Medical Consent

1. Introduction

This document provides important information about telehealth services provided through Vionti Health. Please read this carefully and ask any questions before consenting to treatment.

2. What is Telehealth?

Telehealth involves the use of electronic communications to enable healthcare providers to deliver care remotely. This may include:

• Asynchronous messaging
• Phone consultations
• Remote monitoring
• Electronic transmission of medical records and prescriptions

3. Consent to Telehealth Services

By using Vionti Health's services, you consent to:

• Receiving healthcare services via telehealth technology
• Electronic transmission of your medical information
• Communication between healthcare providers regarding your care
• Receiving prescriptions electronically when medically appropriate

4. Benefits of Telehealth

• Improved access to healthcare without travel
• Convenient scheduling options
• Reduced exposure to illnesses in waiting rooms
• Ability to receive care from the comfort of your home

5. Risks and Limitations

While telehealth offers many benefits, there are potential risks and limitations:

• Technology failures may interrupt or prevent service delivery
• Security protocols may fail, potentially affecting the privacy of your information
• Lack of physical examination may limit diagnostic capability
• Delays in evaluation and treatment may occur due to technology issues
• The provider may determine that telehealth is not appropriate for your condition

6. GLP-1 Medication Information

If prescribed GLP-1 medication, you understand and acknowledge:

• Compounded GLP-1 medications are produced in FDA-regulated facilities but are not FDA-approved products
• Results vary based on individual factors including adherence to treatment and lifestyle changes
• Common side effects may include nausea, vomiting, diarrhea, and constipation
• You should report any adverse reactions to your healthcare provider immediately
• This medication should be used as part of a comprehensive weight management program

7. Your Responsibilities

You agree to:

• Provide accurate and complete medical information
• Inform your provider of all medications you are currently taking
• Follow your treatment plan as prescribed
• Report any adverse reactions or concerns promptly
• Attend follow-up appointments as recommended
• Maintain a safe environment during telehealth sessions

8. Emergency Situations

Telehealth services are not intended for emergency situations. If you experience a medical emergency, please call 911 or go to the nearest emergency room immediately.

9. Right to Withdraw Consent

You may withdraw your consent to telehealth services at any time. Withdrawal of consent will not affect any services already provided.

10. Questions and Contact

If you have questions about this consent or our services, please contact us:

Email: support@viontihealth.com
Phone: (844) 357-3601