53 of 53 cards
Legal Rights & Agreement Rules · Context
The summary is a guide and does not replace or change the full consent. If they differ, the full consent governs.
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This summary explains key parts of the Telehealth Consent. It is only a guide. It does not replace or change the full Consent.
If this summary and the full Consent are different, the full Consent controls.
Legal Rights & Agreement Rules · Restriction or exception
Do not use Teladoc Health for a medical emergency. The consent directs you to call 911 or go to the nearest emergency room and also identifies the 988 Suicide & Crisis Lifeline, reachable by call or text at 988 or by phone at 800-273-8255.
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Do not use Teladoc Health for emergencies. If you have an emergency, call 911 or go to the nearest emergency room. You can also call or text 988 for the Suicide & Crisis Lifeline.
Do not use this service if you are experiencing a medical emergency. If you are in an emergency situation, call 911, go to your nearest emergency room, or call or text the free 988 Suicide & Crisis Lifeline at 988 or 800-273-8255.
You understand that Teladoc Health does not provide emergency services.
Legal Rights & Agreement Rules · Permission or license
You voluntarily consent to medical evaluation, diagnosis, treatment and related healthcare from Teladoc Health and affiliated providers. You authorize examinations, diagnostic tests, medically appropriate prescriptions and other care consistent with clinical needs. Other licensed professionals, support staff or affiliates may participate under provider supervision or direction as permitted by law.
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You agree to get medical review, diagnosis, treatment, and related care from Teladoc Health and its providers.
Your provider may order tests. Your provider may prescribe medicine when it is right for your care and allowed by law.
You voluntarily consent to receive medical evaluation, diagnosis, treatment, and related healthcare services from Teladoc Health and affiliated providers.
You authorize your provider to perform examinations, order diagnostic tests, prescribe medications (when medically appropriate), and provide other healthcare services consistent with your clinical needs.
You understand that other licensed healthcare professionals, support staff, or affiliated entities may participate in your care under the supervision or direction of your provider, as permitted by law.
Legal Rights & Agreement Rules · Company commitment
The consent promises no particular care outcome. Your provider will discuss the material risks, benefits and alternatives of a specific recommended treatment or medication during your visit.
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No result is promised. Your provider will talk with you about important risks, benefits, and choices for your care.
You understand that the practice of medicine is not an exact science and that no guarantees have been made regarding the outcome of your care.
Your provider will discuss the material risks, benefits, and alternatives of any specific recommended treatment or medication during your visit.
Legal Rights & Agreement Rules · Permission or license
All care through Teladoc Health is delivered by telehealth, using electronic tools when you and the provider are in different locations. Using the service means agreeing to consult virtually or remotely.
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By using Teladoc Health, you agree to get care by telehealth. Telehealth means you and your provider use technology to connect. You are not in the same place.
By using Teladoc Health, you agree to consult with your providers virtually and/or remotely. All care delivered through Teladoc Health is provided via telehealth. Telehealth is healthcare delivered through electronic tools when you and your provider are not in the same location.
Use & Processing · Company practice
Telehealth may include video or telephone visits and electronic messaging, including secure in-app messages. SMS messages to your phone or device are included where you choose or consent to receive them. Separately, if you supply a telephone number, Teladoc Health and affiliates or service providers may use automated calls or texts about care and health-related services, where lawful; rates may apply and app preferences can be adjusted.
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Telehealth may include video visits, phone visits, secure messages, text messages, device data, health records, electronic prescriptions, and electronic sharing of health information.
Video or telephone consultations
Electronic messaging, which may include secure in-app messaging and, where you choose/consent to receive messages by text message (SMS), messaging to your mobile phone or device
You understand that if you have provided a telephone number, Teladoc Health and its affiliates/service providers may contact you through auto-dialer calls or text messages (SMS) regarding your care and health-related services.
Such communications may use automatic dialers and/or prerecorded or artificial voice messages, where permitted by law. Messages and data rates may apply. You may adjust your communication preferences in the web and/or mobile app.
