EFFECTIVE AS OF 04/01 2025

Telehealth Informed Consent

🚨 Important Notice

Do NOT use this platform for medical emergencies.
If you are experiencing a life-threatening emergency, please call 911 or go to the nearest emergency room immediately.

By continuing to use VivioMD’s platform and services, you are providing your informed consent to receive healthcare services via telehealth. Please review the following:

What is Telehealth?

Telehealth involves the use of electronic communications (e.g., video, audio, messaging, digital forms) to deliver healthcare services remotely. Services may include:

- Diagnosis and treatment
- Medication prescriptions
- Health counseling and education
- Lab orders and medical follow-up

Benefits of Telehealth

- Easier access to care from your location
- Greater convenience and flexibility
- Continuity of care between in-person and remote services

Risks and Limitations

- Potential misdiagnosis due to limited physical assessment
- Possible technology failure (e.g., dropped calls, poor video/audio quality)
- Security risk despite encryption and safeguardsProvider may be unable to prescribe or treat depending on your condition or location

Your Rights

- You may withhold or withdraw consent at any time without penalty
- You may request alternate in-person care if available
- You may ask questions and receive clear answers before agreeing to treatment

Data Privacy and HIPAA

- VivioMD and its medical group partners comply with the Health Insurance Portability and Accountability Act (HIPAA)
- Your health information is encrypted and stored securely
- Your data may be used as described in our Privacy Policy and the affiliated providers’

Consent Acknowledgment

By continuing:
- You confirm you have read and understand this consent
- You consent to receive healthcare services via telehealth from our affiliated providers using the VivioMD platform
- You understand this consent becomes part of your medical record


Questions? Email us at info@viviomd.com