Please read this consent before starting a consultation. By checking the consent box during intake, you confirm that you have read and understood it, have had the chance to ask questions, and agree to receive care through telehealth.
What telehealth is
Telehealth is the delivery of health care services using electronic communications, including secure online questionnaires, messaging, photos, and video or phone visits, when you and your provider are not in the same place. Your care is provided by an independent provider in the LocumTele network who is licensed in the state where you are located. Zorlo provides the technology platform and is not a healthcare provider.
Possible benefits
- Access to care without travelling to an office.
- More convenient scheduling and follow-up.
- Private, secure communication with your care team.
Possible risks and limits
- Your provider cannot perform a physical exam, which may limit the information available to make a diagnosis.
- Information you send may be incomplete or of poor quality (for example, unclear photos), which could delay care or lead to an incorrect assessment.
- Technical failures may interrupt or delay a consultation.
- Although we use strong security safeguards, electronic communications carry a small risk of unauthorized access.
- Your provider may decide that telehealth is not right for you and refer you for in-person care.
Your responsibilities
- Give complete, accurate and truthful information about your health, medications, allergies and medical history.
- Be physically located in the state you list during your consultation.
- Tell your provider about side effects, new symptoms or changes in your health.
- Follow your provider's instructions, including advice to seek in-person or emergency care.
- Keep a primary care provider informed of the treatment you receive, where possible.
Prescriptions
Your provider decides, using independent clinical judgment, whether any prescription is appropriate. Prescriptions are not guaranteed. If a compounded medication is prescribed, your provider will explain that compounded medications are prepared by a licensed pharmacy for individual patients and that the FDA does not approve compounded medications or verify their safety, effectiveness or quality.
Not for emergencies
Telehealth through Zorlo is not for medical emergencies. If you have chest pain, an erection lasting more than four hours, sudden vision or hearing loss, trouble breathing, or any other emergency, call 911 or go to the nearest emergency room.
Privacy
Your health information is protected as described in our Privacy Policy and Notice of Privacy Practices. Consultations are not recorded unless you are told in advance.
Your rights
You may withdraw this consent at any time before or during treatment, without affecting your right to future care, by emailing support@zorlo.co. You may request a copy of your medical records as described in the Notice of Privacy Practices.
Acknowledgement
By agreeing to this consent, you confirm that you are at least 18 years old, that you understand the information above, and that you voluntarily consent to receive health care services through telehealth.