Informed Patient Consent for Telehealth

Telehealth means receiving health care services from a licensed clinician by video, phone, secure messaging or other electronic means, instead of in person. Through MyTeleHealth.site, you may be connected to clinicians in U.S., international, faith-based and naturopathic care networks.

• Faster access to care without travel.
• Access to clinicians and specialists who may not be available near you.
• Easier follow-up and continuity of care.

• A clinician cannot perform a full physical examination remotely, which may limit diagnosis.
• Poor video, audio or internet quality may delay or interrupt your visit.
• Despite strong security measures, electronic communications carry a small risk of unauthorized access.
• The clinician may decide telehealth is not appropriate and refer you to in-person, urgent or emergency care.
• Some medications, including certain controlled substances, may not be prescribed through telehealth.

Telehealth is not for medical emergencies. If you think you are having an emergency, such as chest pain, trouble breathing, stroke symptoms or thoughts of harming yourself, call 911 or your local emergency number, or go to the nearest emergency room right away.

• Give complete and accurate information about your health, medications and allergies.
• Tell the clinician your true physical location at the time of the visit, because licensing rules depend on it.
• Join from a private place, and follow the treatment plan or seek further care when advised.
• Do not record visits without the clinician’s permission.

Faith-based networks may include lifestyle and spiritual wellness guidance alongside conventional medicine. Naturopathic services are provided by licensed naturopathic doctors where permitted by law; their scope of practice varies by state and country, and naturopathic care is not a substitute for conventional medical treatment of serious conditions. You choose which type of care you receive.

Your health information is protected as described in our HIPAA Notice of Privacy Practices and Privacy Policy. Information is shared with the care network and clinician treating you, and with others only as permitted by law.

• You may refuse or stop telehealth care at any time without affecting your right to future care.
• You may ask for in-person care instead, where available.
• You may ask questions about your diagnosis, treatment options and costs.
• You may withdraw this consent at any time by contacting us.

A parent or legal guardian must give consent for a patient under 18, unless local law allows the minor to consent on their own. A parent or guardian may need to be present during the visit.

By requesting or taking part in a telehealth visit through MyTeleHealth.site, you confirm that you have read and understood this consent, that you have had the chance to ask questions, and that you agree to receive care by telehealth. The individual care network or clinician may also ask you to sign their own consent form.

Privacy Officer, eFiberNet Inc. (operator of MyTeleHealth.site)

• Online: our contact form, with the subject “Privacy request”
• Website: https://mytelehealth.site