Telehealth Attestation & Consent

By continuing, you acknowledge and agree to the following:

• Regulatory Requirements

  Telehealth services are provided in accordance with applicable federal and state laws and regulations. These requirements are subject to change based on government action, including potential regulatory updates or funding lapses.

• Patient Circumstances

  You attest that you are unable to reasonably access in-person care at this time due to one or more of the following: geographic distance, transportation barriers, mobility limitations, heightened risk of exposure to communicable illness, or lack of available local providers.

• Consent to Telehealth

  You consent to receive health care services via telehealth, including through secure audio and/or video communication. You understand that telehealth may limit certain aspects of physical examination but is otherwise clinically appropriate and medically necessary for your care.

• Risks and Benefits

  You understand that telehealth may offer benefits such as increased access to care, convenience, and continuity of care, and may also involve risks such as technical failures or limitations in physical examination. Your provider will use professional judgment to determine whether telehealth is appropriate for your care.

• Emergency Care

  You understand that telehealth is not a substitute for emergency medical services. In the event of a medical emergency, you should call 911 or proceed to the nearest emergency department.

You acknowledge that you have read, understood, and agree to the above terms, and you consent to receive health care services via telehealth.