Use & Processing · Company practice
The listed telehealth methods include remote patient monitoring; review of medical records, images and diagnostic data; use of data from medical devices or video or audio recordings; medically appropriate electronic prescribing; and electronic exchange of health information. This list describes possible service methods, rather than promising every method in every visit.
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Remote patient monitoring
Review of medical records, images, and diagnostic data
Use of data from medical devices, video, or audio recordings
Electronic prescribing (when medically appropriate)
Electronic exchange of health information
Legal Rights & Agreement Rules · Context
Potential benefits include care without travel, more timely communication with a licensed provider, convenience and better care coordination. These are possible benefits rather than guaranteed results.
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Telehealth may make care easier to get. It may help you talk with a provider faster. It may also help support your care.
Potential Benefits
Access to care without travel
More timely communication with a licensed provider
Improved convenience and care coordination
Legal Rights & Agreement Rules · Context
Technology problems can interrupt or delay care, and a remote evaluation may give the provider less information than an in-person visit. In-person evaluation or testing may still be necessary. Telehealth relies on electronic communications that can fail.
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Telehealth has risks. Technology may fail. Care may be delayed. Your provider may have less information than during an in-person visit. You may still need in-person care or testing.
Technical issues that may interrupt or delay care
The information available during a telehealth visit may be limited compared to an in-person evaluation
In some cases, there may be need for in-person evaluation or testing
Telehealth services rely on electronic communication technologies, and technical interruptions or failures may occur.
Legal Rights & Agreement Rules · Restriction or exception
Your provider decides whether telehealth is appropriate for your needs, and you may need to confirm your name, location and contact information. The service does not promise to accept or continue all care: providers may decline or discontinue for clinical or ethical reasons, unlawful or abusive or threatening conduct, or material nonpayment, subject to law.
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Your provider decides if telehealth is right for your needs. You may need to confirm your name, location, and contact information.
You understand that Teladoc Health and your providers reserve the right to decline or discontinue services in the professional judgment of your provider when the services are not medically or ethically appropriate, in cases of illegal, abusive, or threatening conduct, or in the event of material nonpayment for services, subject to applicable law.
Data Access & Collection · Procedure
You must provide complete, accurate medical history and contact details, including medicines, phone number, email and address. You agree to update health records and contact information periodically, at least once each year.
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You must give true and complete health and contact information. This may include your health history, medicines, phone number, email, and address.
You understand that it is necessary for you to provide complete and accurate medical history and contact information (particularly phone, email, and address). You agree to update your medical health records and contact information periodically, but no less than once a year.
Use & Processing · Company practice
The summary says a provider may use AI-enabled tools to help write visit notes. The provider must review and finish the medical record. The detailed acknowledgement separately describes possible processing or recording of encounter audio.
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Your provider may use AI-enabled tools to help write notes for your visit. Your provider must review and finish your medical record.
Legal Rights & Agreement Rules · Restriction or exception
Prescriptions are not guaranteed. Some medicines may be unavailable through telehealth or subject to extra requirements.
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Prescriptions are not promised. Some medicines may not be available through telehealth. Some medicines may have extra rules.
Legal Rights & Agreement Rules · User right or choice
You may take back telehealth consent at any time. Doing so may mean seeking care from an in-person provider.
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You may take back your consent to telehealth at any time. If you do, you may need to get care from an in-person provider.
Legal Rights & Agreement Rules · Restriction or exception
A parent, guardian or legal representative must have legal authority to consent for the patient. Some minors may independently consent to certain care and may have rights to keep some health information private.
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If you are a parent, guardian, or legal representative, you must have legal authority to consent for the patient.
In some cases, minors may have legal rights to consent to certain care. They may also have rights to keep certain health information private.
Legal Rights & Agreement Rules · Context
This consent supplements and does not change the Terms of Service, Notice of Privacy Practices and other applicable policies. Those documents continue to apply to care and use of the services. Their linked text is not supplied by this consent.
