Telehealth Informed Consent

Last updated: August 18, 2026

1. What Telehealth Is

Telehealth is the delivery of health care services using electronic communications — such as secure messaging, questionnaires, photos, audio, and video — where the patient and the health care provider are not in the same physical location. Your provider may use telehealth to evaluate your health, make a diagnosis, and, when clinically appropriate, prescribe treatment.

2. Expected Benefits

• Access to licensed medical care without traveling to an office.
• Convenient follow-up and ongoing communication with your care team.

3. Possible Risks

• Your provider does not perform an in-person physical examination, and must rely on the information you provide. Incomplete or inaccurate information can affect your care.
• In rare cases, technical failures may delay evaluation or communication.
• Telehealth may not be appropriate for every condition; your provider may determine you need in-person care and refer you accordingly.
• Because your evaluation is based on the information you submit rather than a hands-on examination, a condition that an in-person visit would have detected may go unrecognised.
• Evaluation or treatment may be delayed if the information you provide is incomplete, or if your provider needs to follow up with you.
• In rare cases, despite our safeguards, a security failure could result in unauthorized access to your protected health information.
• Your state may require additional disclosures, or a live audio or video visit before certain medications can be prescribed. Your provider follows the requirements of the state where you are located, which may mean telehealth alone is not sufficient for your treatment.

4. Not for Emergencies

Telehealth services are not appropriate for medical emergencies. If you believe you are experiencing an emergency, call 911 or go to the nearest emergency room immediately.

5. Your Rights

• You may withhold or withdraw consent to telehealth services at any time without affecting your right to future care.
• You may ask questions about the technology and services before consenting.
• The laws that protect the confidentiality of your medical information apply to telehealth. See our Notice of Privacy Practices.
• You have the right to know the name, licensure, and credentials of the provider evaluating you, and to ask for that information at any time.
• You have the right to request in-person care or a referral instead of telehealth, and to be told if your provider believes in-person care is necessary.
• You have the right to a copy of your medical record, and to have it sent to another provider you name.
• You have the right to be told if anyone other than your provider will take part in a telehealth encounter, and to refuse.
• Your consent covers care delivered through the VIV RX platform only, and you may revoke it at any time by emailing support@vivrx.com. Revoking consent does not affect care you have already received.

6. Prescriptions

No prescription is guaranteed. A licensed provider will evaluate your information and determine, in their independent medical judgment, whether treatment is appropriate for you. Compounded medications are prepared by licensed pharmacies and are not reviewed by the FDA for safety or effectiveness.

7. Consent

By checking the consent box or proceeding with the VIV RX intake process, you acknowledge that you have read and understood this document, and you consent to receive health care services via telehealth from providers made available through the VIV RX platform, operated by Viv Health, Inc.

Questions: support@vivrx.com.

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