Telehealth Consent

By using this website and scheduling a virtual appointment, you consent to receive healthcare services through telehealth technologies from a licensed Nurse Practitioner.

Telehealth involves the use of secure electronic communications to enable healthcare providers to evaluate, diagnose, and treat patients remotely. You understand that telehealth has certain limitations, including the inability to perform a physical examination in person.

You acknowledge and agree that:

• Telehealth services may not be appropriate for all medical conditions

• In-person evaluation, laboratory testing, or referral to another provider may be required

• Telehealth is not intended for emergency situations

If you believe you are experiencing a medical emergency, you agree to seek immediate in-person medical care or call emergency services.

You understand that you are responsible for providing accurate and complete medical information and for following the care plan discussed with your provider.

GLP-1 & Compounded Medication Consent

You understand that some medications prescribed as part of your care plan may include FDA-approved medications or compounded medications prepared by licensed U.S. pharmacies pursuant to a valid prescription.

You acknowledge that:

• Compounded medications are not FDA-approved

• Compounded medications are prepared when commercially available FDA-approved products are unavailable, unsuitable, or not clinically appropriate

• The safety, effectiveness, and quality of compounded medications depend on the practices of the dispensing pharmacy

Your provider has discussed the potential benefits, risks, side effects, and alternatives associated with prescribed medications, including GLP-1 and other metabolic therapies. You understand that results vary by individual and that no specific outcomes are guaranteed.

You agree to take medications only as prescribed and to report any side effects, concerns, or changes in your health to your provider promptly.

Wellness Therapy Consent

You understand that wellness therapies offered through this practice are intended to support overall health, metabolic function, and well-being. These services are considered adjunctive and are not intended to diagnose, treat, cure, or prevent any disease.

You acknowledge that:

• Wellness therapies are not a substitute for primary care or emergency medical services

• Participation in wellness therapies is voluntary

• Individual responses to wellness therapies may vary

All wellness services are provided only after a medical review and determination of clinical appropriateness by a licensed Nurse Practitioner.

You understand that it is your responsibility to disclose accurate health information and to ask questions if you do not fully understand any aspect of the recommended wellness therapies.