I consent Leanefy LLC to engage in a telehealth consultation with a medical professional for diagnosis, consultation, treatment, and patient care management.
The Type of Consultation in Telehealth
Video conferencing will be used to conduct the consultation.
The patient and the provider will not be in the same physical space.
Real-time communication and electronic medical record transmission are two possible aspects of telehealth services.
Possible Dangers
Technical malfunctions like problems with connectivity.
Potential illegal access to health data.
Limitations in diagnosis because of the online format.
Privacy and Secrecy
In accordance with HIPAA regulations, I understand that my private health information will be kept private. Unauthorized access is a risk that comes with telecommunication, though.
The Obligations of Patients
Give a complete medical history and be honest when responding to all inquiries.
For the consultation, make sure you have a steady internet connection.
Make sure you have a legitimate government-issued ID on hand for validation.
Consent and Agreement
I hereby attest that I am aware of the nature of telehealth consultations, the associated risks, and my obligations. I give Leanefy LLC my consent to use their telehealth services. (We appreciate your consent to complete the Good Faith Exam and Medical History Form.)
info@leanefy.com
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