us.
Vermont
I have been informed that if I want to register a formal complaint about a provider, I should visit the medical board’s website, here: http://www.healthvermont.gov/health-professionals-systems/board-medical-practice/file-complaint; or Board of Osteopathic Examiners can be found at: https://sos.vermont.gov/opr/complaints-conduct-discipline/
Wyoming
I have been informed that if I want to register a formal complaint about a provider, I should visit the medical board’s website, here: http://wyomedboard.wyo.gov/consumers/file-a-complaint.