I understand telehealth involves remote audio/video evaluation.

I consent to evaluation and treatment via telehealth.

I understand prescriptions are issued only when medically appropriate.

I understand not all patients qualify.

I understand this service is not emergency medical care.

 

 

☐ I confirm I am 18+ and located in a qualifying state

☐ I consent to telehealth services

☐ I understand prescriptions are issued only if appropriate

☐ I authorize recurring billing

☐ I agree to Terms & Privacy Policy