Better Health Oasis – Men’s Health Clinic
Effective Date: 01/02/2025
Thank you for choosing Better Health Oasis for your men’s health needs. As part of our
services, we offer telehealth visits for consultations, follow-ups, treatment monitoring,
and management of conditions such as Testosterone Replacement Therapy (TRT),
weight loss, and erectile dysfunction (ED). This Telehealth Informed Consent outlines
the benefits, limitations, and responsibilities associated with receiving medical care via
virtual platforms.
By signing this agreement, you acknowledge that you understand and consent to
participate in telehealth services.

1. Purpose of Telehealth Services
   Telehealth allows you to receive medical care remotely using secure audio and video
   technology. Services may include:
    Initial and follow-up consultations
    Treatment plan reviews (TRT, weight loss, ED)
    Medication management and prescription renewals
    Lab result discussions
    Health and lifestyle coaching
   These visits are conducted via a HIPAA-compliant video platform and are intended to
   supplement, not replace, in-person care when appropriate.
2. Benefits of Telehealth
    Convenience: Access care from home or a private location.
    Time-saving: Reduced travel and wait times.
    Continuity of care: Easier follow-ups and monitoring.
    Privacy: Secure, encrypted communication platforms.
3. Limitations and Risks
   While telehealth is effective for many concerns, it has limitations:
    Physical exams are limited. Your provider cannot perform hands-on assessments
   (e.g., testicular exams, abdominal palpation) virtually.
    Diagnosis may be less accurate without in-person evaluation or immediate
   testing.
    Technology issues (e.g., poor internet, audio/video failure) may disrupt the visit.
    Emergency care cannot be provided. If you experience a medical emergency,
   you must call 911 or go to the nearest emergency room.
    Not all conditions are suitable for telehealth. If your provider determines an in-
   person visit is needed, you will be advised accordingly.
4. Technology Requirements
   To participate in telehealth visits, you must have:
    A smartphone, tablet, or computer with a camera and microphone
    A stable internet connection
    Access to our secure patient portal or video platform (e.g., Zoom for Healthcare,
   Doxy, or similar HIPAA-compliant service)
    Basic digital literacy to navigate the platform
   You are responsible for ensuring your device and environment are private and secure
   during the visit.
5. Privacy and Security
   We use HIPAA-compliant telehealth platforms that encrypt your data to protect your
   privacy. However, no electronic transmission is 100% secure. You agree to:
    Conduct visits in a private, confidential setting.
    Avoid using public Wi-Fi or shared devices.
    Not record the session without prior written consent from Better Health Oasis.

Your medical information will be stored securely in our electronic health record (EHR)
system, just as with in-person visits.

6. Informed Consent and Medical Decision-Making
    You will receive the same standard of care as in-person visits to the extent
   possible.
    Your provider will review your medical history, symptoms, and treatment goals
   before making recommendations.
    You have the right to ask questions, request clarification, and decline any
   treatment recommendation.
    Prescriptions may be issued based on clinical judgment during the virtual visit, in
   compliance with state and federal laws.
7. Emergency and Urgent Situations
   Telehealth is not appropriate for emergencies. If you experience any of the following,
   seek immediate in-person medical attention:
    Chest pain, shortness of breath, or signs of heart attack/stroke
    Severe allergic reaction
    Sudden vision changes or priapism (erection lasting more than 4 hours)
    Severe dizziness, fainting, or confusion
   For non-emergency urgent concerns between visits, contact our office during business
   hours.
8. Costs and Insurance
    Telehealth visit fees are the same as in-person visits unless otherwise stated.
    We do not bill insurance directly for most TRT, weight loss, or ED services (often
   considered wellness or elective).
    Upon request, we can provide a superbill for potential out-of-network
   reimbursement.

 Payment is due at the time of service.

9. Right to Withdraw Consent
   You may discontinue telehealth services at any time and request in-person visits
   instead. Simply contact our office to reschedule.
10. Changes to This Consent
    Better Health Oasis reserves the right to update this Telehealth Consent. You will be
    notified of any changes, and continued participation constitutes acceptance.
11. Acknowledgment and Consent
    By signing below, I confirm that:
     I have read and understand the risks, benefits, and limitations of telehealth.
     I consent to receive medical care via telehealth from Better Health Oasis.
     I understand that I can request an in-person visit at any time.
     I am responsible for ensuring a private, secure environment for my visit.

This telehealth service is available to patients located in [Insert State(s)] at the time of
the visit, in compliance with state medical board regulations.