Telehealth Informed Consent

This document explains what it means to receive care through telehealth from MYST Medical PLLC (“MYST”, “the practice”, “we”) and asks for your informed consent to that care. Please read it before you complete intake. By completing intake and requesting care, you acknowledge that you have read, understood, and agree to this consent.

What telehealth is

Telehealth is the delivery of health care using electronic communication rather than an in-person visit. At MYST this includes review of your intake and health history, asynchronous (store-and-forward) clinical review, messaging with the care team, and video or telephone visits where appropriate. A licensed physician directs your care.

The care relationship

• Submitting a signup or intake form is a request for care, not an enrollment or a prescription.
• A physician-patient relationship begins only after you complete intake, are accepted as a member, and a licensed provider takes on your care.
• Some care is asynchronous: a physician may review your intake and decide on your request without a live visit when it is clinically appropriate to do so.
• You may be asked to complete laboratory testing or an in-person evaluation when the physician determines it is needed, and care may be paused until you do.

Benefits of telehealth

Telehealth can improve access to a physician, reduce travel and wait times, and let your care team review your history and coordinate a plan efficiently. It lets a physician screen your request against your own history before anything is offered to you.

Risks and limitations

• A remote visit does not include a hands-on physical examination, so some conditions cannot be fully evaluated by telehealth.
• Clinical decisions depend on the accuracy and completeness of the information you provide. Incomplete or inaccurate information can lead to a wrong or delayed decision.
• Technology can fail. Connections drop, messages can be delayed, and rarely a technical problem could affect the timing of your care.
• In some cases the physician may determine that telehealth is not appropriate and that you should be seen in person or seek a different level of care.
• As with any medical care, there is no guarantee of a particular result.

Prescribing through telehealth

• A prescription is issued only if and when a licensed physician reviews your intake and determines a therapy is appropriate for you. Membership does not entitle you to any particular medication.
• If a therapy is not right for your history, it is not offered to you, and a request may be declined. You will be told when a request is declined and, where appropriate, why.
• Medications we may prescribe include compounded preparations dispensed by state-licensed compounding pharmacies. Compounded medications are not FDA-approved.
• Prescribing is subject to the physician’s clinical judgment and to state and federal law, including limits on prescribing certain medications through telehealth.

Privacy and security of your information

We use reasonable administrative, technical, and physical safeguards to protect your information, and we work with service providers (such as hosting, secure messaging, pharmacy, and payment processors) under confidentiality obligations. No method of electronic transmission or storage is perfectly secure, and we cannot guarantee absolute security. How we collect and use your information is described in our Privacy Policy.

Your rights and your consent

• Your consent to telehealth is voluntary. You may withhold or withdraw it at any time without losing access to other care options.
• Withdrawing consent to telehealth may mean we can no longer provide care remotely, and we will tell you if that is the case.
• You have the right to ask questions about your care, to request that a decision be reviewed, and to seek care in person or from another provider at any time.
• You are responsible for being in a location where the treating physician is licensed at the time of care, and for giving accurate information about who and where you are.

Records

The practice maintains a record of the telehealth care it provides under its clinical policies and applicable law. You may request access to your records as those laws allow.

Costs

MYST is a membership medical practice. It is not health insurance and does not bill insurance. Membership, product, and any applicable fees are described at signup and in our Terms of Use, and refund and shipping terms are in our Refund Policy and Shipping Policy.

Emergencies

Telehealth is not for emergencies. If you believe you are experiencing a medical emergency, do not use this service. Call 911 or go to the nearest emergency room.

Questions

Questions about this consent or your care can be sent to support@myst.med.