Terms & Conditions
Telehealth Informed Consent
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I. Introduction
You are reviewing and acknowledging this Telehealth Informed Consent because you or a minor under your authority is seeking Health Care Services utilizing telehealth technologies by the Glutality Provider Group facilitated through the StrideMD website, iOS mobile app, web mobile app, or other telehealth technologies collectively the "StrideMD Platform." This Telehealth Informed Consent does not modify or supersede any Terms of Use, Privacy Policy, or Notice of Privacy Practices of StrideMD or the Providers, rather it supplements these terms and documents.
By creating an account, starting a consult, clicking "I consent to telehealth," checking a related box to signify your acceptance, or using any other acceptance protocol presented through the StrideMD Platform, you indicate that you have reviewed the risks as described herein of receiving services utilizing telehealth technologies and consent to receiving the services. A record of this Telehealth Informed Consent is maintained in the files and records of the applicable Provider delivering your services, and your ongoing participation in services by the Glutality Provider Group using telehealth technologies serves as an ongoing acknowledgment of your acceptance of this Telehealth Informed Consent and updates at such time the representations you provide herein.
Glutality Provider Group refers to a network of medical professional organizations affiliated with StrideMD and their employed and contracted health providers (the "Providers").
II. What is Telehealth?
Telehealth involves the delivery of health and wellness services using electronic communications, information technology, or other means between a licensed, certified, or registered healthcare professional at one location and a patient in another location about a clinical matter. Telehealth may be used for diagnosis, treatment, follow-up, and/or patient education. These telehealth services may involve various modalities, including asynchronous interactions, real-time video and audio encounters, interactive audio and interactive audio with store and forward. This "Telehealth Informed Consent" informs the patient or guardian ("patient," "you," or "your") concerning the treatment methods, risks, and limitations of utilizing telehealth to meet your health and wellness needs.
III. What are the Possible Benefits of Telehealth?
It can be easier and more efficient for you to access health and wellness services. You can obtain health and wellness services at times that are convenient for you without the necessity of an in-office appointment, including follow-up care related to your treatment. If you need follow-up care, please contact us through the StrideMD Platform or the StrideMD call center at 1-855-739-1627 (M-F 9AM - 5PM ET).
IV. What are the Possible Risks of Telehealth?
Information transmitted to your health professional may not be sufficient to allow for appropriate health or wellness services to meet your particular need. Some clinical needs may not be appropriate for a telehealth visit, and your Provider will make that determination. The technology necessary to interact with your health professional may fail and delay your services. If a technical failure prevents you from communicating with your Providers, you should call the following number: Phone: 855-739-1627 (M-F 9AM - 5PM ET). As all data exchanged is in a digital format, a data breach enables increased access to your health data. In rare events, a lack of access to complete medical records, and/or the quality of transmitted data could result in adverse drug interactions, allergic reactions, and/or other clinical judgment errors. You may stop or decline any ongoing Health Care Services provided by Glutality Provider Group using telehealth technologies at any time, although you acknowledge that applicable fees may apply if a medical consultation has occurred prior to a request to cancel services, and Glutality Provider Group has no obligation for your ongoing care or selection of separate health care services in such circumstances.
LABORATORY PRODUCTS AND SERVICES To facilitate certain Health Care Services provided to you, Providers may require that you complete diagnostic test(s). These diagnostic tests are provided by third-party laboratories, and neither StrideMD, Glutality Provider Group, nor your Provider(s) can guarantee the accuracy or reliability of these tests. These laboratory tests can provide false-negative, false-positive, or inconclusive results that could impact your Provider(s) ability to correctly diagnose or treat your medical conditions. A failure or defect of these tests could also impact your Provider(s) ability to correctly diagnose or treat your medical conditions.
V. Patient Acknowledgments
By accepting this Telehealth Informed Consent, you acknowledge you understand and consent to the following:
1. I have reviewed this Telehealth Informed Consent carefully and understand there are risks, limitations, and benefits of utilizing telehealth.
2. I understand that the electronic nature of the telehealth services means that there is a greater risk to the privacy of my health information.
3. In some cases, my Provider may be a nurse practitioner or physician assistant and not a physician.
4. Persons may be present during the telehealth visit other than my Provider to operate the telehealth technologies and/or for language translation assistance if requested. If another person is present during the telehealth visit, I will be informed of the individual's presence and his/her role.
5. I understand that information I provide as part of any telehealth offering is viewed as accurate, true, and complete. I understand that I can contact StrideMD at the following number: Phone: 855-739-1627 (M-F 9AM - 5PM ET) to access, amend, or review my health information.
6. I understand that in certain instances, and in compliance with applicable law, my Provider may determine that it is appropriate to provide my Health Care Services asynchronously via store-and-forward technology. In such instances, my Provider and I will communicate electronically through the StrideMD Platform and not via telephone or video. I agree that if my provider makes that determination, I would like to receive Health Care Services in this manner.
7. I understand that there is no guarantee that I will be given a prescription, and the decision of whether a prescription is appropriate will be made in the professional judgment of my Provider. I understand that while the use of telehealth may provide benefits to me, no such benefits or specific results can be guaranteed, and my condition may not improve.
