Medical Consent

Strategic Cost Containment LLC dba MedFit.Health · Last Updated: February 15, 2024

MedFit.Health reserves the right to modify these terms as necessary to comply with applicable laws or to adapt to changes in the business or competitive environment. Any such changes will be communicated to clients promptly.

Telehealth Consent

Telehealth allows clients to access health services using audio-video interfaces such as videoconferencing. Electronic systems used will incorporate network and software security protocols to protect the confidentiality of client identification and imaging data and include measures to safeguard the data and ensure its integrity against intentional or unintentional corruption.

Expected Benefits

1. Improved access to healthcare by enabling a client to receive services across distances and between programs
2. More efficient healthcare, including evaluation and management
3. Obtaining expertise from a distant specialist
4. Maintaining connections with established providers in other areas

The benefits listed above are expected but not guaranteed. There are numerous potential outcomes when utilizing telehealth.

Possible Risks

As with any medical procedure, there are potential risks associated with telehealth for health treatment. These risks include, but may not be limited to:

1. In rare cases, information transmitted may not be sufficient (e.g., poor resolution of images) to allow for appropriate medical decision-making
2. Delays in medical evaluation and treatment could occur due to deficiencies or failures of equipment
3. In very rare instances, security protocols could fail, causing a breach of privacy of personal medical information
4. In rare cases, a lack of access to complete medical records may result in adverse drug interactions, allergic reactions, or other judgmental errors

By Providing Consent, You Acknowledge and Understand

1. The laws that protect privacy and the confidentiality of medical information also apply to telehealth, and no information obtained that identifies you will be disclosed to researchers or other entities without your consent
2. You have the right to withhold or withdraw consent to the use of telehealth at any time, without affecting your right to future care or treatment
3. You have the right to inspect all information obtained and documented in the course of a telehealth interaction and may receive copies for a reasonable fee
4. A variety of alternative methods of healthcare may be available to you, and you may choose one or more at any time
5. It is in your best interest to inform your physician or other clinical staff of any other healthcare providers involved in your medical care
6. You may expect the anticipated benefits from telehealth, but no results can be guaranteed or assured

HIPAA Consent

The Health Insurance Portability and Accountability Act (HIPAA) provides safeguards to protect your privacy. A more complete text is available upon request to support@medfit.health.

Protected Health Information (PHI) includes any individually identifiable health information created or received by MedFit.Health relating to your past, present, or future physical or mental health condition, the provision of healthcare services, or payment for healthcare services.

MedFit.Health has adopted the following policies:

1. Patient information will be kept confidential except as necessary to provide services or ensure all administrative matters related to your care are handled appropriately
2. MedFit.Health may remind patients of appointments by telephone, email, U.S. mail, or any means convenient or as requested
3. Vendors with access to PHI shall be contractually obligated to comply with HIPAA's privacy and security rules
4. You understand and agree to inspections of our office and review of documents which may include PHI by government agencies or insurance payers in normal performance of their duties
5. You agree to bring any concerns or complaints regarding privacy to our attention by emailing privacy@medfit.health
6. Your confidential information will not be used for the purposes of marketing or advertising of products, goods, or services
7. We agree to provide patients with access to their records in accordance with state and federal laws

Your continued use of the services constitutes your understanding and acceptance of these terms. This consent shall remain in force from this time forward.

Financial Consent

I understand and accept that a credit card must be kept on file and that any remaining balances for services rendered shall be paid in full. I authorize MedFit.Health to submit on my behalf and release any medical records or other information necessary to process my consultation order.

I authorize MedFit.Health to adjust invoices and debit my account for any orders placed, goods received, or services rendered that are not fully covered by third-party vouchers or credits. Some programs are auto-renewing and I consent to be automatically charged for any auto-renewing program I am part of unless I explicitly request to cancel before my payment is processed. There are no refunds or exchanges. I certify that I am an authorized user of this credit card and that I will not dispute the payments with my credit card company.

Shipping Authorization

All prescription medications dispensed by our third-party pharmacies are dispensed according to state and federal law with the approval of the pharmacist in charge and in compliance with all laws applicable from the relevant Medical Boards and State Boards of Pharmacy. The customer requesting shipping disclaims and agrees to hold harmless MedFit.Health for any delays or errors during the shipping process.

MedFit.Health is not responsible for delays or errors in shipping caused by the shipping carrier, weather conditions, or other unforeseen circumstances. Medication is considered dispensed and the order completed when it is signed out for shipping, not when it arrives via delivery.

My continued use of the services constitutes my understanding and acceptance of the above terms, and I give permission for MedFit.Health's third-party pharmacies to ship medication to me at the address provided in my intake form.