Legal
Telehealth Informed Consent
This page is a model statement published for your information. It describes what telehealth is and what you should understand before using it.
The consent that legally governs your care is captured inside the independent licensed medical group's intake, before a clinician reviews your information. That consent is written to the requirements of the state you are in. If anything on this page differs from the consent you sign in the intake, the intake consent controls.
1. WHAT TELEHEALTH IS
Telehealth is the delivery of health care using communications technology instead of an in-person visit. In this service, telehealth is primarily asynchronous. You complete a detailed medical intake. A licensed clinician reviews it and makes a clinical decision. A live video or telephone visit may be required depending on your state, your history, or the clinician's judgment.
2. WHO PROVIDES YOUR CARE
Your care is provided by a clinician employed by or contracted with an independent licensed medical group. That clinician is licensed in the state where you are located at the time of service. You may ask for the name, credentials, and license number of the clinician who reviews your case at any time.
Pulse Health is not your health care provider. Pulse Health operates the website, processes payment, and coordinates fulfillment.
3. POTENTIAL BENEFITS
- Access to a licensed clinician without travel
- Shorter wait times than many in-person appointments
- Care from your own home, at a time that works for you
- Continuity of records within the medical group
4. POTENTIAL RISKS AND LIMITATIONS
You should understand the following before consenting:
- A clinician cannot physically examine you. Some conditions cannot be safely evaluated without an in-person examination.
- The clinician relies on the accuracy and completeness of what you report. Incomplete or inaccurate information can lead to a wrong or unsafe decision.
- Laboratory results, imaging, and vital signs may not be available. The clinician may require them before deciding.
- A condition that requires urgent or hands-on care may be delayed if you use telehealth instead of seeking in-person care.
- Technology can fail. A transmission can be interrupted, delayed, or distorted.
- Electronic transmission of health information carries a risk of interception, though security measures are in place to reduce it.
- Telehealth is not appropriate for every condition or every patient.
5. ALTERNATIVES
You are not required to use telehealth. Alternatives include an in-person visit with a primary care provider or specialist, an urgent care center, or a hospital. If telehealth is not appropriate for your situation, the clinician will tell you and may recommend in-person care.
6. YOUR RIGHT TO REFUSE OR WITHDRAW
You may refuse telehealth, or withdraw your consent at any time, without affecting your right to future care or treatment. Withdrawing consent does not penalize you. Refunds are governed by our Refund Policy.
7. CONFIDENTIALITY
Information you share with the clinician is confidential and protected under state and federal law, including HIPAA, as held by the independent licensed medical group. Their Notice of Privacy Practices is here: https://my.myorbithealth.com/legal/notice-of-privacy-practices.html.
Certain disclosures are required or permitted by law, including reporting of suspected abuse, threats of harm to yourself or others, and disclosures required by court order.
8. RECORDING
No part of your telehealth encounter will be recorded without your express permission. You may not record a live encounter without the clinician's express permission.
9. EMERGENCIES
Telehealth is not for emergencies. If you are having a medical emergency, call 911 or go to the nearest emergency department. Do not use this website, email, or SMS to report an emergency. These channels are not monitored continuously.
Before your encounter, you should know the location of the nearest emergency facility to you.
10. IF THE TECHNOLOGY FAILS
If a live encounter is interrupted by a technical failure, the clinician or their staff will attempt to reconnect or will contact you by telephone at the number on file. If they cannot reach you, they will attempt to reschedule. You will not be charged an additional consultation fee for a re-attempt caused by a technical failure.
11. FOLLOW-UP AND ONGOING CARE
Telehealth through this service is not a substitute for a primary care provider. You are responsible for following the clinician's instructions, attending recommended follow-up, and obtaining any laboratory work or monitoring they order. Tell the clinician about all medications and supplements you take, and about any other providers treating you.
If your condition changes or worsens, seek care. Do not wait for a scheduled follow-up.
12. COST
The consultation fee is $35 and is charged before a clinician reviews your intake. It pays for the clinical review and is earned when that review occurs, whether or not a prescription results. Medication is priced separately and is refunded in full if a clinician declines to prescribe. See our Refund Policy.
Most insurance is not accepted for this service. You are responsible for the amounts shown at checkout.
13. CONSENT
By completing the intake and consenting within it, you acknowledge that you have read and understand the nature, benefits, risks, limitations, and alternatives of telehealth, that you have had the opportunity to ask questions, and that you consent to receive care by telehealth.
14. CONTACT
Extreme Resilience LLC d/b/a Pulse Health
11101 N.W. 23rd Ct, Coral Springs, FL 33065
support@pulsehealth.clinic
(775) 587-2420
7 days a week, 9 a.m. to 5 p.m. Eastern Time
For clinical questions, contact the independent licensed medical group through your account.