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informed consent

Informed consent

 

 This is a legal and binding document between you and Med RM Medical, P.A., a Florida professional association, on behalf of itself and its affiliated professional entities (collectively, “Med RM,” “We,” “Our”, or “Us”). Read it carefully before clicking “I accept”.

 

By clicking on medrm.online you automatically consent to receive health care services from licensed health care providers contracted with Med RM (“Med RM-affiliated Providers”) who are located at sites remote from you to provide

 

consultative services to you. The receipt of health care services from a Med RM-affiliated Provider (the “Services”) is a type of “telemedicine” or “telehealth” service

 

 

 

By clicking “I accept”, you also represent and warrant the following:

 

  • Your Med RM-affiliated Provider has discussed the use of telemedicine services with you, including the benefits and risks of such use and the alternatives

 

to the use of the Services, and you have provided consent to your Med RM-affiliated Provider for the use of the Services.

 

  • You understand that you have the right to access your medical information created during use of the Services or to have the medical information forwarded to a third-party or alternative provider. Med RM will not forward any personally identifiable information to third-parties or other providers without your written consent.

 

  • You understand Med RM may use

 

third-party vendors to provide the Services.

 

  • You understand that the use of the Services involves electronic communication of your personal medical information to your Med RM-affiliated Providers who may be located in other areas, including outside of the state in which you reside, and that the electronic systems, public networks, or security protocols or safeguards used in the Services could fail, causing a breach of privacy of your medical or other information. You agree to hold Med RM harmless for any

 

information lost due to technical failures.

 

  • You understand that, despite the privacy risks associated with the Services, all federal and state laws, rules, and regulations regarding privacy and confidentiality will apply to the Services, including HIPAA.

 

  • You understand that it is your duty to provide your Med RM-affiliated Provider truthful, accurate, and complete information, including all relevant information regarding care that you may have received or may be

 

receiving from other health care providers or outside of the Services. You also understand that if you are uncomfortable with receiving the Services or the method in which the Services are provided, you should inform your Med RM-affiliated Provider.

 

  • You understand that your Med RM-affiliated Provider may determine that your condition is not suitable for diagnosis or treatment using the Services, or may fail to respond promptly or ever to your request for a telemedicine service, and that you may need to seek medical care and treatment

 

from your Med RM-affiliated Provider, a specialist, or other health care provider outside of the Services.

 

  • You understand that in the event of an emergency or an adverse reaction to treatment, you should dial 911 to receive appropriate follow-up care. In the event of technology failure or your Med RM-affiliated Provider determining you need see another provider or make an in-person appointment, he or she will provide you with next steps or follow-up information.

 

  • You understand the risks and benefits of the Services and its use in the medical care and treatment provided to you by your Med RM-affiliated Provider. You also understand that you may refuse or withdraw from care at any time, and that your refusal or withdrawal will not affect your ability to receive care in the future.

 

  • You understand that failure to comply with the terms of this document may result in the termination of your ability to use the Services.

 

  • No potential benefits from the use of the Services, care provided via the Services, or specific results can be guaranteed. Your condition may not be cured or improved, and in some cases, may get worse

Subject to your compliance with these Terms of Use, we hereby grant to you a personal, limited, revocable, non-exclusive, and nontransferable right to view, download, access, and use the Services in the United States solely for your personal and non-commercial use and only as permitted under these Terms of Use. No other right, title, or interest in or to the Services is transferred to you, and all rights not expressly granted are reserved by Med RMor its licensors. We reserve the right, in our sole discretion, to deny or suspend use of the Services to anyone for any reason.

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