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.