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Telehealth Informed Consent

Last Updated: June 15, 2026

Telehealth involves the delivery of healthcare services using electronic communications, information technology, and other telecommunications between a healthcare provider and a patient who are not in the same physical location. Direct Patient Systems Corporation ("Direct Patient Systems") provides the technology platform (the "Platform") through which you can access telehealth consultations, medical messaging, and remote care coordination services provided by independent licensed clinicians ("Healthcare Providers").

BY CLICKING "AGREE," "SUBMIT," OR BY ACCESSING AND USING THE PLATFORM, YOU ACKNOWLEDGE THAT YOU HAVE READ, UNDERSTAND, AND AGREE TO BE BOUND BY THIS TELEHEALTH INFORMED CONSENT.

1. THE TELEHEALTH PROCESS

Through the Platform, you will submit medical questionnaires, upload diagnostics, share laboratory values, and communicate with Healthcare Providers asynchronously (via secure messaging/forms) or synchronously (via video and phone calls). Your Healthcare Provider will review your data to determine clinical eligibility, establish a diagnosis, prescribe treatments (if clinically appropriate), and monitor your titration and side effects remotely.

2. EXPECTED BENEFITS

Expected benefits of telehealth include:

Convenient access to specialized clinical programs (such as metabolic, mental health, or GLP-1 weight management) without the need to travel to a physical clinic.
Efficient scheduling and remote monitoring of medical values (A1c, metabolic panels, weight data).
More direct, prompt communication with your care coordination team via secure messaging.

3. POTENTIAL RISKS AND LIMITATIONS

While telehealth offers significant advantages, there are inherent risks and limitations you should understand:

No Physical Exam: The Healthcare Provider cannot perform an in-person physical examination. In rare instances, the lack of a physical exam could prevent or delay the diagnosis of a hidden medical condition.
Technical Disruption: Digital transmissions can fail or lag. Loss of internet connection, server down-time, or video distortion could delay your consult, prescription refill, or follow-up check-in.
Information Incompleteness: If you provide incomplete or inaccurate medical history, allergies, or current drug lists on your questionnaires, it could result in adverse drug interactions or misdiagnosis. You agree to disclose all health details truthfully.
Security Risks: Although we implement strict encryption protocols (SSL/TLS and AES-256) and adhere to HIPAA security standards, electronic data transmissions can theoretically be intercepted.

4. YOUR ACKNOWLEDGEMENTS AND CONSENT

By agreeing to this consent, you explicitly acknowledge and agree to the following:

Clinical Discretion: You understand that the Healthcare Provider has the sole discretion to determine whether your medical condition is clinically appropriate for telehealth. If they determine that virtual care is not safe or appropriate, they may redirect you to an in-person physician or emergency clinic.
EHR Integration: You agree that records of your telehealth consults, messaging history, and laboratory results will become part of your electronic health record (EHR) maintained by the hospital system or IDN.
Data Sharing Authorization: You authorize Direct Patient Systems and your Healthcare Providers to share your medical information, intake survey answers, and contact information with independent partner Pharmacies to facilitate your prescription orders and home delivery.
Freedom of Choice: You have the right to withdraw this consent to telehealth at any time. Withdrawing your consent will terminate your access to the Platform but will not affect your right to receive standard in-person healthcare from other medical networks.

5. EMERGENCY CONDITIONS

YOU UNDERSTAND THAT TELEHEALTH IS NOT FOR EMERGENCIES. IF YOU ARE EXPERIENCING A MEDICAL EMERGENCY, CALL 911 OR GO TO THE NEAREST EMERGENCY ROOM IMMEDIATELY.

6. SIGNATURE AND PATIENT ACCEPTANCE

I represent that I have read this Telehealth Informed Consent in its entirety, understand the benefits, risks, and limitations outlined, and consent to receive care via the Platform under these terms.