8. I understand there is a risk of technical failures during the telehealth encounter beyond the control of Glutality Provider Group and my Provider(s). I AGREE TO HOLD HARMLESS GLUTALITY PROVIDER GROUP AND ITS EMPLOYEES, CONTRACTORS, AGENTS, DIRECTORS, MEMBERS, MANAGERS, SHAREHOLDERS, OFFICERS, REPRESENTATIVES, ASSIGNS, PREDECESSORS, AND SUCCESSORS, INCLUDING STRIDEMD AND ITS EMPLOYEES, CONTRACTORS, AGENTS, DIRECTORS, MEMBERS, MANAGERS, SHAREHOLDERS, OFFICERS, REPRESENTATIVES, ASSIGNS, PARENTS, PREDECESSORS, AND SUCCESSORS FOR DELAYS IN EVALUATION OR FOR INFORMATION LOST DUE TO SUCH TECHNICAL FAILURES.
9. I understand that certain diagnostic testing services, including laboratory products and services offered through the StrideMD Platform to support the Health Care Services of Providers, may contain defects, which may limit functionality or produce erroneous results, any or all of which could affect the quality, accuracy, and/or effectiveness of the medical care or other services that I receive from my Provider(s).
10. I understand the StrideMD Platform provides a specific set of services, and I may need to seek other resources for my additional health needs. There is no guarantee that I will be treated by a Provider. My Provider reserves the right to deny care for any reason if, in the professional judgment of my Provider, the provision of the services, including when provided via telehealth, is not medically or ethically appropriate. I understand that the Providers, and not StrideMD or the Glutality Provider Group, are responsible for the quality and appropriateness of the care they provide to me and make all decisions regarding clinical care independently without the influence of StrideMD or the Glutality Provider Group. I agree to only seek relief against the Provider for any liabilities pertaining to medical or clinical issues arising as a direct result of medical or clinical services accessed through StrideMD.
11. I understand that by using the StrideMD Platform, I am not always speaking or messaging with my Provider in real-time, and there may be a delay before my messages or information are reviewed. I understand that I must check the StrideMD Platform for messages because this is how my Provider will communicate important information to me. I understand that if I do not check the StrideMD Platform regularly, my services may be delayed.
12. I understand that I have the opportunity to discuss the use of telehealth, including the Health Care Services, with my Provider(s), including the benefits and risks of such use and the alternatives to the use of telehealth. I have the right to withdraw my consent to the use of telehealth in the course of my care, without prejudice to any future care or treatment and without risking the loss or withdrawal of any health benefits to which I am entitled, but I understand that the Providers who provide Health Care Services via the StrideMD Platform do not offer in-person treatment.
13. I understand that I can access my medical record pertaining to the Health Care Services of Providers by contacting StrideMD at 855-739-1627 in accordance with applicable laws and regulations, and that my primary care provider, or other treating provider, may obtain copies of my health and wellness information with my consent.
14. I understand that while the StrideMD Platform may make available access to pharmacy or diagnostic lab services that are coordinated with the Health Care Services, I am able to request any pharmacy or lab of my preference.
15. I agree that StrideMD is a third-party beneficiary of the Telehealth Patient Consent and has the right to enforce it against you.
VI. Additional State-Specific Disclosures
The following disclosures apply to users accessing the StrideMD Platform for the purposes of participating in a telehealth visit as required by the states listed below:
Iowa: I have been informed that if I want to register a formal complaint about a provider, I should visit the medical board's website, here:https://medicalboard.iowa.gov/consumers/filing-complaint.
Kentucky: I have been informed that if I want to register a formal complaint about a provider, I should visit the medical board's website, here: https://kbml.ky.gov/grievances/Pages/default.aspx.
Maine: I have been informed that if I want to register a formal complaint about a provider, I should visit the medical board's website, here:https://www.maine.gov/md/complaint/file-complaint.
New York: I have been informed that to get information regarding your rights and how to report professional misconduct, I should visit, here: https://www.health.ny.gov/professionals/doctors/conduct.
Oregon: I have been informed that if I want to register a formal complaint about a provider, I should visit the medical board's website, here: https://www.oregon.gov/omb/investigations/pages/how-to-file-a-complaint.aspx.
Rhode Island: I have been informed that if I want to register a formal complaint about a provider, I should visit the medical board's website, here: https://health.ri.gov/complaints/.
Texas: I have been informed of the following notice:
NOTICE CONCERNING COMPLAINTS- Complaints about physicians, as well as other licensees and registrants of the Texas Medical Board, including physician assistants, acupuncturists, and surgical assistants may be reported for investigation at the following address: Texas Medical Board, Attention: Investigations, 333 Guadalupe, Tower 3, Suite 610, P.O. Box 2018, MC-263, Austin, Texas 78768-2018, Assistance in filing a complaint is available by calling the following telephone number: 1-800-201-9353, For more information, please visit our website
Vermont: I have been informed that if I want to register a formal complaint about a provider, I should visit the medical board's website, here: https://www.healthvermont.gov/health-professionals-systems/board-medical-practice/file-complaint; or Board of Osteopathic Examiners can be found at: https://sos.vermont.gov/opr/complaints-conduct-discipline/
Wyoming: I have been informed that if I want to register a formal complaint about a provider, I should visit the medical board's website, here: https://medicalboard.iowa.gov/consumers/filing-complaint