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This Telehealth Informed Consent supplements, but does not change, Teladoc Health’s Terms of Service, Notice of Privacy Practices, and other applicable policies. Those documents continue to apply to your care and use of Teladoc Health services.
Legal Rights & Agreement Rules · Context
Electronic communications can fail, interrupt or delay services, including for reasons beyond Teladoc Health’s control. A visit may need to be rescheduled or converted to in-person care; some cases also require in-person evaluation or testing.
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Telehealth services rely on electronic communication technologies, and technical interruptions or failures may occur.
You understand that telehealth services depend on electronic communication technologies and that technical failures, interruptions, or delays may occur that are beyond the control of Teladoc Health. In some circumstances, a visit may need to be rescheduled or converted to in-person care.
In some cases, there may be need for in-person evaluation or testing
Legal Rights & Agreement Rules · Restriction or exception
You consent to care through telehealth technologies while physically separate from the provider. Your provider determines whether telehealth fits your specific clinical needs. All care delivered through Teladoc Health is via telehealth, although alternatives such as in-person care may be available. Additional state disclosures apply according to your physical location at the visit.
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You consent to receiving healthcare services from Teladoc Health via telehealth technologies. Telehealth involves the use of electronic communications to enable healthcare services when you and your provider are not in the same physical location. You understand that it is up to your provider to determine whether telehealth is appropriate for your specific clinical needs.
All care delivered through Teladoc Health is provided via telehealth.
If you are physically located in one of the states listed below at the time of your visit, the applicable disclosure applies to you.
Data Access & Collection · Procedure
Your provider will be licensed in the state where you are physically located when you visit, as or if required by applicable law. You may be asked to confirm identity, physical location and contact details at the start of each visit for licensure and prescribing compliance.
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You understand your provider will be licensed in the state where you are physically located at the time of your visit, as/if required by applicable law. You may be asked to confirm your identity, physical location, and contact information at the start of each visit to ensure compliance with licensure and prescribing requirements.
Data Access & Collection · Procedure
You must provide complete, accurate medical history and contact information, particularly phone, email and address. You agree to update medical health records and contact information periodically and at least once a year.
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You understand that it is necessary for you to provide complete and accurate medical history and contact information (particularly phone, email, and address). You agree to update your medical health records and contact information periodically, but no less than once a year.
Use & Processing · Company practice
Your provider may use AI-enabled technology to help document the visit. It may process or record encounter audio to support care, including clinical documentation. The provider remains responsible for reviewing, editing and finalizing your medical record.
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You understand that your provider may use artificial intelligence-enabled technology to assist in documenting your visit. Such technology may process or record audio from your encounter to support care, including clinical documentation. Your provider remains responsible for reviewing, editing, and finalizing your medical record.
Use & Processing · Permission or license
If you provide a telephone number, Teladoc Health and its affiliates or service providers may contact you by auto-dialer calls or SMS about your care and health-related services. Where lawful, communications may use automatic dialers or prerecorded or artificial voice messages. Message and data rates may apply, and you can adjust communication preferences in the web or mobile app.
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You understand that if you have provided a telephone number, Teladoc Health and its affiliates/service providers may contact you through auto-dialer calls or text messages (SMS) regarding your care and health-related services. Such communications may use automatic dialers and/or prerecorded or artificial voice messages, where permitted by law. Messages and data rates may apply. You may adjust your communication preferences in the web and/or mobile app.
Legal Rights & Agreement Rules · User right or choice
The consent says alternatives, including in-person care, may be available. Choosing telehealth acknowledges that you prefer it for your current needs; it does not guarantee access to a particular alternative.
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You understand that alternatives to telehealth services, including in-person care, may be available to you. By choosing telehealth, you acknowledge that you prefer this method of receiving care for your current needs.
Legal Rights & Agreement Rules · Restriction or exception
Even if you expect benefits from telehealth, no specific result is guaranteed. The treatment consent also says care outcomes are not guaranteed and that the provider will discuss material risks, benefits and alternatives of specific recommendations.
