Telehealth Consent

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I understand that I am consenting to receive telehealth services from Lifealize. I understand that telehealth services are not the same as in-person medical care, and that there are risks associated with receiving telehealth services.

 

These risks include, but are not limited to:

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The inability to see and examine me in person, which may make it difficult for the healthcare provider to diagnose my condition accurately.

The inability to perform certain tests or procedures that would be possible in an in-person setting.

The potential for technical difficulties, which could disrupt the telehealth visit.

I understand that I am responsible for providing accurate and complete information to the healthcare provider during the telehealth visit. I also understand that I am responsible for following the healthcare provider’s instructions and taking any medications or other treatments as prescribed.

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I consent to the use and disclosure of my health information by Lifealize LLC and its healthcare providers for the purposes of providing Telehealth services. I understand that I have the right to revoke my consent at any time.

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Disclaimer:

The information contained in this consent form is not intended to be a substitute for medical advice. You should always consult with a healthcare provider before making any decisions about your health.

This consent form is subject to change at any time. Please refer to the most recent version of the consent form on our website.