TELEHEALTH CONSENT

SendSlim ClinicOperated by Affection Health Care LLC

Last Updated: December 12, 2025

Welcome to SendSlim Clinic (“SendSlim,” “we,” “us,” or “our”). This page explains how telehealth works and what it means when you choose to receive care from us by phone or video.

By scheduling or attending a telehealth visit with SendSlim, or by clicking “I Agree” or similar language where shown, you are agreeing to this Telehealth Consent.

1. What Is Telehealth?

“Telehealth” means getting health care when you and your clinician are in different places and use technology to connect.

Telehealth may include:

  • Video visits (seeing and hearing your clinician on screen)
  • Phone visits (hearing your clinician by phone)
  • Secure messages through our patient portal or similar tools
  • Sending or receiving documents, lab results, or pictures electronically

Telehealth can be used for:

  • Evaluating your health and symptoms
  • Diagnosing and treating certain conditions
  • Following up on your progress
  • Giving you education and support about weight loss and related health issues

2. How Telehealth Works

During a telehealth visit, your clinician may:

  • Ask about your health, symptoms, history, and medications
  • Review your intake forms and lab results
  • Ask you to share measurements like weight or blood pressure (if available)
  • Decide whether you need labs, other tests, or medications
  • Create or adjust your treatment plan

Your clinician will rely on:

  • What you say
  • What they can see and hear through video (if used)
  • Information from your records and test results

Because of this, it is important that you:

  • Answer all questions honestly and fully
  • Share any changes in your health, medications, or allergies
  • Let us know if something we said is not clear

3. Benefits of Telehealth

Telehealth may offer benefits such as:

  • Getting care from home, work, or another private location
  • Less time spent traveling or waiting in a clinic
  • Easier follow-up and ongoing support
  • Faster communication in some situations

4. Possible Risks of Telehealth

Telehealth also has some limits and risks, including:

  • Technical problems such as poor internet, dropped calls, or delays
  • Video or audio that is not clear enough for a full exam
  • A small risk of your information being seen or heard by others if technology fails, is misused, or is accessed by someone else
  • Your clinician may not be able to do a full physical exam and may miss something they could find in person

Because of these limits, your clinician may decide that telehealth is not right for you in certain situations. In that case, they may recommend in-person care with a local provider or another setting.

5. Your Location and Provider Licensing

Telehealth laws require that:

  • You must be physically located in a state where your SendSlim clinician is licensed at the time of your telehealth visit.

We may ask you at each visit:

  • What state you are in
  • To confirm your location

If you are not in a state where we are licensed, we may not be able to provide telehealth services to you at that time.

6. Emergencies and Telehealth

Telehealth is not for emergencies.

If you have a medical emergency or urgent symptoms, call 911 or go to the nearest emergency room right away.

Examples of emergencies include (but are not limited to):

  • Chest pain or trouble breathing
  • Severe allergic reaction (such as swelling of the face or throat, trouble breathing)
  • Signs of stroke (sudden weakness, trouble speaking, confusion, loss of vision, severe headache)
  • Sudden, severe pain
  • Thoughts of harming yourself or others

You agree not to use telehealth visits, messages, or email for emergencies or life-threatening conditions.

7. Privacy and Confidentiality

We are committed to protecting your privacy and following health privacy laws.

  • We use platforms and tools designed to be secure and private for telehealth visits.
  • We take steps to protect your information with technical, administrative, and physical safeguards.
  • We will not record audio or video of your telehealth visit unless we clearly tell you and you agree.

You can help protect your privacy by:

  • Joining visits from a quiet, private place
  • Using your own device and a secure internet connection when possible
  • Not letting others see or hear your screen unless you want them involved in your care

Our use and protection of your information is also described in our Notice of Privacy Practices and Privacy Policy, which are available on this website.

8. Technology Requirements and Limitations

To use telehealth, you may need:

  • A smartphone, tablet, or computer
  • A working camera and microphone for video visits
  • A reliable internet or phone connection
  • Updated software, apps, or browsers

You understand that:

  • You are responsible for the cost of your device, data, and internet service.
  • Technical problems can happen and may interrupt or stop a visit.
  • If a visit cannot be completed due to technical issues, we may need to reschedule or use a different method (such as switching from video to phone) when appropriate and allowed.

9. Alternatives to Telehealth

You do not have to use telehealth.

  • You may choose to seek in-person care from a local provider instead.
  • We may suggest or recommend in-person care if we believe it would be safer or more appropriate for your situation.

If you choose not to use telehealth, it may delay care from SendSlim if we do not have a physical clinic near you.

10. Medications, Labs, and Treatment Decisions

As part of telehealth services, your clinician may:

  • Order lab tests or other diagnostic tests
  • Review results and adjust your plan
  • Recommend or prescribe medications if they believe it is safe and appropriate

You understand that:

  • Not every patient will receive medication.
  • No specific medication, including weight-loss medications or GLP-1 medicines, is guaranteed.
  • Medication decisions are made by the clinician using their professional judgment, your history, exam, lab results, guidelines, and the law.
  • You are responsible for reading medication instructions, asking questions if something is unclear, and taking medications exactly as prescribed.
  • If you have side effects, new symptoms, or concerns, you should contact us or another provider promptly. For severe or dangerous symptoms, call 911 or go to the emergency room.

11. Financial Responsibility

You understand and agree that:

  • You are responsible for paying for telehealth visits, programs, and other services according to our current fees and policies.
  • Labs, medications, devices (such as smart scales), and other services may have separate costs.
  • Insurance coverage for telehealth or weight-loss services may vary by plan and by state.
  • If you seek reimbursement from your health plan, we cannot guarantee what they will cover or pay.

Current pricing and refund rules are described on our website and in our Refund & Cancellation Policy.

12. Electronic Communications

We may use different kinds of electronic communication as part of your telehealth care, including:

  • Patient portal messages
  • Secure chat or messaging tools
  • Email (for limited, non-urgent topics)
  • Text messages (SMS) for reminders and simple notices
  • Phone calls or voicemail messages

You understand that:

  • Standard message, data, and internet charges may apply.
  • While we take steps to protect your information, email and text are not always as secure as encrypted portals.
  • You should not send urgent or very sensitive medical information by regular email or text. Use the patient portal or call the clinic instead.

13. Your Rights

You have the right to:

  • Ask questions about telehealth at any time.
  • Ask us to explain anything in this consent that you do not understand.
  • Decline or stop telehealth services at any time, without taking away your ability to seek other care that is available and appropriate.
  • Request a copy of this Telehealth Consent and of our Notice of Privacy Practices.

If you withdraw your consent for telehealth, it will not change care that has already been provided, but it may affect our ability to continue treating you through SendSlim if telehealth is our primary way of providing services.

14. Your Consent to Telehealth

By using our telehealth services, scheduling or attending a telehealth visit, or clicking “I Agree” or similar language where shown, you acknowledge and agree that:

  • You have read and understand this Telehealth Consent.
  • You understand what telehealth is, including its possible benefits and risks.
  • You have had the chance to ask questions, and your questions have been answered to your satisfaction.
  • You agree to receive medical care from SendSlim Clinic using telehealth, when appropriate and allowed by law.
  • You understand that you may stop using telehealth at any time by contacting us, but that this may affect our ability to continue providing care through SendSlim.

If you are using telehealth on behalf of another person (for example, a legal guardian for a patient), you confirm that you have the legal authority to do so.