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You understand that while you may expect benefits from telehealth services, no specific results can be guaranteed.
You understand that the practice of medicine is not an exact science and that no guarantees have been made regarding the outcome of your care.
Your provider will discuss the material risks, benefits, and alternatives of any specific recommended treatment or medication during your visit.
Legal Rights & Agreement Rules · Restriction or exception
Prescriptions are issued only when medically appropriate and lawful, and no prescription is guaranteed. Certain medicines, including controlled substances, may be unavailable through telehealth or subject to extra requirements or limits. Where applicable, prescriptions must follow your employer or health plan’s requirements.
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You understand that prescriptions will be issued only when medically appropriate and permitted under applicable law. Certain medications, including controlled substances, may not be prescribed through telehealth or may be subject to additional requirements or limitations. There is no guarantee that you will receive a prescription. Where applicable, prescriptions provided will be issued in accordance with your employer or health plan’s requirements.
Legal Rights & Agreement Rules · Restriction or exception
Teladoc Health does not provide emergency services. If you have a medical emergency, the consent directs you to call 911 immediately or seek care at the nearest emergency department.
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You understand that Teladoc Health does not provide emergency services. If you are experiencing a medical emergency, you should call 911 immediately or seek care at the nearest emergency department.
Charges & Financial Obligations · Procedure
You must pay all service fees when scheduling a visit unless payment arrangements have been established through an employer, benefit provider or other entity.
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You understand that you are required to pay all service fees at the time you schedule a visit, unless payment arrangements have been established through your employer, benefit provider, or other entity.
Legal Rights & Agreement Rules · User right or choice
You may withdraw telehealth consent at any time. Ending a visit does not affect your right to services, although withdrawing telehealth consent may require seeking care from an in-person provider. Separately, Teladoc Health and providers reserve the right to discontinue on the clinical, conduct or material nonpayment grounds stated elsewhere in the consent, subject to law.
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You understand that you have the right to withdraw your consent to telehealth at any time. If you choose to end your visit, your right to services will not be affected. However, withdrawal of consent to telehealth may require you to seek care through an in-person provider.
You understand that Teladoc Health and your providers reserve the right to decline or discontinue services in the professional judgment of your provider when the services are not medically or ethically appropriate, in cases of illegal, abusive, or threatening conduct, or in the event of material nonpayment for services, subject to applicable law.
Legal Rights & Agreement Rules · Restriction or exception
Teladoc Health and providers reserve the right to decline or discontinue services in the provider’s professional judgment when medically or ethically inappropriate, for illegal, abusive or threatening conduct, or for material nonpayment, subject to law. If services end, you may be notified through your supplied contact information. The consent separately preserves your right to services when you choose to end a visit, while noting that withdrawing telehealth consent may require in-person care.
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You understand that Teladoc Health and your providers reserve the right to decline or discontinue services in the professional judgment of your provider when the services are not medically or ethically appropriate, in cases of illegal, abusive, or threatening conduct, or in the event of material nonpayment for services, subject to applicable law. If services are discontinued, you may be notified using the contact information you have provided to us.
If you choose to end your visit, your right to services will not be affected. However, withdrawal of consent to telehealth may require you to seek care through an in-person provider.
Legal Rights & Agreement Rules · Procedure
For a parent or legal guardian consenting for a minor under 18 or the named patient, the additional representative provisions apply alongside the rest of the consent. By consenting, the representative states that they have legal authority to consent to healthcare for that patient.
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For guardians or representatives consenting on behalf of another: If you are a parent or legal guardian providing consent on behalf of a minor (under the age of 18) or the patient named, the following applies in addition to the other provisions in this Consent:
By providing consent, you represent that you have the legal authority to consent to healthcare services on behalf of the minor or the patient named.
Data Access & Collection · Procedure
The consenting representative is responsible for complete, accurate information about the minor’s medical history, medicines, contacts and other relevant health information. Clinical decisions rely on the information available at the encounter.
