Telehealth Informed Consent
This informed consent describes the nature of telehealth services, important limitations, and your rights as a patient. Please review this information carefully before proceeding with a consultation through Noviq Wellness.
Nature of Telehealth
Telehealth involves the use of electronic communications, audiovisual technology, and digital tools to enable remote evaluation, consultation, treatment planning, and follow-up care. The telehealth experience may differ from an in-person encounter, but it is intended to provide medically appropriate care when determined suitable by your provider.
Risks and Limitations
Potential risks include technical interruptions, reduced ability to perform a physical examination, delays caused by connectivity issues, and the possibility that telehealth may not be appropriate for every condition. Your provider may recommend in-person care, urgent evaluation, or additional testing if clinically necessary.
Patient Rights
You have the right to ask questions, receive information about recommended treatment, and decline telehealth services at any time before or during the consultation, subject to applicable cancellation and payment policies. You may also request alternative care options when available and medically appropriate.
Privacy
Telehealth visits are conducted using systems intended to protect the privacy and confidentiality of your health information. While reasonable safeguards are used, no electronic system is entirely free from risk, and you acknowledge the inherent limitations associated with digital communications.
Acknowledgment
By participating in telehealth services, you confirm that you understand the information provided in this consent, have had the opportunity to ask questions, and agree to receive care through remote technology when clinically appropriate. You understand that prescribing decisions remain solely within the judgment of your licensed healthcare provider.
By proceeding with your consultation, you acknowledge that you have read and agree to this consent.