Last updated: 2026-07-23
PLEASE READ THIS CONSENT CAREFULLY BEFORE BEGINNING YOUR TELEHEALTH INTAKE. IT DESCRIBES HOW TELEHEALTH SERVICES WORK, THEIR BENEFITS, RISKS, AND LIMITATIONS, AND YOUR RIGHTS. DO NOT USE TELEHEALTH SERVICES FOR EMERGENCIES. IF YOU ARE EXPERIENCING A MEDICAL EMERGENCY, CALL 911 IMMEDIATELY.
The telehealth services described in this consent (the "Telehealth Services") are provided by independent, state-licensed healthcare providers, including nurse practitioners, physician assistants, and physicians (the "Telehealth Providers"), practicing within a nationwide telehealth network operated and supported by an independent third-party telehealth platform organization (the "Telehealth Platform"). The legal name of the Telehealth Platform, and the name, credentials, and license information of the Telehealth Provider who reviews your care, are disclosed to you in your enrollment confirmation and at the time of your evaluation. Your Telehealth Provider is licensed in the state where you are located at the time of your evaluation, and your clinical relationship is with your Telehealth Provider.
Truthe Health Inc. and its subsidiaries ("Truthe") are not healthcare providers, are not a pharmacy, do not practice medicine, and do not provide the Telehealth Services. Truthe provides the website, marketing, technology, and administrative services that connect you to the Telehealth Platform, which is the organization referred to as the "Telehealth Vendor" in the Truthe Terms of Sale and Terms of Use. Truthe does not direct, control, or influence any clinical decision of any Telehealth Provider. Your consent in this document is given to the Telehealth Providers and the Telehealth Platform, and no provider-patient relationship is created between you and Truthe.
Telehealth is the delivery of healthcare services using electronic communications, where you and your provider are not in the same physical location. Depending on your state and clinical needs, your care may involve one or more of the following: (a) asynchronous ("store-and-forward") review, in which your Telehealth Provider reviews the health history, intake questionnaire, photographs, or other information you submit and responds at a later time; (b) synchronous visits, conducted by live video or, where permitted, telephone; and (c) secure electronic messaging with your care team. Some states require a live audio/video visit before certain prescriptions may be issued; if your state does so, a synchronous visit will be scheduled as part of your evaluation. By signing this consent, you consent to the use of each of these modalities as clinically appropriate and permitted in your state.
Telehealth can offer easier access to care, including evaluation without travel or time away from home, convenient follow-up and messaging, and efficient coordination of prescription fulfillment where therapy is appropriate. Telehealth can be particularly helpful for ongoing programs that involve periodic check-ins rather than hands-on examination.
Telehealth has risks and limitations that in-person care does not, including:
If your Telehealth Provider determines at any point that telehealth is not appropriate for your needs, you will be directed to seek in-person care.
Telehealth is voluntary. Alternatives include in-person evaluation and treatment by your own physician or another local provider, and you may seek in-person care at any time, before, during, or after using the Telehealth Services. Declining telehealth will not affect your ability to receive care elsewhere or your relationship with your own treating providers.
THE TELEHEALTH SERVICES ARE NOT DESIGNED FOR AND MUST NOT BE USED FOR EMERGENCIES, URGENT CONDITIONS, OR SITUATIONS REQUIRING IMMEDIATE ATTENTION, INCLUDING CHEST PAIN, DIFFICULTY BREATHING, SEVERE BLEEDING, SIGNS OF STROKE, ALLERGIC REACTIONS, THOUGHTS OF HARMING YOURSELF OR OTHERS, OR ANY CONDITION YOU BELIEVE REQUIRES URGENT CARE. IN AN EMERGENCY, CALL 911 OR GO TO THE NEAREST EMERGENCY ROOM.
You agree that you will: (a) provide truthful, accurate, current, and complete information in your intake and all communications, including your identity, date of birth, health history, current medications and supplements, and allergies; (b) accurately report the state where you are physically located at the time of any evaluation or visit, because your provider must be licensed in that state; (c) participate in any synchronous visit required in your state; (d) inform your own physicians, including your surgeon and surgical team if applicable, of all therapies prescribed through the Telehealth Services; (e) use medications only as directed and attend recommended follow-up; and (f) promptly report adverse effects, complications, or changes in your health to your care team.
Your health information collected in connection with the Telehealth Services is protected health information governed by the Health Insurance Portability and Accountability Act (HIPAA) and applicable state law, and is used and disclosed in accordance with the Notice of Privacy Practices provided to you as part of your enrollment. Your telehealth visits are not recorded by your care team without your separate consent. You have the right to access your medical records in accordance with applicable law; instructions for requesting records are available through the portal or the support contacts provided. Communications sent to you by email or text may traverse networks outside your care team's control; you may request alternative communication methods. Truthe's handling of non-clinical account information is described in the Truthe Privacy Policy.
The Telehealth Services and any prescribed therapies are cash-pay. Fees are disclosed to you before you pay, and payments for the Telehealth Services and prescription products are collected by the Telehealth Platform (or its payment processor) as the merchant of record identified at checkout. Insurance, Medicare, and Medicaid are not billed for the Telehealth Services or the therapies offered through them, and amounts you pay are not submitted to any insurer or government program by the Telehealth Platform or Truthe. If you have insurance coverage, you are free to seek covered care from other providers instead. Consenting to telehealth is not a condition of purchasing any non-prescription product from Truthe.
You have the right to: (a) withhold or withdraw this consent at any time before or during an evaluation or visit, without affecting your right to future care or the courtesy and respect with which you are treated; (b) ask questions about your care, your provider's credentials, and the technology used, and receive answers before proceeding; (c) refuse any recommended therapy; (d) request in-person care alternatives as described in Section 5; and (e) raise concerns or complaints about your care with the Telehealth Platform's support team, and with the medical or nursing board of the state where you are located, whose contact information is available on your state government's website. Withdrawal of consent will end the Telehealth Services prospectively and does not affect care already provided.
The Telehealth Services are available only to individuals who are eighteen (18) years of age or older and located in a state where the services are offered. You must complete your own intake; completing an intake on behalf of another person is prohibited.
By signing below or by clicking to accept this consent electronically, you acknowledge and agree that:
Patient name: ______________________________ Date of birth: ______________
Signature (or electronic acceptance recorded at intake): ______________________________ Date: ______________
State where you are located: ______________