Telehealth Informed Consent

Telehealth involves the use of secure electronic communications to enable healthcare providers to evaluate, diagnose and treat patients remotely.

Benefits and risks

Telehealth offers convenient access to care. Risks include technology failures, limitations of a remote exam, and, in rare cases, security breaches despite safeguards. Your provider may determine that an in-person visit is needed.

Your acknowledgement

• You may decline or withdraw from telehealth care at any time.
• You will provide accurate health information.
• Telehealth is not for emergencies; call 911 for urgent needs.
• Your provider is licensed in the state where you are located at the time of the visit.