Telehealth Informed Consent

What telehealth is

Telehealth means receiving care through secure video, phone, messaging, and digital intake forms instead of in person. Your clinician can evaluate your history, order labs, prescribe appropriate treatment, and coordinate follow-up — all remotely.

Benefits

• Care from home, on your schedule.
• Continuity with the same clinician across visits.
• Easier follow-up between traditional in-office visits.

Risks and limitations

• Without an in-person exam, some conditions cannot be fully evaluated and may require an in-person referral.
• Technology can fail; a dropped connection may delay care.
• Information shared electronically, although protected, can in rare cases be intercepted or disclosed in error.

Where services are available

I understand that telehealth services may be provided by healthcare professionals licensed or otherwise authorized to provide care in the state where I am physically located at the time of the encounter. I understand that the identity of the treating clinician or clinical organization may vary depending on my state, requested service, availability, and clinical needs. Availability varies by state, service, provider availability, clinical eligibility, and applicable law.

Not for emergencies

Telehealth is not appropriate for medical emergencies. If you are experiencing chest pain, suicidal thoughts, severe bleeding, or any other emergency, call 911 or go to the nearest emergency room.

Your records

Your clinical record is created and stored in your secure patient portal and is governed by our Notice of Privacy Practices.

Your right to withdraw consent

You may decline or withdraw consent to telehealth at any time without affecting your right to future care. To withdraw consent, email hello@neuvehealth.com.

By booking a visit you confirm that you

• are at least 18 years old;
• have read and understood the benefits, risks, and limitations above;
• will provide accurate and complete information about your medical history;
• understand telehealth is not an emergency service;
• understand that no prescription or treatment is guaranteed and that all care decisions are made at the treating clinician's discretion;
• agree to receive care through telehealth from an independent licensed healthcare professional participating through our platform.

Questions

Neuve Health, LLC · Gilbert, Arizona, United States
hello@neuvehealth.com