Telehealth Consent
Last updated: [DATE]
DRAFT - pending legal review. Not final.
What telehealth is
Telehealth lets you get care from a licensed provider through secure online forms, messaging, phone or video instead of an in-person visit.
Benefits and limits
Telehealth is convenient, but your provider cannot do a physical exam and may decide in-person care is better for you.
Your responsibilities
You agree to share complete, truthful information, follow your provider’s instructions, and seek in-person or emergency care when needed.
Privacy and security
We use secure systems to send your information, though no electronic system is completely risk-free.
Your consent
By continuing, you agree to receive care through telehealth. You can withdraw consent at any time. [STATE-SPECIFIC LANGUAGE FROM PARTNER]
⚠ If you are experiencing a medical emergency, please call 911 or visit the nearest emergency room immediately.