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CONSENT TO TELEHEALTH
You understand that by clicking the "agree and consent" box for terms of use or consent to telehealth that such on-going actions in using this site constitute a legal signature and on-going agreement in whatever form presented.
All capitalized terms used in this Consent to Telehealth but not defined herein have the meanings assigned to them in the Terms of Use. For clarity, the terms "Joe Pill", "we", "us", or "our" refer to Joe Pill Pharmacy and the terms "you" and "yours" refer to the person using the Service.
Telehealth (also known as Telemedicine) involves the provision of healthcare services using electronic communications, information technology or other means between a healthcare provider and a member who are not in the same physical location. Telemedicine may be used for diagnosis, treatment, follow-up and/or member education, and may include, but is not limited to:
Electronic transmission of medical records, photo images, personal health information or other data between a member and a healthcare provider;
Interactions between a member and healthcare provider via audio, video and/or data communications; and
Use of output data from medical devices, sound and video files.
Understanding possible benefits of telehealth
Interaction with providers without an in-office visit is more discreet
Receiving medical care can be easier and done from home
Medical care can be performed at a time convenient for you
Understanding possible risks of telehealth
Information transmitted to your provider(s) may not be sufficient to allow for appropriate medical decision making by the provider(s).
The inability of your provider(s) to conduct certain tests or assess vital signs in-person or detailed in-person visit may in some cases prevent the provider(s) from providing a diagnosis or treatment or from identifying the need for emergency medical care or treatment for you.
You may be required to see another provider for follow-up or emergency.
Delays in medical evaluation/treatment could occur due to failures of the technology.
Security protocols or safeguards could fail causing a breach of privacy.
Treatment options may be limited
Joe Pill will incorporate network and software security protocols (256-bit encryption) to protect the privacy and security of health information and images.
By accepting this Consent to Telehealth, you acknowledge your understanding and agreement to the following:
I have read this special Consent to Telehealth carefully, and understand the risks and benefits of the use of telemedicine in the medical care and treatment provided to me through the Joe Pill platform by "Providers".
I give my informed consent to the use of telemedicine by all providers with Joe Pill.
I understand that while the use of telemedicine is convenient and may benefit me, there is the possibility that no benefit results and my condition may not improve and in some cases may get worse.
I understand that "Providers" may determine in his or her sole discretion that my condition is not suitable for treatment using telemedicine, and that I may need to seek medical care elsewhere.
I understand that the same confidentiality and privacy protections that apply to my other health care services also apply to these telemedicine services.
I understand that I can withhold or withdraw this consent at any time by mailing Joe Pill with proper instruction. Joe Pill PO BOX 8030 Horseshoe Bay, TX 78657
I agree and authorize provider(s) to share information regarding the telemedicine exam with other individuals for treatment.
I agree and authorize my health care provider to release information regarding the telemedicine exam to Joe Pill and its affiliates.
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