Consent To Telemedicine

Updated: 02/01/2023

‍About Telemedicine
‍Telemedicine involves the use of electronic communications to enable health care providers at different locations to share individual patient medical information for the purpose of improving patient care. Providers may include primary care practitioners, specialists, and/or subspecialists. The information may be used for diagnosis, therapy, follow-up, and/or education and may include any of the following:
- Patient medical records
- Medical images
- Live two-way audio and video
- Text messages or written communication
Output data from medical devices and sound and video files

Electronic systems used will incorporate network and software security protocols to protect the confidentiality of patient identification and imaging data and will include measures to safeguard the data and to ensure its integrity against intentional or unintentional corruption.

‍Expected Benefits
‍Improved access to medical care by enabling a patient to remain in his/her home or office while the physician provides services, obtains test results, and consults from healthcare practitioners at distant/other sites.More efficient medical evaluation and management.Obtaining the expertise of a distant specialist.

‍Possible Risks
‍As with any medical procedure, there are potential risks associated with the use of telemedicine. These risks include, but may not be limited to:In rare cases, information transmitted may not be sufficient (e.g., poor resolution of images) to allow for appropriate medical decision-making by the physician and consultant(s). Delays in medical evaluation and treatment could occur due to deficiencies or failures of the equipment. In very rare instances, security protocols could fail, causing a breach of privacy of personal medical information. In rare cases, a lack of access to complete medical records may result in adverse drug interactions or allergic reactions or other judgment errors.

‍Medical Records
‍By using Mountain Health Technologies' online platforms and services, you are authorizing Mountain Health, its subsidiaries, and medical providers to access and view your medical data to provide medical care to you. The scope of medical records includes but is not limited to medication history, past diagnosis, imaging, lab results, therapy notes, and scheduled surgeries.

By using River and Mountain Health's services,
- I understand that the laws that protect the privacy and the confidentiality of medical information also apply to telemedicine. No information obtained in the use of telemedicine that identifies me will be disclosed to researchers or other entities without my consent.
- I understand that I have the right to withhold or withdraw my consent to the use of telemedicine in the course of my care at any time, without affecting my right to future care or treatment.
- I understand that I have the right to inspect all information obtained and recorded in the course of a telemedicine interaction and may receive copies of this information for a reasonable fee.
- I understand that a variety of alternative methods of medical care may be available to me and that I may choose one or more of these at any time. My doctor has explained the alternatives to my satisfaction.
- I understand that telemedicine may involve electronic communication of my personal medical information to other medical practitioners who may be located in other areas, including out of state.
- I understand that it is my duty to inform my doctor of electronic interactions regarding the care that I may have with other healthcare providers.
- I understand that I may expect the anticipated benefits from the use of telemedicine in my care but that no results can be guaranteed or assured.
- I understand that my care is being coordinated by, but not provided by, Mountain Health Technologies, Inc. ("Mountain Health"). Mountain Health is not, and may not, provide any diagnosis, prescriptions, advice, or medical consult services.
- Mountain Health may share my private medical information with other providers in order to coordinate care across different specialties of care. As such, by signing this Agreement, I agree to release, discharge, and forever hold Mountain Health harmless from any and all claims, demands, or suits, known or unknown, fixed or contingent, liquidated or unliquidated, arising from or related to the provision of care by a medical professional through Mountain Health's website or facilitated by it. I have reviewed a copy of Mountain Health's privacy policy.

I have read and understand the information provided above regarding telemedicine, have discussed it with my physician or such assistants as may be designated, and all of my questions have been answered to my satisfaction. I hereby give my informed consent for the use of telemedicine in my medical care.

I hereby authorize a physician on River Health or Mountain Health Technologies Inc. apps to use telemedicine in the course of my diagnosis and treatment.If you have questions or comments about this policy, you may email us at team@helloriver.com.