Consent to Telehealth Services

You have reviewed this Consent to Telehealth Services with respect to the provision of healthcare services from iCareBetter MSO Corp.’s (iCareBetter MSO) contracted healthcare entities, including but not limited to Vasilev, M.D., P.C. (collectively “Medical Groups”) and their affiliated medical providers (“Providers” or “Provider”) (Medical Groups and Provider/s collectively, iCareBetter MSO’s Affiliated Providers). You understand that this consent is supplemental to the Terms of Service

By checking the box in the registration flow associated with this Consent to Telehealth Services, you consent to the following:

  1. You consent to receiving medical services via telehealth. You understand that, where appropriate, care via telehealth includes a medical examination, consultation via electronic means, and the potential diagnosis and treatment of a medical condition.
  2. You recognize that your Provider may deem telehealth inappropriate for your specific case. You further understand that there is no guarantee that you will be prescribed any specific medication, and that any prescription or course of treatment is up to the medical and professional judgment of your Provider.
  3. You understand that you can withdraw your consent for telehealth at any time without affecting your rights to future care, provided that you follow all applicable terms of service.
  4. You understand that iCareBetter MSO’s Affiliated Providers use various security protocols, including, but not limited, to (a) maintaining network physical safeguards applicable for each system used to access, transmit, receive and store PII, PHI and or sensitive company data to ensure that appropriate security is maintained and that access is restricted to authorized employees; (b) physical access rules to limit physical access to PHI, PII and or sensitive company data and the physical location(s) in which such systems are housed; and (c) procedures stating how all media containing PHI, PII and or sensitive company data, will be disposed of in a manner that destroys the data and does not allow unauthorized access to the data.
  5. You understand that a Provider will be assigned to you. You can request a different, appropriately-licensed Provider, and you have the right to review the credentials of your assigned Provider or a Provider of your choice.
  6. You understand that you can request a copy of your medical records be sent directly to your primary care provider or be released directly to you by contacting your Provider to arrange for such transmission. 
  7. You understand that treatment via telehealth is a choice. Treatment via telehealth has benefits, including: ease of scheduling, the ability to access your health records via an online portal, the ability to, a more seamless experience. Treatment via telehealth also has limitations and risks, including the (i) inability to have face-to-face, in person contact between a provider and a patient; (ii) the potential for data breach; and (iii) the lack of a comprehensive, previously existing medical file from your in-person provider, which may have provided additional insights to treatment options.
  8. You understand that in-person care is an alternative to telehealth and that not all conditions are suitable for telehealth. You also understand that telehealth is not the right modality of treatment for all patients, some of whom prefer in-person providers.
  9. If you are experiencing a medical emergency, you understand that you should contact 9-1-1 or go to the nearest emergency room. You will not use iCareBetter’s platform for emergency medical services. You understand that you should disclose to your Provider if you have received emergency medical services. 

What is Telehealth?

Telehealth is the provision of medical and healthcare services in which the patient and medical provider are not in the same location. To effectuate the provision of medical services in such circumstances, healthcare providers utilize technology, such as diagnostic tools, audio communication, visual communication, and or store-and-forward technology. In some cases, telehealth services are performed synchronously (i.e., with the patient and provider interacting in real time) and in other cases telehealth services are performed asynchronously (i.e., with the patient and provider interacting at different times). Telehealth includes the creation and or transmission of an electronic patient medical record. Not all conditions are suitable for treatment via telehealth. 

Additional Notices to Patients of the Following States:

California: You consent to the treatment of telehealth and you evidence your consent via this electronic format. Medical doctors are licensed and regulated by the Medical Board of California. To check up on a license or to file a complaint go to www.mbc.ca.gov, email: licensecheck@mbc.ca.gov, or call (800) 633-2322. For more information visit the California Medical Board’s Notice to Consumers website.