1. What Telehealth Means

Telehealth is the delivery of healthcare services through electronic communications when you and your licensed medical provider are in different locations.

Telehealth services may include:

• Online health questionnaires and medical intake forms
• Video, telephone, or secure messaging consultations
• Electronic review of your symptoms and health history
• Review of photographs, laboratory results, or other health records
• Treatment recommendations and follow-up care
• Electronic prescribing when clinically appropriate
• Coordination with pharmacies, laboratories, or other providers

2. Nature of the Provider Relationship

Stackhaus Health provides technology and administrative support that may connect you with licensed medical providers and other healthcare organizations.

A provider-patient relationship is established only after a licensed provider reviews your information, determines that telehealth is appropriate, and accepts you for care.

Completing an intake form, submitting payment, or requesting treatment does not guarantee that you will be accepted for care or prescribed a medication.

3. Benefits of Telehealth

Potential benefits of telehealth include:

• More convenient access to healthcare services
• Reduced travel and waiting time
• Access to licensed providers from your location
• Electronic communication and treatment follow-up
• Improved access to certain treatment options

These benefits are not guaranteed, and telehealth may not be appropriate for every condition or patient.

4. Limitations and Potential Risks

Telehealth has limitations and potential risks that may differ from in-person medical care. These may include:

• A provider may be unable to perform a complete physical examination
• Information transmitted electronically may be incomplete, unclear, or inaccurate
• Technology failures may interrupt, delay, or prevent an evaluation
• A condition may not be identified or treated as effectively as it would be during an in-person examination
• Delays may occur in evaluation, diagnosis, prescribing, or treatment
• Electronic communications may create privacy or security risks
• A provider may determine that in-person care or additional testing is necessary

Your provider may pause or discontinue a telehealth evaluation if the technology is inadequate or telehealth is not clinically appropriate.

5. Alternatives to Telehealth

You may choose to obtain care through an in-person medical provider instead of using telehealth. Depending on your condition, an in-person examination, urgent care visit, specialist evaluation, laboratory test, or other form of care may be recommended.

You may decline or withdraw your consent to telehealth at any time. Withdrawing consent will not affect your right to seek future healthcare, but it may prevent Stackhaus Health or an affiliated provider from continuing to provide services remotely.

6. Your Responsibilities

When using telehealth services, you agree to:

• Provide accurate, complete, and current health information
• Disclose your current physical location when requested
• Provide valid identification and proof of age when required
• Disclose medications, allergies, medical conditions, and relevant health history
• Inform your provider if your symptoms, medications, or health information change
• Ask questions if you do not understand your treatment plan
• Follow medication instructions and provider recommendations
• Seek in-person or emergency care when instructed
• Participate from a private location and protect access to your account

You understand that inaccurate, incomplete, or misleading information may result in inappropriate treatment and may cause care to be denied or discontinued.

7. Prescriptions and Treatment Decisions

All treatment and prescribing decisions are made by a licensed medical provider using independent clinical judgment. Treatment and medication are not guaranteed.

A provider may require additional information, laboratory testing, medical records, an in-person examination, or clearance from another healthcare professional before recommending treatment.

If medication is prescribed, you agree to use it only as directed and to review the instructions, warnings, risks, possible side effects, and alternatives explained by your provider or dispensing pharmacy.

8. Compounded Medications

Certain treatment options may involve compounded medications when prescribed by a licensed provider and dispensed by a properly licensed pharmacy.

Your provider will determine whether a compounded medication is appropriate based on your individual circumstances and available treatment options.

9. Privacy and Electronic Communications

Telehealth may involve the electronic transmission of medical information, photographs, messages, health records, payment information, and other personal information.

Reasonable safeguards are used to protect your information. However, no electronic communication system can be guaranteed to be completely secure, and unauthorized access, disclosure, technical failure, or data loss may occur.

You are responsible for using a secure device and network, protecting your login information, and participating from a private location when possible.

Additional information about the collection, use, and protection of your information is available in the Privacy Policy.

10. Recording

You may not photograph, record, or distribute a telehealth consultation without the prior consent of everyone participating and unless permitted by applicable law.

Stackhaus Health and participating providers will not record a consultation without providing notice and obtaining any consent required by law.

11. Technology Interruptions

If a telehealth session is interrupted because of a technical problem, the provider may attempt to reconnect, contact you using information in your account, reschedule the consultation, or direct you to another appropriate form of care.

You agree to keep your contact information current and to follow any backup communication instructions provided before or during your visit.

12. Emergencies

Stackhaus Health is not an emergency medical service, and its website, messages, intake forms, and telehealth services should not be used for emergency care.

Do not wait for a response through the website, email, text message, or patient portal when urgent or emergency care may be required.

13. State Location and Provider Licensure

Telehealth services are generally provided based on your physical location at the time of care. You agree to accurately disclose your location when requested.

Service availability, treatment options, prescribing rules, and provider eligibility may vary by state. Services may be unavailable if an appropriately licensed or registered provider cannot treat patients in your location.

14. Results and Follow-Up Care

Individual responses to treatment vary. No specific outcome, improvement, or result is guaranteed.

Telehealth is not a substitute for all forms of medical care. You remain responsible for maintaining appropriate routine, preventive, specialist, urgent, and emergency care outside of Stackhaus Health when needed.

15. Consent and Acknowledgment

16. Contact Us

If you have questions about this Telehealth Informed Consent, please contact Stackhaus Health: