Informed Consent for Telehealth Services

Introduction

This document provides important information about telehealth services offered through GetPepWell, Inc. ("GetPepWell"). By using our telehealth services, you acknowledge that you have read, understand, and voluntarily consent to receive healthcare services via telehealth technology. Please read this consent carefully before proceeding with any telehealth consultation.

Telehealth involves the delivery of healthcare services using electronic communications, information technology, and other means between a healthcare provider and a patient who are not in the same physical location. This includes the assessment, diagnosis, and treatment of medical conditions through our secure platform.

Nature of Telehealth

Telehealth services at GetPepWell involve real-time audio and video communication between you and a licensed physician. During your telehealth visit, detailed health information may be shared with your treating physician, including medical history, examination findings, test results, and treatment recommendations.

The types of telehealth services offered through GetPepWell include:

• Initial patient consultations for peptide therapy evaluation
• Follow-up visits to monitor treatment progress and adjust protocols
• Prescription management and medication review
• Health questionnaire reviews and medical intake assessments
• Patient education regarding peptide therapies, administration, and safety

Telehealth is not a replacement for in-person care in all situations. Your physician will determine whether telehealth is appropriate for your specific clinical needs.

Benefits of Telehealth

Telehealth services offer a number of potential benefits, including but not limited to:

• Convenience: Access healthcare services from the comfort of your home or any private location with internet access
• Reduced Travel: Eliminate the need for travel to a physician's office, saving time and transportation costs
• Timely Access: Receive medical care more quickly than traditional in-person scheduling may allow
• Continuity of Care: Maintain consistent access to your physician for ongoing treatment management
• Geographic Flexibility: Access specialized peptide therapy physicians regardless of your geographic location within the United States

Risks of Telehealth

As with any healthcare service, there are potential risks associated with telehealth that you should consider:

Technology Limitations

• Technical failures (poor internet connection, audio/video interruptions) may delay or disrupt your consultation
• Electronic systems and safeguards may fail, potentially resulting in a breach of privacy of your health information
• Information transmitted may not be sufficient for appropriate medical decision-making

Clinical Limitations

• The inability to perform a hands-on physical examination may limit the physician's ability to diagnose certain conditions
• Delays in medical evaluation and treatment may occur due to technology limitations
• In rare cases, the physician may determine that the limitations of telehealth prevent them from providing an adequate evaluation, and may recommend an in-person visit with a local provider

Privacy Risks

• Despite reasonable security measures, there is always a risk that electronic communications may be intercepted by unauthorized parties
• You are responsible for ensuring that your environment during a telehealth consultation is private and free from unauthorized listeners

Your Rights

As a patient receiving telehealth services, you have the right to:

• Withdraw Consent: You may withdraw your consent to receive telehealth services at any time, either verbally or in writing, without affecting your right to future care or treatment
• Request In-Person Care: You may request an in-person consultation at any time. Your physician may also recommend in-person care when clinically appropriate
• Access Your Records: You have the right to access your medical records generated during telehealth consultations, subject to applicable law
• Receive Information: You have the right to know the identity and qualifications of the physician providing your telehealth consultation
• Privacy: You have the right to expect that your telehealth consultation will be conducted in a private and secure manner in compliance with HIPAA regulations

Technical Requirements

To participate in a telehealth consultation through GetPepWell, you will need the following:

• A stable internet connection (broadband recommended, minimum 1.5 Mbps upload/download speed)
• A computer, tablet, or smartphone with a current web browser (Chrome, Firefox, Safari, or Edge recommended)
• A functioning camera and microphone (built-in or external) for video consultations
• A private, quiet location where you can speak freely about your health concerns
• A valid email address for receiving appointment confirmations, notifications, and follow-up communications

If you experience technical difficulties during your consultation, please contact our support team at support@getpepwell.com and we will work to reschedule your appointment.

Privacy and Security

GetPepWell is committed to protecting the privacy and security of your health information during telehealth consultations:

• All telehealth sessions are conducted over HIPAA-compliant, encrypted communication channels
• We implement technical safeguards including encryption in transit and at rest, access controls, and audit logging
• Telehealth consultations are not recorded by GetPepWell unless you are specifically informed and provide separate consent
• Your physician may take clinical notes during the consultation, which will become part of your medical record
• All personnel with access to your health information are trained on HIPAA compliance and are bound by confidentiality obligations

For complete details on how we protect your information, please review our Privacy Policy and Notice of Privacy Practices.

Prescriptions via Telehealth

Physicians on the GetPepWell platform may prescribe medications, including compounded peptide therapies, based on the findings of your telehealth consultation. You understand and agree that:

• The decision to prescribe any medication is at the sole discretion of the treating physician
• A telehealth consultation does not guarantee that a prescription will be issued
• Prescriptions will be transmitted electronically to a licensed compounding pharmacy for fulfillment
• You are responsible for following all medication instructions provided by your physician and pharmacist
• Certain medications may be subject to state-specific prescribing rules and restrictions
• New York State requires electronic prescribing for controlled substances as mandated by law

Emergency Situations

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

Examples of medical emergencies include, but are not limited to:

• Difficulty breathing or shortness of breath
• Chest pain or pressure
• Severe allergic reactions (anaphylaxis)
• Loss of consciousness or seizures
• Severe or uncontrolled bleeding
• Sudden numbness, confusion, or difficulty speaking
• Thoughts of self-harm or harming others

If a medical emergency occurs during a telehealth consultation, your physician will advise you to call 911 immediately and may assist in directing emergency services to your location if possible.

State-Specific Requirements

Telehealth regulations vary by state. GetPepWell operates in compliance with the telehealth laws and regulations of each state in which we provide services. Some state-specific considerations include:

• Physicians providing telehealth consultations are licensed in the state where you are physically located at the time of the consultation
• Certain states may require additional consent forms or disclosures, which will be provided to you as applicable
• Some states may impose limitations on the types of medications that may be prescribed via telehealth
• You must be physically located within the United States during your telehealth consultation

Acknowledgment

By proceeding with a telehealth consultation through GetPepWell, you confirm that:

1. You have read and understand this Informed Consent for Telehealth Services
2. You understand the potential benefits, risks, and limitations of telehealth services
3. You voluntarily consent to receive healthcare services through telehealth technology
4. You understand that you may withdraw your consent at any time without penalty
5. You have had the opportunity to ask questions about telehealth, and any questions you had have been answered to your satisfaction
6. You understand that telehealth is not appropriate for medical emergencies and that you should call 911 in case of an emergency

If you have questions about this informed consent document, please contact us at support@getpepwell.com before proceeding with your telehealth consultation.