Medical & Telehealth Consent

This Consent applies to telehealth and related services made available through PureRx, including online intake, messaging, scheduling, remote clinical review, virtual consultations, care coordination, lab coordination, treatment planning, prescription-related workflows, and reasonable follow-up communications related to your care.

Telehealth is the delivery of healthcare services using communications technology when the patient and clinician are not in the same physical location. Depending on the service, telehealth may include secure messaging, remote review of medical history, photo or document submission, audio communication, video communication, patient portal interactions, and coordination with third-party laboratories, pharmacies, and other care partners.

Telehealth is not identical to an in-person visit. In some circumstances, a clinician may determine that remote care is not appropriate and that you should seek in-person evaluation, testing, or emergency care.

PureRx facilitates access to licensed clinicians and related care workflows. Clinical decisions are made only by licensed healthcare professionals based on medical judgment, your history, available records, reported symptoms, and any laboratory or diagnostic information reviewed as part of your care.

• No prescription, lab order, therapy, or treatment plan is guaranteed.
• A clinician may decide that telehealth is not appropriate for your needs.
• A clinician may recommend additional records, repeat testing, follow-up visits, or in-person care before making treatment decisions.

Telehealth may improve convenience, access to care, scheduling flexibility, continuity of care, and communication efficiency. It may also reduce travel time and make it easier to review follow-up information, discuss laboratory results, or coordinate next steps where telehealth is clinically appropriate.

These potential benefits vary by patient and by clinical situation, and they do not guarantee any particular outcome, diagnosis, or treatment result.

Telehealth has limitations. Because the clinician is not physically present, information may be more limited than during an in-person encounter. The quality of assessment may be affected by incomplete history, missing records, poor lighting, camera limitations, poor connection quality, inaccurate self-reporting, or other technical or practical limitations.

• There may be delays caused by internet interruptions, software issues, device problems, or third-party platform outages.
• There is a possibility that remote evaluation may not identify a condition that would have been more apparent in person.
• Despite reasonable security safeguards, electronic communications may involve privacy or data-security risks inherent to digital systems.
• Not all medical issues can be appropriately addressed through telehealth.

PureRx services are not intended for emergency care. Do not use telehealth for urgent or emergency medical issues requiring immediate attention.

• If you believe you are experiencing a medical emergency, call 911 immediately or go to the nearest emergency room.
• If you are experiencing severe chest pain, trouble breathing, signs of stroke, loss of consciousness, severe bleeding, or any other emergency symptoms, seek emergency care without delay.
• If a clinician advises you to obtain urgent or in-person evaluation, you agree to follow that recommendation promptly.

Telehealth may involve the electronic transmission of personal information and protected health information. PureRx uses reasonable administrative, technical, and physical safeguards designed to protect information, but no method of electronic communication or storage can be guaranteed to be completely secure.

By proceeding with telehealth-related services, you understand that information relevant to your care may be documented in your medical record and may be shared with licensed providers, pharmacies, labs, and authorized service partners as reasonably necessary to provide services and as permitted by law.

For additional information about how healthcare information may be used or disclosed, please review our Notice of Privacy Practices and Privacy Policy.

You agree to provide accurate, complete, and current information to the best of your knowledge. You understand that clinical decisions may depend on the accuracy of the information you submit.

• You will provide accurate identity, contact, medical history, medication, allergy, and symptom information.
• You will inform your clinician of material changes in your health, medications, or circumstances.
• You will use a private setting when appropriate and take reasonable steps to protect your own device and account access.
• You will follow care instructions, monitoring requirements, laboratory requests, and follow-up recommendations when applicable.

A telehealth visit or intake process does not guarantee that medication will be prescribed or dispensed. Prescriptions are issued only when a licensed clinician determines that treatment is clinically appropriate and legally permitted.

• Additional testing, follow-up, or in-person evaluation may be required before or during treatment.
• Lab ordering, pharmacy fulfillment, and shipment timing may depend on third-party partners and circumstances outside PureRx’s direct control.
• If a treatment involves a compounded medication, the compounded medication is not FDA-approved, and the FDA does not review compounded drugs for safety, effectiveness, or quality before they are marketed.

You may withdraw your consent to receive telehealth services at any time by notifying PureRx or your treating clinician, subject to legal, recordkeeping, payment, and care-continuity requirements.

• Withdrawal of consent will not apply retroactively to services already provided.
• Withdrawing consent may limit PureRx’s ability to continue providing services through telehealth.
• Even after withdrawal, records of services already provided may be retained as required by law and professional obligations.

Telehealth laws, consent requirements, prescribing rules, and patient-rights requirements may vary depending on your location, the clinician’s licensure, and the services requested. PureRx may present additional disclosures, acknowledgments, or consent language based on the jurisdiction or program involved in your care.

To the extent a specific intake disclosure, telehealth acknowledgment, or state-required consent is presented to you during enrollment or before treatment, that additional disclosure will apply together with this page.

By continuing with PureRx intake, scheduling, messaging, remote review, or telehealth services, you acknowledge that:

• You have read and understood this Medical & Telehealth Consent.
• You understand the nature, potential benefits, and potential risks of telehealth.
• You understand that telehealth may not be appropriate in all circumstances.
• You understand that no diagnosis, prescription, therapy, or treatment outcome is guaranteed.
• You consent to receive telehealth services where clinically appropriate and legally permitted.

If you have questions about this Medical & Telehealth Consent, contact us: