1. I hereby authorize DexaMD LLC to use the telehealth practice platform for telecommunication for evaluating, testing and diagnosing my medical condition.
2. I understand that technical difficulties may occur before or during the telehealth sessions and my appointment cannot be started or ended as intended.
3. I accept that the professionals can contact interactive sessions with video call; however, I am informed that the sessions can be conducted via regular voice communication if the technical requirements such as internet speed cannot be met.
4. I agree that my medical records on telehealth can be kept for further evaluation, analysis and documentation, and in all of these, my information will be kept private.
5. I understand that my medical history and labs may prevent me from particiapating in a weight loss program. The cost of medications and labs will be discussed during telemedicine appointment.
6. I agree that I have been FULLY educated on any of the medications prescribed, and have had every question I had answered. In addition, I understand that I'm not to accelerate the dosing protocol that has been provided on the medication contatiner and the website under any circumstance. I will not hold DexaMD LLC responsible for any complications that may arise should I go against the defined dosing protcol.