New Patient Registration — Thrive Integrative Health

Recommended labs should be completed within 3 weeks of starting therapy.

CONSENT FOR TELEHEALTH CONSULT I understand that participation in telemedicine is voluntary. I understand that video and phone visits may have limitations compared with an in-person visit, but may also offer benefits such as improved access, lower cost, and convenience. I understand that telehealth involves potential risks, including interruptions, unauthorized access, and technical difficulties, and that I may discontinue the visit if the connection is inadequate. I understand that healthcare information may be shared as needed for scheduling, billing, and related administrative purposes. I understand that I may have companions present during a telehealth visit if disclosed, and I may request privacy accommodations. I understand that in-person care is an alternative. I understand that a telehealth visit has limitations for physical examination. I understand that this service is not for emergencies, and I should call 911 or go to the nearest emergency room or urgent care for any emergency. I agree not to share any telehealth login information or video links with anyone who is not authorized. I certify that I have read this form or had it explained to me, and that I had the opportunity to ask questions. I agree to hold Thrive Integrative Health LLC and its providers harmless and indemnified from claims related to this telehealth consultation, and I acknowledge that I am aware of the potential side effects associated with hormone therapy, testosterone replacement therapy (TRT), peptide therapy, erectile dysfunction medications, and medications for weight management, and I accept the associated risks.