Telehealth Consent – Urology Video Visit Patient Rights

Telehealth Consent – Understanding Your Rights

Before starting a telemedicine consultation with Urology Video Visit, you must review and agree to the following:

1. Nature of Telemedicine

• Telehealth involves the use of secure video technology to deliver healthcare.
• You may not receive the same physical examination as in-person care.

2. Benefits

• Convenient access from home
• Faster consultation times
• Access to licensed providers

3. Risks

• Technical failures (internet disruptions)
• Possible limitations in diagnosis without in-person testing
• Rare security/privacy risks (despite HIPAA safeguards)

4. Alternatives

• You may seek in-person medical care at any time.

5. Consent

By proceeding, you consent to:

• The use of telehealth for your evaluation and treatment
• The electronic sharing of your medical data for care delivery
• Receiving prescriptions only when medically appropriate

👉 You may withdraw consent at any time by contacting us.