Telemedicine Consent

What telehealth is

Telehealth is the delivery of healthcare using electronic communication and information technology, allowing a provider and patient in different locations to share medical information for the purpose of clinical care, diagnosis, consultation, treatment, and education.

Telehealth services at Navara Health may include:

• Secure online questionnaires reviewed by your provider, sometimes called asynchronous or store-and-forward care
• Telephone consultations
• Real-time HIPAA-compliant video visits
• Remote monitoring, laboratory review, and follow-up care
• Electronic prescribing
• Medical advice and health education

Your provider decides which format is appropriate based on what you are being seen for, your history, what your state requires, and whether anything needs to be discussed or examined directly.

Expected benefits

• Access. Receive care without travelling to a clinic
• Convenience. No travel time and no waiting room
• Continuity. Easier follow-up and ongoing monitoring with the same provider
• Efficiency. Streamlined evaluation and management of ongoing conditions

Risks and limitations

• Technology failures. Equipment, internet, or software failures may delay evaluation or treatment
• Quality limitations. Video, image, or audio quality may be inadequate for proper clinical decision-making, which may require rescheduling or an in-person visit
• Incomplete information. Your provider will not have your complete medical history unless you provide it or authorise a records transfer, which may contribute to adverse drug interactions, allergic reactions, or other errors
• Security risks. Despite security protocols, there is a rare possibility of a privacy breach or unauthorized access to your health information
• Examination limitations. The inability to perform a physical examination may affect the ability to diagnose certain conditions
• Emergencies. Telehealth is not appropriate for emergency medical conditions

Your rights

• Know your provider. Review the credentials and qualifications of the provider delivering your care
• Privacy. Expect that information shared during telehealth is kept confidential and protected under HIPAA and Texas law
• Ask questions. Ask about telehealth, how it works, and what to expect, at any point
• Withdraw consent. Withdraw consent to telehealth at any time without affecting your right to future care or losing any benefit you would otherwise be entitled to
• Alternatives. Be informed of alternative options, including in-person care
• Your records. Request copies of your medical records in accordance with applicable law

Your responsibilities

• Accurate information. Provide complete and accurate medical history, current medications, allergies, and health information
• Honest communication. Answer all questions truthfully and completely
• Compliance. Follow the treatment plan agreed with your provider, and tell us if you stop or change something
• Private environment. Be in a private, quiet location during video visits
• Technology. Have the necessary device and internet connection to participate
• Know when to seek emergency care rather than using telehealth

Who provides your care

All clinical services are provided directly by Navara Health. Jessica Boggs, MSN, APRN, FNP-C, ENP-C is licensed as an Advanced Practice Registered Nurse and holds active licensure in each state where telehealth is offered. Certain in-clinic aesthetic services are performed by Rocio Gonzalez, RN under APRN delegation. All care is delivered under the medical direction of Simal Patel, MD.

Navara Health is responsible for the quality and appropriateness of the care provided to you. You will be told who is treating you before your visit.

Recording and documentation

All clinical information exchanged during your visit is documented in your electronic medical record.

Clinical or administrative staff may be present during your consultation for scheduling, billing, or clinical support purposes. You will be informed if anyone else is present, and you may ask that they leave.

Recording and AI-assisted documentation

Our electronic medical record system is HIPAA-compliant and has the capability to record consultations, and we use AI-assisted clinical documentation, sometimes called an AI scribe, to help produce your visit note.

What that means in practice:

• Audio from your visit may be captured and processed to draft your clinical note.
• Your provider reviews and edits every note before it is finalised. The AI drafts, a human decides. Nothing enters your record unreviewed.
• Recording and AI documentation happen inside a HIPAA-compliant system under a business associate agreement. Your information is not used to train public AI models.
• You will be told before any recording begins, and you may decline. Declining does not affect your care or your access to treatment. Your provider will simply document the visit manually.
• You may ask at any point during a visit that recording stop.
• Recordings and notes are part of your medical record and are retained and protected in the same way as the rest of it.

Prescriptions

Medications are prescribed only when clinically appropriate based on your provider's professional judgment. There is no guarantee that a prescription will be written, and treatment eligibility is determined at your evaluation.

Your provider may require in-person follow-up or laboratory testing before prescribing or continuing certain medications. We reserve the right to decline to prescribe where there is concern about misuse.

You always have the right to have your prescription sent to the pharmacy of your choice. Where we recommend a partner pharmacy, that is a recommendation and not a requirement.

No guaranteed results

Medicine is not an exact science and no provider can guarantee a specific result. Using telehealth does not guarantee that your condition will improve or resolve. Treatments may have side effects or complications. You may require in-person care as a follow-up to a telehealth visit.

Several treatments we offer are prescribed off-label, meaning they are not FDA-approved for the specific use prescribed. Off-label prescribing is legal and common when supported by clinical judgment and informed consent, and it means the evidence base is smaller and individual response varies more. Risks, benefits, and realistic expectations are reviewed with you before anything is prescribed.

Limitation of liability

You agree to hold Navara Health harmless for the following, which are outside our reasonable control:

• Technical failures of equipment, software, or internet connectivity
• Delays in evaluation or treatment caused by technology problems
• Breaches of security protocols despite reasonable safeguards

Emergencies

Where we can treat you

Telehealth is available only in the states where Jessica Boggs, APRN holds active licensure: Texas, Arizona, Colorado, Connecticut, Florida, Iowa, New Mexico, Oklahoma, Vermont, Virginia, and Washington.

You must be physically located in one of these states at the time of your visit, not simply a resident of one. If you are travelling, tell us, because we may not be able to see you until you return.

If you move to a state where we are not licensed, we cannot continue to provide care and will help you transition to another provider.

Filing a complaint

If you have a concern about your care, please contact us first at (469) 653-3124 so we can address it. You also have the right to file a complaint with the appropriate licensing board.

If you are located in another state where we are licensed, you may file a complaint with that state's board of nursing. Contact us and we will provide the correct information for your state.

Laboratory testing

Laboratory testing ordered as part of your telehealth care is performed by Quest Diagnostics or another accredited reference laboratory. Your requisition is sent to you securely and you complete the draw at a location near you.

Results are information, not a diagnosis. They are reviewed by your Navara Health provider and discussed with you. Where testing is billed to your insurance rather than paid at our rate, coverage cannot be guaranteed and the laboratory bills you directly.

Updates to this consent

We may update this consent to reflect changes in our practices, technology, or legal requirements. Material changes will be communicated through our website or by email. Continued use of telehealth services after such changes constitutes acceptance of the updated consent.