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You are responsible for providing complete and accurate information regarding the minor’s medical history, medications, contact information, and other relevant health information. Clinical decisions will be based on the information available at the time of the encounter.
Legal Rights & Agreement Rules · Procedure
A parent or legal guardian may be required to participate, depending on the minor’s age, the service and applicable law.
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A parent or legal guardian may be required to participate in the telehealth visit, depending on the minor’s age, the nature of the services provided, and applicable law.
Legal Rights & Agreement Rules · Restriction or exception
For certain care, state or federal law may allow minors to consent independently or limit parents’ access to information. In those circumstances, services and related information may be provided or withheld according to law; parental consent does not imply unrestricted access.
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You understand that certain healthcare services may be subject to state or federal laws that permit minors to consent to care independently, or that limit parental access to certain information. In such cases, services and related information may be provided or withheld in accordance with applicable law.
Legal Rights & Agreement Rules · User right or choice
A parent or legal guardian may withdraw telehealth consent on behalf of the minor at any time. The general withdrawal provision says withdrawing telehealth consent may require in-person care; the separate legal protections for minors’ independent consent and information remain relevant where applicable.
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As a parent or legal guardian, you may withdraw consent for telehealth services on behalf of the minor at any time.
However, withdrawal of consent to telehealth may require you to seek care through an in-person provider.
You understand that certain healthcare services may be subject to state or federal laws that permit minors to consent to care independently, or that limit parental access to certain information.
Legal Rights & Agreement Rules · Context
The additional disclosure for a listed state applies when you are physically located in that state at the time of your telehealth visit. This scope depends on visit location rather than merely your residence.
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If you are physically located in one of the states listed below at the time of your visit, the applicable disclosure applies to you.
Sharing & Disclosure · Permission or license
For visits while physically in Alaska, Connecticut or Texas, if you have a primary care provider, you consent to your Teladoc Health provider sending that provider a record of the telehealth encounter on request or when clinically appropriate. This clause does not say every encounter is sent automatically.
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Alaska
If you have a primary care provider, you consent to your Teladoc Health provider sending a record of your telehealth encounter to your primary care provider upon request or as clinically appropriate.
Connecticut
If you have a primary care provider, you consent to your Teladoc Health provider sending a record of your telehealth encounter to your primary care provider upon request or as clinically appropriate.
Texas
If you have a primary care provider, you consent to your Teladoc Health provider sending a record of your telehealth encounter to your primary care provider upon request or as clinically appropriate.
Legal Rights & Agreement Rules · Procedure
The Alaska disclosure says you may contact the Alaska State Medical Board about a provider complaint through the Alaska Division of Corporations, Business and Professional Licensing website. The disclosure applies when you are physically in Alaska at the visit.
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Alaska
If you wish to file a complaint regarding your provider, you may contact the Alaska State Medical Board through the Alaska Division of Corporations, Business and Professional Licensing website.
Sharing & Disclosure · Company practice
For visits while physically in California, Teladoc Health will automatically fax a complete detailed record of related consults to your primary care provider if you supplied the PCP’s fax number in your medical history. You may opt out during the request-a-visit process.
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California
Primary Care Provider Notification When you obtain telemedicine services, Teladoc Health will automatically fax a complete detailed record of related consults to your primary care provider (PCP), if you have provided your PCP’s fax number in your medical history. You may opt out of Teladoc Health faxing your consult history during the request-a-visit process.
Legal Rights & Agreement Rules · Context
The California disclosure describes Open Payments as a federal search tool for payments from drug and device companies to physicians and teaching hospitals. It provides the address openpaymentsdata.cms.gov. This is a disclosure about the database, not a statement that a particular provider received payments.
