Telehealth Consent

Telehealth is healthcare delivered when a patient and provider are in different locations and communicate through electronic technology. Services may include asynchronous care: you submit medical history, health questionnaires, photographs, identification, and other health information for later clinical review. When clinically appropriate, services may also include telephone or live-video consultation with a licensed provider.

The provider may request more information, require a synchronous consultation, recommend testing, decline remote treatment, or direct you to in-person care.

Medical services are provided by independent licensed U.S. healthcare providers through the AyaRx provider network. Biovana and Uniloop do not practice medicine and do not control provider clinical judgment. Your provider-patient relationship is with the treating provider or medical practice, not Biovana, Uniloop, or the pharmacy.

You must provide accurate identity and current residential-location information and confirm the state where you are physically located when care is provided. Your residential address and ZIP code are used to verify that an AyaRx provider is licensed in your jurisdiction and that the pharmacy is authorized to dispense and ship any prescribed medication there.

Provider, medication, pharmacy, and treatment availability vary by location. You will be notified before clinical services are provided if telehealth or prescription fulfillment is unavailable in your jurisdiction. Do not proceed using an address or location that is false or belongs to another person.

Telehealth can improve convenience and access and allow information to be reviewed remotely. It also has limitations. A provider may be unable to perform a physical examination, observe all symptoms, obtain complete records, or identify a condition that would be apparent during in-person care. Technology may fail, communications may be delayed, and electronic systems can carry privacy and security risks.

Alternatives include in-person care, another telehealth provider, delaying care, or declining the service. You may ask questions and discuss the risks, benefits, and alternatives with the provider before treatment.

A prescription is never guaranteed. The provider decides whether treatment is appropriate, may select a different treatment, and may require follow-up or in-person evaluation. Pharmacy services and fulfillment are provided independently by e-RxHub.

Compounded medications are not FDA-approved. The FDA does not review compounded medications for safety, effectiveness, or quality before they are marketed. Compounded medications are not generic drugs. Your provider and pharmacist can explain why a compounded medication may be considered, available alternatives, instructions, and material risks.

Uniloop supplies the technology and coordination platform and may process information as a HIPAA business associate where applicable. Your provider and pharmacy maintain records as required by law. Review the Privacy Policy and Notice of Privacy Practices for more information about uses, disclosures, safeguards, and your rights.

You agree to participate from a reasonably private location, protect account credentials, and tell the care team if another person is present during a consultation.

Telehealth through this service is not an emergency service. Call 911 or go to the nearest emergency department for severe symptoms, a possible emergency, or thoughts of harming yourself or others. Do not wait for a portal, email, text, or questionnaire response.

You are responsible for following provider instructions, completing requested tests or follow-up, reporting side effects or material health changes promptly, and seeking in-person care when directed.

You consent to receive telehealth-related notices through the portal, email, telephone, or text at the contact details you provide. These communications may include appointment, clinical, account, pharmacy, and delivery information. Standard message and data rates may apply. Ordinary email and text may not be fully secure.

You may withdraw this consent for future telehealth services by notifying the care team, subject to actions already taken and records that must be retained. Withdrawal may prevent continued remote care but does not limit your right to seek in-person care.

By selecting the telehealth-consent checkbox during registration, you confirm that you have read and understood this consent, had an opportunity to ask questions, consent voluntarily, will provide accurate information, and are authorized to make your own healthcare decisions.

Send clinical questions through the secure patient portal. For general website questions, email hello@biovana.com.