Introduction:

This agreement serves to inform the user of the limitations and potential risks associated with telemedicine services provided by TeleUrgentCare. The services offered through this platform are intended for the evaluation and treatment of minor medical conditions and non-emergent chronic conditions.

Patient Authorization:

I, the undersigned patient, hereby grant TeleUrgentCare's medical team full authority and authorization to review my medical history and administer medical services to me via TeleUrgentCare's asynchronous messaging platform. I understand that the communication during the virtual visit may occur through online chat or asynchronous messaging, and that these methods are not as secure as a face-to-face encounter.

Prescription Authorization:

In granting this authorization, I authorize TeleUrgentCare to prescribe an alternative medication if my preferred or selected drug is found to be potentially harmful, unsafe, controlled, dangerous, or results in adverse drug reactions when taken in combination with my existing medication(s).

TeleUrgentCare does NOT prescribe Narcotics, Controlled Substances, certain muscle relaxants or medications requiring monitoring levels.

Conditions of Treatment:

I acknowledge and understand that TeleUrgentCare's services are only intended for the treatment of mild to moderate complexity medical conditions. I further understand that TeleUrgentCare reserves the right to cancel or refuse treatment to patients with complex or life-threatening conditions.

Follow-Up Care Obligation:

I hereby acknowledge and agree to seek follow-up care with my primary physician if my symptoms persist, or to immediately go to the nearest emergency room if my condition worsens. This obligation is binding, and I understand that failure to follow this protocol could result in serious harm to my health.

Voluntary Agreement:

I voluntarily agree to this provision as part of my treatment plan with TeleUrgentCare, and affirm that I have fully understood the terms and conditions outlined in this agreement.

Cancellation and Refund Policy:

I acknowledge and understand that I have the right to cancel my TeleUrgentCare consultation at any time prior to the transmission of my prescription to a pharmacy, and that I am entitled to a full refund in such a case. However, once the medical provider has completed my treatment plan and transmitted my prescription to the pharmacy, I understand that the consultation fee is non-refundable.

Consultation Turnaround Time:

I am aware that TeleUrgentCare strives to complete all consultations within a timeframe of 2 hours, but that turnaround time may be extended due to various reasons, including but not limited to incomplete medical data, technical difficulties, or high patient volume. In the event that I need to cancel my consultation due to such delays, I agree to do so in a timely manner. I understand that my request for a refund will not be entertained if it is submitted after the transmission of my prescription to the pharmacy.

Payment for Medication:

I understand that I still have to pay for medicine at my pharmacy, and that the consultation fee does not cover the cost of the medication. I have been informed that I may use my insurance to cover the cost of the prescription at the pharmacy.

Affirmation of Understanding:

I affirm that I have fully understood the terms and conditions outlined in this agreement, and that I am voluntarily entering into this agreement with TeleUrgentCare.

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2.Payment Agreement ( Payment Page)**************

By completing the payment process, you acknowledge that you have read, understood, and agree to be bound by the Terms and Conditions of TeleUrgentCare related to the usage of this platform.

You hereby affirm that you are at least 18 years of age and provide your consent for services to be rendered by any healthcare provider affiliated with TeleUrgentCare, including but not limited to MDs, PAs, NPs, and DOs.

TeleUrgent Care reserves the right to decline treatment for any reasons it deems necessary, and you acknowledge and accept your right to seek alternative medical care through your primary care provider or any other healthcare provider of your choice.

Please note that due to the limitations inherent to TeleUrgent Care, the provider may only rely on the information provided by the patient and may not conduct a physical examination. Therefore, you agree to follow up with a primary care provider within 2-3 days of your telemedicine visit if there is no improvement in your symptoms or within 1 week for a formal evaluation.

By submitting payment, you authorize TeleUrgent Care to charge your credit card for the specified amount(s). No refunds will be provided for any prescription that has been sent.

3. TELEURGENTCARE  TERMS AND CONDITIONS

Introduction

TeleUrgentCare PLLC provides telemedicine services to adults through its online platform, accessible via website or mobile devices. These Terms and Conditions serve to outline the terms of use for TeleUrgentCare's services, and to inform users of the limitations, potential risks, and obligations associated with telemedicine consultations.

Eligibility

TeleUrgentCare services are only intended for use by adults only. By accessing and using the TeleUrgentCare platform, you represent and warrant that you are 18 years of age or older and have the legal capacity to enter into a binding agreement with TeleUrgentCare.

Services Offered

TeleUrgentCare provides telemedicine consultations for the evaluation and treatment of minor medical conditions and non-emergent chronic conditions. Services are not intended for severe or life-threatening illnesses, and TeleUrgentCare reserves the right to cancel or refuse treatment to patients with complex or life-threatening conditions.

TeleUrgentCare Consultation Process

To access TeleUrgentCare services, you must complete the account registration process, and select the medical condition you wish to consult on. You will then be asked to provide personal medical information and answer a few questions, after which you will make payment for the consultation fee ($49).

TeleUrgentCare's medical providers will review your request and provide a medical recommendation and prescription, if deemed necessary, within a timeframe of 2 hours. The medical provider may prescribe alternative medication if the preferred or selected drug is found to be potentially harmful, unsafe, controlled, dangerous, or results in adverse drug reactions when taken in combination with your existing medication(s).

Consultation Limitations

It is acknowledged and agreed that the treatments provided by TeleUrgentCare are based on clinical judgment without a comprehensive in-person examination, and that the user agrees to follow-up with a physician for a direct in-person evaluation or seek immediate emergency evaluation in the event that their symptoms worsen or do not improve within a reasonable time frame.

The communication during the virtual visit may occur through online chat or asynchronous messaging, and it is understood that these methods are not as secure as a face-to-face encounter. By requesting this consultation, the user acknowledges that personal health information may be vulnerable to hacking or other malicious behavior.

Financial Responsibility

The consultation fee ($49) does not cover the cost of medication, which must be obtained at a pharmacy at the user's own expense. The user is responsible for paying for the medication at the pharmacy, and may use their insurance to cover the cost of the prescription. It is understood that the cost of drugs or limitations imposed by insurance coverage are not considered valid grounds for a refund.

Medication Refund Policy

You may cancel your telemedicine consultation at any time prior to the transmission of your prescription to a pharmacy, and are entitled to a full refund in such case. However, once the medical provider has completed your treatment plan and transmitted your prescription to the pharmacy, the consultation fee is non-refundable.

Consultation Delays

TeleUrgentCare strives to complete all consultations within a timeframe of 2 hours, but turnaround time may be extended due to various reasons, including but not limited to incomplete medical data, technical difficulties, or high patient volume. In the event that you need to cancel your consultation due to such delays, you agree to do so in a timely manner, and understand that your request for a refund will not be entertained if it is submitted after the transmission of your prescription to the pharmacy.