Web and Mobile Informed Consent

Today you are requesting Teladoc’s telemedicine services (“Services”). Telemedicine is the practice of medicine that involves the use of electronic communications to diagnose or treat patients who are in different locations from their healthcare providers. Telemedicine can be used for diagnosing, treating, and prescribing medication.

When using the Services, you will be treated by and will enter into a clinician-patient relationship with a provider of Teladoc Health Medical Group (“Teladoc Clinician”) who is licensed in your state. Teladoc Health, Inc. does not provide the Services; it performs administrative, payment, and other activities for Teladoc Clinicians in support of the Services they provide to you.

Responsibility for your comprehensive care shall always remain with your local clinician or primary care physician.

The expected benefits of using telemedicine include:

  • Improved and quicker access to medical care through reduced travel and visit time
  • Ability to access care from any location, and
  • More efficient medical evaluation and management

The potential risks associated with using telemedicine may include:

  • Delays in medical evaluation and treatment due to failures of technology, such as a disconnected phone call
  • Information may be lost due to technical failures, and
  • In rare cases, a lack of access to complete medical information may result in adverse drug interactions, allergic reactions, or other judgment errors

The inability to have direct, physical contact with your healthcare provider is the primary difference between telemedicine and in-person health care. The alternative to telemedicine is receiving care in a traditional in-person care setting.

In receiving the Services, you understand and agree:

  1. It is necessary for you to provide complete and accurate medical history and you will update your medical health records periodically, but no less than once a year.
  2. You cannot use Teladoc’s Telemedicine Services to get prescriptions for DEA controlled substances, non-therapeutic drugs and certain other drugs which may be harmful because of their potential for abuse.
  3. You cannot use Teladoc’s Telemedicine Services for life threatening emergencies. If you think you are experiencing a medical emergency, you need to call 911 or go immediately to the closest emergency room.
  4. There is no guarantee that you will be treated by a Teladoc Clinician. The Teladoc Clinicians reserve the right to deny care for potential misuse of Services or for any other reason if, in the professional judgment of the Teladoc Clinician, the provision of the Service is not medically or ethically appropriate.
  5. There is no guarantee that you will be given a prescription by the Teladoc Clinician.
  6. You are required to pay all visit fees at the time you schedule a visit, unless payment arrangements have been established through your employer, benefit provider or other entity.

Your use of this Service is voluntary and you have the right to withdraw your consent to the Services at any time by ending this session. If you choose to end your session, your right to future Telemedicine Services will not be affected.

Do you understand the statements above and do you consent, on your own behalf or on behalf of your minor dependents, to receive Services by a Teladoc Clinician?