Telemedicine Consent

1. What a Telemedicine Visit Involves

Telemedicine means receiving clinical care through electronic communication, without an in-person appointment. Every visit on Teleways Rx begins with a structured medical intake that you complete in writing, and a physician holding a license in your state reads the finished file before making any decision about prescribing. Whether your visit also includes a live consultation depends on the medication and on the state you are in.

In practical terms, this means:

• Where state law allows it, the physician can complete your visit from your written intake, with no appointment to book.
• Where your state requires a real-time consultation before a prescription can be written, the physician holds a live video or audio consultation with you first, and no prescription is written without it.
• The physician reads all of your intake before reaching a decision. Follow-up questions, if any, arrive on the platform.
• Should the physician conclude that you need an in-person examination, or decide that treatment would not be clinically appropriate for you, you will be told through the platform and no prescription will be written.

2. The People and Companies Behind Your Care

Your visit is carried out by a board-certified physician who works independently within the LocumTele network and holds an active license issued by the state you are located in. Teleways Rx is the telemedicine platform that links you to this care. It neither practices medicine nor directs clinical decisions, and it pays no one for issuing a prescription. Our partnership agreement is with Remedora Inc., our pharmacy and fulfillment partner. Remedora Inc. works with LocumTele, which provides the physician network, medical oversight and license checks for every visit, and with Rush Pharmacy, the state-licensed pharmacy that dispenses and ships every prescription issued here. Once a prescription is written, Remedora Inc. routes it to Rush Pharmacy, which applies its own professional judgment and whose name appears on your paperwork and your package. Only physicians write prescriptions on this platform.

3. What Telemedicine Can Offer You

For the kind of care available here, telemedicine brings some genuine benefits:

• You can reach a licensed physician without traveling or taking time off work.
• You can expect a shorter wait than many in-person options involve.
• The structured intake tends to record your history in more detail than a short appointment would.
• Your physician's reasoning is written down, so you can look back at it later.
• Your medication comes from a licensed pharmacy and is delivered to your door discreetly.

4. Limitations and Risks

Please be aware of the following before you give consent:

• Your physician cannot examine you in person, and some conditions can only be assessed safely with a physical examination, imaging or lab tests.
• The assessment depends on what you report being accurate and complete. Missing or wrong information can result in an incorrect assessment or a recommendation that is not safe for you.
• A condition could be overlooked or misdiagnosed, and you might be directed to in-person care rather than treated online.
• Technology does not always work. Outages, delays or transmission errors can interrupt your care or hold it up.
• Reasonable safeguards are in place, but sending or storing health information electronically always carries some risk.
• Telemedicine is the wrong route in an emergency.

5. Emergencies

Call 911 right away, or head straight to the nearest emergency room, if you have a medical emergency, such as chest pain, difficulty breathing, heavy bleeding, thoughts of hurting yourself or another person, a severe allergic reaction or a possible overdose. This platform must not be used to seek emergency or urgent care, and in-person care should never wait while you hold out for a reply online.

6. The States Where You Can Use It

Telemedicine rules are set by each state. That means the physician completing your visit must be licensed by the state you are physically in at that time. You can use our services in every U.S. state except California. The District of Columbia, Puerto Rico and the other U.S. territories are outside our service area, and nothing is shipped to an address outside the United States. You must be truthful about the state you are in. If the location you give is wrong, the visit may be invalid, and a pharmacy may not be able to lawfully dispense a prescription that comes from it.

7. A Prescription Is Never Guaranteed

Agreeing to telemedicine does not mean you have been approved for treatment. A prescription is written only when your physician judges treatment to be medically appropriate in your case. Your physician may instead decline, ask you for further information, require a live visit first, or refer you elsewhere. Any visit fee covers that professional judgment and does not buy a particular result.

8. Compounded Medications and Off-Label Use

The medications described on this site are dispensed as compounded preparations. Compounding means a licensed pharmacy prepares a medication for one particular patient, and the result is not FDA-approved: the FDA does not verify its safety, effectiveness or quality before it is marketed. Off-label prescribing is a separate idea. It describes a physician lawfully prescribing an FDA-approved medication outside the uses the FDA has evaluated. If either one is true of a medication you are thinking about, your physician will explain it before you decide, and that medication's page on this site says so in plain terms.

9. What We Ask of You

By consenting to telemedicine, you accept some responsibilities. You agree to give complete, accurate and up-to-date information about your health history, the medications and supplements you take, your allergies and your symptoms. You also agree to tell your physician about any change in your condition or any side effect, to take medication as your pharmacy label directs, to keep medication dispensed to you for your own use, and to get in-person care whenever you are advised to.

10. Rights You Keep

Throughout your care, these rights remain yours:

• Your consent to telemedicine can be withdrawn at any point, and withdrawing it will not affect your right to future care.
• In-person care remains an option you can ask for, even if it is not something we can provide directly.
• You can question your physician about your assessment, the treatment proposed and the alternatives, and you should get an answer you can understand.
• A copy of the records from your visit is available to you on request.
• You are free to turn down any treatment that is recommended.

11. Your Records and Privacy

The physician who treats you keeps the records of your visit, and if medication is dispensed, the dispensing pharmacy keeps a record too. Each does so under the privacy and record-retention rules that apply to it as a HIPAA-covered entity. Our Privacy Policy explains how Teleways Rx, Remedora Inc. and LocumTele handle your information when they operate the platform or act as business associates. Rush Pharmacy, the pharmacy that dispenses your medication, follows its own privacy practices. The physician and the pharmacy will each give you their Notice of Privacy Practices directly.

12. If You Have a Side Effect

Even if it seems minor, report any unexpected reaction or side effect to your care team so that the prescribing physician and the dispensing pharmacy have it on record. For a severe reaction, such as chest pain, fainting, trouble breathing, a serious rash, or swelling in your face, lips or throat, call 911 or get to the nearest emergency department before anything else. You can also report straight to the FDA's MedWatch program, by calling 1-800-FDA-1088 or through the FDA website, whenever you choose and without going through us. For every way to report, in full detail, see the Patient Safety & Complaints page.

13. Your Visit Record

Your medical record will include the answers you gave in your intake and the notes your physician makes, including notes of any live consultation. You can ask for a copy of that record whenever you wish.

14. Questions Before You Start

If any part of this consent is unclear, contact us at help@telewaysrx.com or +1 (833) 627-2163 before you begin a visit, or bring it up with your physician when your visit starts. As part of the visit, your physician will also check that you consent.