I understand that telehealth involves the use of electronic communications to enable healthcare providers at different locations to share individual patient medical information for the purpose of improving patient care.

I understand that the services provided via telehealth are not intended to replace in-person healthcare services.

I understand that my healthcare provider may determine that my condition is not suitable for telehealth services and may require an in-person visit.

I understand that I have the right to withdraw my consent to telehealth services at any time without affecting my right to future care or treatment.

I understand that I need a computer, tablet, or smartphone with a camera and microphone.

I understand that I need a stable internet connection for the telehealth session.

I understand that technical difficulties may occur and may require rescheduling the session.

I understand that the quality of the video and audio may vary based on my internet connection.

I understand that I am responsible for ensuring my technology is working properly before the session.

I understand that all telehealth sessions are conducted using HIPAA-compliant, encrypted video conferencing software.

I understand that my personal health information will be protected according to HIPAA regulations.

I understand that I should conduct sessions in a private location to protect my privacy.

I understand that recordings of sessions (if any) will only be made with my explicit consent.

I understand that I should not share my session links or login information with others.

I understand that telehealth services are not appropriate for emergency situations.

I understand that in case of a medical emergency, I should call 911 or go to the nearest emergency room.

I understand that my healthcare provider may not be able to provide immediate assistance during a telehealth session.

I understand that I should have emergency contact information readily available during sessions.

I understand that telehealth services may be billed to my insurance provider.

I understand that I am responsible for any copayments, deductibles, or fees not covered by insurance.

I understand that billing for telehealth services may be different from in-person services.

I understand that I should verify my insurance coverage for telehealth services.

I understand that my healthcare provider may need to contact me between sessions.

I understand that I can contact my healthcare provider with questions or concerns.

I understand that follow-up care may be recommended after telehealth sessions.

I understand that I should inform my healthcare provider of any changes in my condition.