Last Updated 4/29/2024
This document contains important information about the use of telehealth services provided by Architek Health Provider Network P.C. ("AHPN", "we", "us", or "our"). Please read this document carefully before consenting to receive telehealth services.
1. Telehealth Services
1.1. Description: Telehealth services involve the use of electronic communications technologies to provide medical care and consultations remotely. These services may include video conferencing, audio calls, secure messaging, and other forms of digital communication.
1.2. Scope: Our telehealth services allow you to remotely consult with licensed physicians and healthcare providers for diagnosis, treatment, prescriptions, referrals, and medical advice within the scope of telehealth practice.
1.3. HIPAA Compliance: We are committed to protecting your privacy and confidentiality in accordance with the Health Insurance Portability and Accountability Act (HIPAA) and other applicable laws and regulations governing the privacy and security of protected health information (PHI).
2. Consent to Telehealth Services
By consenting to receive telehealth services from us, you acknowledge and agree to the following:
2.1. Nature of Telehealth Services: I understand that telehealth services involve the use of electronic communications technologies to facilitate remote medical consultations and that these services may have limitations compared to in-person consultations.
2.2. Privacy and Security: I understand that my telehealth consultations and medical information will be treated with the utmost confidentiality and will be protected in accordance with HIPAA and other applicable privacy laws and regulations.
2.3. Collection and Use of Information: I consent to the collection, use, and disclosure of my personal and medical information for the purpose of providing telehealth services, including diagnosis, treatment, prescriptions, referrals, and coordination of care.
2.4. Technology Requirements: I understand that I am responsible for ensuring that I have access to the necessary technology and internet connection to participate in telehealth consultations, and I acknowledge that the security of the communication technology cannot be guaranteed.
2.5. Emergency Situations: I understand that telehealth services are not intended for medical emergencies, and I agree to seek immediate medical attention or call emergency services in case of a medical emergency.
2.6. Patient Rights: I understand that I have the right to refuse or discontinue telehealth services at any time and that I have the right to access my medical records and request amendments to my records in accordance with applicable laws and regulations.
3. Release and Waiver
I hereby release and waive any claims against AHPN and its healthcare providers arising out of or related to the provision of telehealth services, including but not limited to claims for negligence, malpractice, breach of privacy, or breach of confidentiality.
4. Acknowledgment
By continuing with this service, I acknowledge that I have read, understood, and voluntarily consent to receive telehealth services from AHPN in accordance with the terms outlined in this document.
Last Updated 4/29/2024
This document contains important information about the use of telehealth services provided by Architek Health Provider Network P.C. ("AHPN", "we", "us", or "our"). Please read this document carefully before consenting to receive telehealth services.
1. Telehealth Services
1.1. Description: Telehealth services involve the use of electronic communications technologies to provide medical care and consultations remotely. These services may include video conferencing, audio calls, secure messaging, and other forms of digital communication.
1.2. Scope: Our telehealth services allow you to remotely consult with licensed physicians and healthcare providers for diagnosis, treatment, prescriptions, referrals, and medical advice within the scope of telehealth practice.
1.3. HIPAA Compliance: We are committed to protecting your privacy and confidentiality in accordance with the Health Insurance Portability and Accountability Act (HIPAA) and other applicable laws and regulations governing the privacy and security of protected health information (PHI).
2. Consent to Telehealth Services
By consenting to receive telehealth services from us, you acknowledge and agree to the following:
2.1. Nature of Telehealth Services: I understand that telehealth services involve the use of electronic communications technologies to facilitate remote medical consultations and that these services may have limitations compared to in-person consultations.
2.2. Privacy and Security: I understand that my telehealth consultations and medical information will be treated with the utmost confidentiality and will be protected in accordance with HIPAA and other applicable privacy laws and regulations.
2.3. Collection and Use of Information: I consent to the collection, use, and disclosure of my personal and medical information for the purpose of providing telehealth services, including diagnosis, treatment, prescriptions, referrals, and coordination of care.
2.4. Technology Requirements: I understand that I am responsible for ensuring that I have access to the necessary technology and internet connection to participate in telehealth consultations, and I acknowledge that the security of the communication technology cannot be guaranteed.
2.5. Emergency Situations: I understand that telehealth services are not intended for medical emergencies, and I agree to seek immediate medical attention or call emergency services in case of a medical emergency.
2.6. Patient Rights: I understand that I have the right to refuse or discontinue telehealth services at any time and that I have the right to access my medical records and request amendments to my records in accordance with applicable laws and regulations.
3. Release and Waiver
I hereby release and waive any claims against AHPN and its healthcare providers arising out of or related to the provision of telehealth services, including but not limited to claims for negligence, malpractice, breach of privacy, or breach of confidentiality.
4. Acknowledgment
By continuing with this service, I acknowledge that I have read, understood, and voluntarily consent to receive telehealth services from AHPN in accordance with the terms outlined in this document.