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California
Open Payments Database Notice The Open Payments database is a federal tool used to search payments made by drug and device companies to physicians and teaching hospitals.
https://openpaymentsdata.cms.gov
Legal Rights & Agreement Rules · Procedure
The California disclosure says medical doctors are licensed and regulated by the Medical Board of California. For license checks or complaints it directs you to www.mbc.ca.gov or (800) 633-2322.
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California
Medical Board Notice Medical doctors are licensed and regulated by the Medical Board of California. To verify a license or file a complaint, visit www.mbc.ca.gov or call (800) 633-2322.
Legal Rights & Agreement Rules · User right or choice
For Medi-Cal members within the California disclosure’s visit-location scope, covered services may be accessed in person instead of by telehealth. Medi-Cal may cover transportation for in-person services when other resources have been reasonably exhausted; transport coverage is not promised in every case.
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California
Medi-Cal Members If you are enrolled in Medi-Cal, you have the right to access covered services through an in-person visit instead of telehealth. Medi-Cal may provide transportation coverage for in-person services when other resources have been reasonably exhausted.
Legal Rights & Agreement Rules · Context
For a visit while physically in Florida, the consent acknowledges that you have been informed of rights under Florida’s Patient’s Bill of Rights and Responsibilities, citing Section 381.026, Florida Statutes. It describes respectful care, information, privacy, financial transparency and participation in treatment decisions. The cited statute’s full text is not supplied.
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Florida
If you are physically located in Florida at the time of your visit, the following applies:
Florida Patient’s Bill of Rights and Responsibilities You have been informed of your rights under Florida’s Patient’s Bill of Rights and Responsibilities (Section 381.026, Florida Statutes), which outlines patients’ rights regarding respectful care, information, privacy, financial transparency, and participation in treatment decisions.
Legal Rights & Agreement Rules · Context
If you participate in a weight management program while physically in Florida at the visit, the notice warns that rapid weight loss may cause serious health problems. It generally defines rapid loss as more than 1½ to 2 pounds per week or more than 1 percent of body weight per week after the second week of program participation. The notice states these thresholds as written.
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Weight Management Programs (If Applicable) If you are participating in a weight management program, the following notice applies:
Rapid weight loss may cause serious health problems. Rapid weight loss generally means weight loss of more than 1½ to 2 pounds per week or more than 1 percent of body weight per week after the second week of participation in a weight-loss program.
Legal Rights & Agreement Rules · Context
For a weight program within the Florida visit-location scope, the notice says to consult your personal physician before starting a weight-loss program. It identifies permanent lifestyle changes, including healthful food choices and increased physical activity, as important for long-term weight control.
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Weight Management Programs (If Applicable) If you are participating in a weight management program, the following notice applies:
You should consult with your personal physician before starting any weight-loss program. Permanent lifestyle changes, including making healthful food choices and increasing physical activity, are important for long-term weight control.
Legal Rights & Agreement Rules · User right or choice
Within the Florida weight-program disclosure, you have the right to ask about potential health risks and the program’s nutritional, educational and behavioral components. The disclosure applies to program participants physically in Florida at the visit.
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Weight Management Programs (If Applicable) If you are participating in a weight management program, the following notice applies:
You have the right to:
Ask questions about the potential health risks of the program and its nutritional, educational, and behavioral components;
Charges & Financial Obligations · User right or choice
Within the Florida weight-program disclosure, participants have the right to an itemized statement of actual or estimated program prices, including additional products, services, supplements, examinations or lab tests. They may also know the actual or estimated program duration. The disclosure applies when physically in Florida at the visit.
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Weight Management Programs (If Applicable) If you are participating in a weight management program, the following notice applies:
Receive an itemized statement of the actual or estimated price of the program, including additional products, services, supplements, examinations, or laboratory tests;
Know the actual or estimated duration of the program; and
Legal Rights & Agreement Rules · User right or choice
Within the Florida weight-program disclosure, participants may know the name, address and qualifications of the licensed dietitian, nutritionist or other appropriately licensed healthcare professional who reviewed and approved the program, as required by Florida law. Qualifications are available on request. The disclosure applies when physically in Florida at the visit.
