The cost for e-Visit is $50 per visit. All services require payment at the time they are delivered.
Waiver / Consent
I authorize the BBHP to perform telehealth services for assessing and diagnosing my medical condition using telecommunications programs.
I confirm that medical professionals can reach me with video calls or audio calls as part of the online sessions.
I acknowledge that in this type of platform technical difficulties may happen which might cause a slight delay or might need rescheduling.
I accept that I can withdraw this waiver any time and it will not affect my situation when I needed care in the future.
I understand that it is my responsibility to provide all necessary information like signs and symptoms, medical history, current condition to the health professional.
I confirm that telehealth services require the collection of personal medical data to the health professional remotely which means they are based on any area.
I confirm that the information I provided here will not be shared with others without my consent.
I confirm that all information I provided in this online session is accurate and true.
***Precautions Please Note***
The COVID-19 (Novel Coronavirus) viral disease was declared as a pandemic by The World Health Organization (WHO) on March 11, 2020. As a result of this rapidly evolving emergency, the need to treat patients are shifting to online platform in some cases, which will be managed by the practice patterns for physicians.
Under the Federal Health Insurance Portability and Transparency Act, patients over 18 years old are covered. This Federal Policy forbids any of Belaray Dermatology's staff members from sharing treatments, drugs, test results or treatment plans with someone other than the patient. Sometimes, this creates difficulties in accessing details for certain patients who would like family members or caregivers. If you want to encourage someone to address your medical condition, confirm appointments or get results for you, please mention their name(s) below. Details will be given only to certain individuals.