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Telehealth Informed Consent & Disclosure

Your Health Information. Your Rights. Our Responsibilities.

ShapeInRx provides telehealth consultations, allowing you to connect with a licensed healthcare provider remotely.

1. Understanding Telehealth at ShapeInRx

ShapeInRx provides telehealth consultations, allowing you to connect with a licensed healthcare provider remotely. There are two primary methods for telehealth consultations:

  • Asynchronous Telehealth: You provide your health information digitally, and the provider reviews it to diagnose and prescribe treatment.
  • Live Video Consultation: You have a real-time video consultation with the provider to discuss your health concerns.

 

ShapeInRx has explained how telehealth will be used for your consultation and how you will communicate with the provider through the platform.

2. Potential Risks of Telehealth

  • Technical Issues: The video connection may experience interruptions or quality issues.
  • Information Clarity: The transmitted information may not be clear enough for accurate assessment.
  • Data Accuracy: There is a risk of misreporting or inaccurate storage of your health information.

3. Benefits of Telehealth

  • Convenience: You don’t need to travel to a physical location.
  • Accessibility: You can connect with a provider quickly and efficiently.
  • Access to Specialists: Telehealth can provide access to specialized care.

4. Confidentiality

ShapeInRx takes reasonable steps to maintain the confidentiality of your information. However, it’s important to understand that no technology is 100% secure.

5. Your Responsibilities

  • Accurate Information: Provide accurate and truthful health information to your provider.
  • Treatment Adherence: Follow your prescribed treatment plan as directed.
  • Report Issues: If you experience side effects, worsening symptoms, or lack of improvement, contact your provider through the ShapeInRx platform or seek immediate medical attention if necessary.

6. Potential Limitations

  • Misdiagnosis or Delayed Diagnosis: There is a risk of misdiagnosis or delayed diagnosis, even with telehealth.
  • Treatment Effectiveness: The prescribed treatment may not be effective for everyone.

7. Informed Consent

By proceeding with a telehealth consultation, you acknowledge and consent to the following:

  • You understand the risks and benefits of telehealth.
  • You have had your questions addressed regarding the procedure.
  • You agree to the terms and conditions outlined in this document.

8. Additional Considerations

  • In-Person Care: Telehealth should not replace regular in-person care.
  • Emergency Situations: In case of an emergency, always seek immediate in-person medical attention.
  • Sharing Information: You can request a copy of your health records and share them with your in-person healthcare provider.

 

By agreeing to these terms, you acknowledge that you have carefully considered the potential risks and benefits of telehealth and have made an informed decision to proceed with a telehealth consultation through ShapeInRx.



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