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Weight Management Programs (If Applicable) If you are participating in a weight management program, the following notice applies:
Know the name, address, and qualifications of the licensed dietitian, nutritionist, or other appropriately licensed healthcare professional who has reviewed and approved the program, as required by Florida law. Qualifications are available upon request.
Legal Rights & Agreement Rules · Procedure
The Texas disclosure says complaints about physicians, physician assistants, acupuncturists, surgical assistants or other Texas Medical Board licensees may be reported to the board. It lists Investigations, 333 Guadalupe, Tower 3, Suite 610; P.O. Box 2018, MC-263, Austin, Texas 78768-2018; 1-800-201-9353; and www.tmb.state.tx.us. These are the contact details in the saved consent, not independently verified current details.
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Texas
Notice Concerning Complaints: Complaints about physicians, physician assistants, acupuncturists, surgical assistants, or other licensees of the Texas Medical Board may be reported to:
Texas Medical Board Attention: Investigations 333 Guadalupe, Tower 3, Suite 610 P.O. Box 2018, MC-263 Austin, Texas 78768-2018 Telephone: 1-800-201-9353
www.tmb.state.tx.us
Legal Rights & Agreement Rules · Context
For participants in a regulated weight management program in New York, within the state disclosures’ visit-location scope, the notice warns that rapid weight loss may cause serious health problems. It generally describes rapid loss as more than 1½ to 2 pounds per week or more than 1 percent of body weight per week after the second week of participation. The card preserves the stated thresholds without treating them as a personalized recommendation.
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New York (Weight Management Programs Only)
If you are participating in a regulated weight management program in New York, you have been informed of the following:
Rapid weight loss may cause serious health problems. Rapid weight loss generally means weight loss of more than 1½ to 2 pounds per week or more than 1 percent of body weight per week after the second week of participation.
Legal Rights & Agreement Rules · Context
For regulated weight-program participants within the New York disclosure’s scope, the notice says to consult a physician before starting any weight-loss program. It identifies lasting changes such as nutritious eating and increased physical activity as important for long-term weight control.
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If you are participating in a regulated weight management program in New York, you have been informed of the following:
Consult your physician before starting any weight loss program.
Permanent lifestyle changes such as nutritious eating and increased physical activity are important for long-term weight control.
Legal Rights & Agreement Rules · User right or choice
Under the New York regulated weight-program disclosure, participants have the right to ask about potential health risks, nutritional content and program components.
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If you are participating in a regulated weight management program in New York, you have been informed of the following:
You have the right to:
Ask questions about potential health risks, nutritional content, and program components;
Charges & Financial Obligations · User right or choice
Under the New York regulated weight-program disclosure, participants have the right to know treatment costs, including additional products, services, supplements or laboratory tests, and the expected duration of the program.
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If you are participating in a regulated weight management program in New York, you have been informed of the following:
Know the cost of treatment, including additional products, services, supplements, or laboratory tests; and
Know the expected duration of the program.
Legal Rights & Agreement Rules · Procedure
Affirmatively accepting through an available method acknowledges that you have read, understood and agreed to the full consent, including applicable state disclosures, and voluntarily consent to telehealth under its terms. Depending on applicability, acceptance can include a checkbox, clicking “I agree,” an electronic signature, proceeding with a telehealth visit or other electronic acceptance. If relevant, you consent for your minor child or the named patient; the consent separately requires legal authority to act for that patient. This final acceptance paragraph follows the New York notice but expressly covers all provisions of the consent.
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By affirmatively indicating your agreement through any available method of acceptance (including, where applicable, by checking a box, clicking “I agree,” providing an electronic signature, proceeding with a telehealth visit, or otherwise electronically accepting), you acknowledge that you have read, understood, and agree to all provisions of this Informed Consent, including any applicable state-specific disclosures above, and you voluntarily provide your informed consent (and/or consent on behalf of your minor child or the named patient, if applicable) to receive telehealth services under the terms described herein.