Last updated: March 15, 2023
Consent to Telehealth
YOU UNDERSTAND THAT BY CHECKING THE “AGREE” BOX FOR THIS CONSENT TO TELEHEALTH AND/OR ANY OTHER SUCH FORM PRESENTED TO YOU FROM TIME TO TIME ON THE SITE YOU ARE PROVIDING THE AGREEMENTS AND CONSENTS AS SET DESCRIBED BELOW. YOU UNDERSTAND AND AGREE THAT CHECKING THE “AGREE” BOX CONSTITUTES A LEGAL SIGNATURE.
What is telehealth?
Telehealth is a way to deliver healthcare services using electronic communications, information technology or other means. This allows you to speak to a healthcare provider even if they’re not in the same physical location as you. Telehealth may be used for diagnosis, treatment, follow-up and/or member education.
Nectar Allergy (Registered as NECTAR LIFE SCIENCES, INC.) collaborates with Openloop (Openloop Healthcare Partners, PC and affiliates (Openloop Healthcare Partners California, PC, Openloop Healthcare Partners Colorado, PC, Openloop Healthcare Partners New Jersey, PC, and Openloop Healthcare Partners Wisconsin S.C., collectively “OpenLoop”)) to offer Telehealth consultations, which are conducted through videoconferencing, telephonic, and asynchronous technology.
The electronic systems used in the Nectar Services will incorporate network and software security protocols to protect the privacy and security of health information and imaging data, and will include measures to safeguard the data to ensure its integrity against intentional or unintentional corruption.
How do I use telehealth services?
- You can talk to your provider using a phone, computer, or tablet.
- On the devices mentioned above, you can also use the video feature so that you and your provider can see each other.
- The telehealth services will allow your healthcare provider to share medical records, photo images, personal health information and other information with you through the Nectar platform or other electronic transmission.
What are the possible benefits of telemedicine?
- Can be easier and more efficient for you to access medical care and treatment.
- You won’t risk getting sick from other people.
- You can obtain medical care and treatment at times that are convenient for you.
- You can interact with providers without the necessity of an in-office appointment.
What are the possible risks of telemedicine?
- Because you and the healthcare provider will not be in the same room, the provider may not be able to conduct certain tests and assess vital signs, which could prevent the provider from providing an accurate diagnosis or treatment. (However, we do not know if mistakes are more or less common with telehealth visits compared to in-office visits).
- Your provider may not able to provide medical treatment for your particular condition via telemedicine and you may be required to seek alternative care.
- Technical problems may interrupt or stop your visit before you’re done.
- Security protocols or safeguards could fail causing a breach of privacy.
- Given regulatory requirements in certain jurisdictions, your provider(s) treatment options, especially pertaining to certain prescriptions may be limited.
Will my telehealth visit be private?
- We will not record visits with your provider.
- If people are close to you, they may hear something you did not want them to know. You should be in a private place, so other people cannot hear you.
- Your provider will tell you if someone else from their office can hear or see you.
- We use telehealth technology that is designed to protect your privacy.
- If you use the Internet for telehealth, use a network that is private and secure.
- There is a very small chance that someone could use technology to hear or see your telehealth visit.
What if I try telehealth and don’t like it?
- You can stop using telehealth services at any time, even during a visit.
- If you decide you do not want to use the telehealth services again, you can revoke consent by:
-- Emailing us and letting us know at firstname.lastname@example.org;
How much does a telehealth visit cost?
- What you pay may depend on your insurance.
By accepting this Consent to Telehealth, you acknowledge your understanding and agreement to the following:
- I have read this special Consent to Telehealth carefully, and understand the risks and benefits of the use of telemedicine in the medical care and treatment provided to me through Nectar’s platform by third party providers.
- I give my informed consent to the use of telemedicine by providers affiliated with Nectar.
- I understand that the delivery of healthcare services via telemedicine is an evolving field and that the use of telemedicine in my medical care and treatment may include uses of technology not specifically described in this consent.
- I agree and authorize my health care provider to share information regarding the telemedicine exam with other individuals for treatment, payment and health care operations purposes.
- I agree and authorize my health care provider to release information regarding the telemedicine exam to Nectar and its affiliates.
CONSENT TO TEXT OR EMAIL USAGE FOR APPOINTMENT REMINDERS AND OTHER HEALTHCARE REMINDERS
I consent to receive text messages from the practice at my phone number or email to receive appointment reminders and general health reminders of information. I understand that this request is to receive emails and/or text messages will apply to all future appointment reminders/feedback/health information unless I request a change in writing. I also acknowledge this means of communication is not considered secure for the transmission of private information.