Regenova Wellness Solutions

Telehealth Consent Agreement

Regenova Wellness Solutions

This Telehealth Consent explains how Regenova Wellness Solutions (“Regenova,” “we,” “our”) provides clinical services through secure telecommunication technologies. By using our telehealth services, you acknowledge and agree to the following:

1. Nature of Telehealth Services

Telehealth involves the use of electronic communications to enable healthcare providers to deliver clinical services remotely. This may include:

  • Intake forms and medical questionnaires

  • Video consultations

  • Secure messaging

  • Electronic prescribing

  • Remote monitoring and follow‑up

2. Benefits & Risks

Potential benefits:

  • Increased access to licensed clinicians

  • Convenience and reduced travel

  • Faster evaluation and treatment

Potential risks:

  • Technical failures or interruptions

  • Delays due to equipment or connectivity issues

  • Limited physical examination

3. Your Responsibilities

You agree to:

  • Provide accurate, complete medical information

  • Use a private, secure location during telehealth visits

  • Follow clinician instructions and treatment plans

  • Seek emergency care when needed

4. Privacy & Security

Regenova uses HIPAA‑compliant systems to protect your information. Despite safeguards, electronic communication may carry residual risks.

5. Consent to Treatment

By proceeding, you consent to:

  • Telehealth evaluation and treatment

  • Electronic transmission of medical information

  • Electronic prescribing when clinically appropriate

6. Right to Withdraw

You may withdraw consent at any time by contacting us. This will not affect your right to future in‑person care.

If you do not agree to this Telehealth Consent, do not use our telehealth services.