Telehealth Informed Consent

Telehealth involves the delivery of healthcare services using electronic communications, including secure video conferencing, telephone, and asynchronous messaging. Through Direct Providers Care, you will interact with licensed healthcare providers remotely using secure technology. All telehealth visits are conducted through HIPAA-compliant platforms.

• Convenient access to licensed healthcare providers without travel
• Reduced wait times compared to in-person visits
• Access to care from your home, workplace, or any location
• Continuity of care with providers familiar with your health history
• Timely access to prescriptions, referrals, and care coordination

Telehealth services have inherent limitations that differ from in-person care. You understand and acknowledge the following:

• Your provider cannot perform a physical examination. Diagnosis and treatment recommendations are based on the information you provide and what can be observed through video or communicated by phone.
• Telehealth may not be appropriate for all conditions. Some conditions require in-person evaluation, diagnostic testing, or emergency care that telehealth cannot provide.
• Technical failures, including poor internet connectivity, audio/video problems, or system outages, may interrupt or terminate a telehealth session.
• Information transmitted electronically may, despite reasonable security measures, be intercepted by unauthorized parties.
• Your provider may determine that your condition requires referral to an in-person provider or emergency services.
• Prescriptions for certain medications, including controlled substances, may not be issued via telehealth under applicable federal and state law.

• A device with a working camera and microphone (for video visits) or phone (for phone visits)
• A stable internet connection for video visits
• A private, reasonably quiet location where you can speak freely
• You are responsible for ensuring your technology meets these requirements

• You should conduct your telehealth visit in a private location where others cannot hear your conversation.
• Do not record your telehealth visit without prior consent from your provider.
• Ensure no unauthorized individuals are present or listening during your visit.
• Your provider may end the session if privacy cannot be reasonably assured.

Your provider may prescribe medications when clinically appropriate and in compliance with applicable law. Prescriptions will be sent electronically to your designated pharmacy. You understand that not all medications can be prescribed via telehealth, and your provider’s decision regarding prescriptions is a clinical determination made in their sole professional judgment.

Telehealth services are provided in compliance with the laws of the state in which you are located at the time of the visit. Provider availability is subject to state licensure. You agree to accurately disclose your location at the time of each visit. If you are located in a state where your provider is not licensed, the visit cannot proceed.

For enrolled minor family members, the primary account holder (parent or guardian) provides telehealth consent on behalf of the minor. The parent or guardian should be present or accessible during visits for minor patients, as required by applicable state law.

• You have the right to withdraw this consent at any time in writing, without affecting your rights to future care.
• You have the right to request an in-person referral at any time.
• You have the right to review your medical records.
• You have the right to ask questions about your care at any time.

By participating in a telehealth visit with Direct Providers Care, you acknowledge that:

• You have read and understand this Telehealth Informed Consent
• You understand the benefits, risks, and limitations of telehealth
• You consent to receive healthcare services via telehealth through Direct Providers Care
• You have had the opportunity to ask questions and have them answered to your satisfaction