This Telehealth Consent ("Consent") explains how telehealth services are provided through Herexa Women’s Health, P.A ("Herexa," "we," "our," or "us"). By using our Services and submitting a medical assessment, you acknowledge that you have read and agree to this Consent.
Telehealth services allow you to receive healthcare consultation and evaluation from a licensed physician using electronic communications rather than in-person visits.
- IMPORTANT NOTICE
Telehealth services are provided by a Florida and New York licensed physician, including Dr. Amir Shay, MD. Services are available only to patients located in the State of Florida and New York at the time of consultation. A $59 consultation fee applies (medication not included).
1. What Is Telehealth
Telehealth involves the delivery of healthcare services using secure electronic communication technologies. Instead of an in-person visit, medical information is collected through online assessments and reviewed by a licensed physician.
- You will complete a secure online medical questionnaire.
- A licensed physician reviews your submitted information.
- Follow-up communication may occur through secure messaging or other electronic means.
2. Physician Review and Treatment Decisions
All medical decisions are made solely by the evaluating licensed physician using independent clinical judgment.
- Submission of an assessment does not guarantee diagnosis, treatment, or prescription issuance.
- If clinically appropriate, a prescription may be issued.
- Some medical conditions may require in-person evaluation or additional testing.
The physician may decline treatment if telehealth is not appropriate for your condition.
3. Potential Benefits of Telehealth
- Convenient access to healthcare services from home.
- Reduced travel time and scheduling barriers.
- Secure electronic communication with a licensed physician.
4. Potential Risks and Limitations
Telehealth has limitations compared to in-person medical care.
- The physician may not have access to complete medical information.
- Technical issues may interrupt communication.
- Some conditions cannot be fully evaluated without a physical examination.
- In-person care may be recommended when medically necessary.
You understand that telehealth may not be appropriate for all medical conditions.
5. Privacy and Confidentiality
Your medical information is handled in accordance with our Privacy Policy and applicable healthcare privacy laws, including HIPAA where applicable.
- Secure systems are used to protect communications and medical data.
- Authorized healthcare personnel may access your information for treatment and operational purposes.
While safeguards are used, no electronic system can be guaranteed completely secure.
6. Patient Acknowledgments
By using telehealth Services, you acknowledge that:
- You understand the nature of telehealth services.
- You have had the opportunity to review this Consent before receiving care.
- You may withdraw consent for telehealth services at any time.
- You are responsible for providing accurate and complete health information.
Withdrawal of consent may limit our ability to provide Services.
7. Emergency Situations
Telehealth services are not intended for medical emergencies. If you believe you are experiencing a medical emergency, call 911 or seek immediate in-person medical care.
8. Changes to This Consent
We may update this Telehealth Consent periodically. Updated versions will be posted on this page with a revised effective date.
Continued use of the Services after updates constitutes acceptance of the revised Consent.
9. Contact Information
Herexa Health P.A.