By clicking “I consent to telehealth”, you acknowledge the following:

1. Telehealth Visits
   Telehealth consultations may occur via video conferencing, phone calls, or other online communication methods. You understand that the provider will not be physically present during your visit.

2. Medical Record Access
   You consent to the practice accessing and reviewing your medical records, including prescription records, for the purpose of facilitating care.

3. Private Consultation
   You agree to participate in your telehealth consultation from a private location to ensure confidentiality. If there are any third parties present (for translation or technical support), you will be informed in advance.

4. Risks of Telehealth
   You acknowledge potential risks related to telehealth, including technical difficulties, unauthorized access, AI misinterpretation, or recording failures. Either you or your provider may discontinue the session if technical issues prevent effective communication.

5. Artificial Intelligence Use
   AI tools may be utilized for transcription, medical data analysis, or decision-making support. These technologies will process your information but will comply with applicable privacy laws. You have the right to inquire about AI usage and opt-out where possible.

6. Recording of Sessions
   Your telehealth session may be recorded for quality assurance, training, or care coordination. You will be notified if the session is recorded. Recordings will be retained as per Peptela policies.

7. Ambient Listening
   Ambient listening technologies might be used during your telehealth visit. You can request to disable ambient listening at any time during the session.

8. Provider Scope
   You understand that some providers may not be physicians but may be nurse practitioners or physician assistants. You also acknowledge that a telehealth visit may not replace a physical examination, which could affect the quality of care.

9. Opt-Out and Consent to Treatment
   You have the right to refuse treatment or opt-out of telehealth services at any time. If telehealth is deemed inappropriate for your case, you will be informed and directed to seek alternative care.

10. No Guaranteed Outcomes
    While telehealth offers several benefits, there is no guarantee of a positive outcome, and your condition may not improve.

11. Compounded Medications (if applicable)
    If you are prescribed compounded medications, you acknowledge that these products are not FDA-approved and are compounded by licensed pharmacies according to strict quality control standards.

12. Teletherapy (Mental Health Services)
    If you are receiving teletherapy, you understand that teletherapy may differ from in-person sessions and that confidentiality is maintained, except in situations mandated by law (e.g., imminent harm, abuse reports).

13. HIV Testing (if applicable)
    If you opt for HIV testing, you understand the nature of the test and that confidentiality will be maintained per federal and state laws. You can refuse testing at any time without affecting your treatment.

14. Genetic Testing (if applicable)
    If you opt for genetic testing, you understand the process, and your provider will explain the specifics and offer genetic counseling to help you understand the potential risks and benefits.

15. Authorization to Bill Insurance
    By accepting, you authorize Peptela to bill your insurance provider directly and agree to be financially responsible for any outstanding balances.

16. Communication via Text or Email
    By consenting, you authorize Peptela to contact you through phone, text, or email for appointment reminders, health information, and follow-up communications. You understand that automated systems may be used for such communications.

17. State-Specific Disclosures
    Certain states require specific disclosures regarding telehealth services. These may include information about record access, provider reporting, and formal complaints.