Telehealth informed consent
Last reviewed: Pending attorney review
This page is a preview of our telehealth informed consent so you know what to expect. The binding consent you sign at intake — inside the patient portal — is the operative document.
Attorney + Medical Director draft required before launch.
Replace with your final, attorney-reviewed telehealth informed consent. Ensure it discloses: the nature of
telehealth, technology used, the synchronous video requirement (FL §456.47), risks and benefits of
telehealth specifically and HRT specifically, alternatives, what information will be shared and with whom,
patient rights, recording policy, emergency protocol, when in-person care is recommended, complaint
process, and applicable state laws.
Plain-language summary (for orientation only)
- You will meet a Florida-licensed clinician via private video.
- Florida law requires this real-time visit before any prescribing.
- Telehealth is not appropriate for emergencies — call 911 if needed.
- Your clinician may decide an in-person visit is more appropriate, and will refer you accordingly.
- Visits and records are stored in our HIPAA-compliant patient portal.
- You may withdraw consent at any time and discontinue care without penalty.