Telehealth Disclosure & Consent

This disclosure explains how LiteWell delivers care through telehealth, including the benefits, risks, and limitations, so you can make an informed decision about receiving care remotely. 

Telehealth involves the use of electronic communications, information technology, and other remote technologies to provide clinical healthcare services at a distance. LiteWell utilizes telehealth platforms to facilitate patient care, including consultations, follow-up visits, and care coordination.

Telehealth may include, but is not limited to:

Telehealth services are designed to improve access to care, enhance convenience, and support continuity of care while maintaining clinical standards.

Through telehealth, LiteWell providers may:

However, telehealth does not replace all in-person care. Providers may determine that an in-person evaluation is necessary to ensure safe and effective treatment.

Potential benefits of telehealth include:

Telehealth may improve overall patient experience and engagement in care.

Telehealth carries certain risks and limitations, including but not limited to:

You acknowledge that no technology is completely secure and that there is a possibility of unauthorized access despite reasonable safeguards.

Telehealth services are provided in accordance with the laws and regulations of the state in which the patient is physically located at the time of the encounter.

You understand and agree that:

You are responsible for accurately reporting your physical location at the time of each visit.

To comply with legal and regulatory requirements, LiteWell may require verification of your identity and physical location prior to or during telehealth encounters.

You agree to provide accurate and truthful information regarding:

Failure to provide accurate information may result in denial of services.

Certain medications, including controlled substances, may be subject to additional restrictions under federal and state law.

You understand that:

All prescribing decisions are made at the sole discretion of the provider within applicable legal frameworks.

LiteWell utilizes HIPAA-compliant technologies to protect patient information. However, you acknowledge that:

You consent to the use of electronic systems for communication and documentation of your care.

By engaging in telehealth services, you acknowledge that:

You may withdraw consent at any time, but this may impact your ability to receive services.

You have the right to withdraw your consent to telehealth services at any time without affecting your right to future care. However, you understand that:

LiteWell may also discontinue telehealth services if deemed clinically inappropriate.

Telehealth is not appropriate for emergency medical situations.

If you are experiencing:

Call 911 immediately or go to the nearest emergency department.

LiteWell communication channels are not monitored continuously and must not be used for urgent care.

All telehealth encounters will be documented in your medical record consistent with standard clinical practice.

You acknowledge that:

By using LiteWell telehealth services, you acknowledge and agree to all terms outlined in this Telehealth Disclosure & Consent.

You confirm that: