Consent for Telemedicine Services
Effective Date: December 17, 2024
By using the telemedicine services provided by Kerbside Health, Inc. ("we," "our," or "us"), you acknowledge and agree to the following terms.
1. Nature of Telemedicine Services
1.1 Telemedicine involves the use of electronic communications to provide healthcare services, including consultations, evaluations, and recommendations.
1.2 Telemedicine may include real-time video conferencing, audio communication, and secure messaging, as well as the transmission of medical records, test results, and other health information.
2. Benefits of Telemedicine
Convenient access to healthcare professionals.
Improved access to specialty care.
Reduced travel time and costs.
3. Potential Risks of Telemedicine
Transmission of information could be disrupted due to technical issues.
Security protocols could fail, potentially resulting in unauthorized access to your health information.
Limitations in technology or access to physical examinations could affect the accuracy of diagnoses or treatment recommendations.
4. Your Rights
4.1 You may withdraw your consent for telemedicine at any time without affecting your right to future care or treatment.
4.2 You have the right to ask questions and receive clear, understandable answers about telemedicine services, including any associated costs.
4.3 You may request an in-person consultation at any time, if available and applicable.
5. Privacy and Security
5.1 Telemedicine services are conducted using HIPAA-compliant platforms to ensure your privacy and the security of your health information.
5.2 Your Protected Health Information (PHI) will be handled in accordance with our Notice of Privacy Practices.
6. Responsibilities and Acknowledgements
By agreeing to this Consent for Telemedicine, you:
Understand that telemedicine is not a substitute for in-person care in all circumstances.
Acknowledge that the healthcare professional providing telemedicine services may be located in a different state or country.
Agree to provide accurate and complete information to the healthcare professional during your consultation.
Accept that no specific results or outcomes are guaranteed from telemedicine consultations.
7. Emergency Situations
Telemedicine services are not intended for medical emergencies. If you are experiencing a medical emergency, please call 911 or go to the nearest emergency facility immediately.
8. Consent
By proceeding with telemedicine services, you confirm that:
You have read and understood this Consent for Telemedicine.
You understand the benefits, risks, and limitations of telemedicine.
You voluntarily consent to receive telemedicine services from Kerbside Health, Inc.
Contact Us
If you have questions or concerns about this Consent for Telemedicine, please contact:
Kerbside Health, Inc.
Email: hello@kerbsidehealth.com