LoginGet Started
Get Started

Telehealth Consent


OUR PROVIDERS DO NOT ADDRESS MEDICAL EMERGENCIES. DO NOT PROCEED WITH CLINICAL SERVICES USING THE YUPMD PLATFORM IF YOU BELIEVE YOU ARE HAVING A MEDICAL EMERGENCY. IF YOU BELIEVE YOU ARE EXPERIENCING A MEDICAL EMERGENCY, YOU SHOULD DIAL 9-1-1 AND/OR GO TO THE NEAREST EMERGENCY ROOM.
IF YOU ARE CONTEMPLATING SUICIDE, CONTACT 911 OR THE NATIONAL SUICIDE PREVENTION LINE BY ONE OF THE FOLLOWING METHODS:
DIAL 1-800-273-TALK
DIAL OR TEXT 988
Go to 988Lifeline.org to chat LIVE

I. Introduction
You are reviewing and acknowledging this Telehealth Informed Consent because you are seeking Healthcare Services utilizing telehealth technologies by the YupMD Medical Group facilitated through the YupMD website, iOS mobile app, web mobile app, or other telehealth technologies collectively the “YupMD Platform.” This Telehealth Informed Consent does not modify or supersede any Terms of Use, Privacy Policy, or Notice of Privacy Practices of YupMD 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 YupMD 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 on-going participation in services by the YupMD Medical Group using telehealth technologies serves as an on-going acknowledgment of your acceptance of this Telehealth Informed Consent and updates at such time the representations you provide herein.

YupMD Medical Group refers to a network of medical professional organizations affiliated with YupMD and its 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 (synchronous) video and audio encounters, and interactive audio with store and forward. This “Telehealth Informed Consent” informs the patient (“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?
Benefits of telehealth include being 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 YupMD Platform or the YupMD call center at
1-909-787-2342, Mon - Sun 4:00 am PST - 5:00 p.m PST.

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: (754) 800-8101 Mon - Sun 4:00 am PST - 5:00 pm PST.

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 Healthcare Services provided by YupMD Medical Group using telehealth technologies at any time, although you acknowledge that applicable fees may apply if a medical consultation has occurred prior to the request to cancel services and YupMD Medical Group has no obligation for your ongoing care or selection of separate healthcare services in such circumstances.

I understand that certain diagnostic testing services, including laboratory products and services offered through the YupMD Platform to support the Healthcare Services of Providers, may contain defects, including ones which may limit functionality or produce erroneous results, any or all of which could limit or otherwise impact the quality, accuracy, and/or effectiveness of the medical care or other services that I receive from my Provider(s).

THIRD-PARTY LABORATORY PRODUCTS AND SERVICES
To facilitate certain Healthcare Services, Providers may require that you complete diagnostic tests. These diagnostic tests are provided by third-party laboratories, and neither YupMD, YupMD Medical 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. You have reviewed this Telehealth Informed Consent carefully, and understand there are risks, limitations, and benefits of utilizing telehealth.
  2. You understand that the electronic nature of the telehealth services means that there is a greater risk to the privacy of your health information.
  3. In some cases, your Provider may be a nurse practitioner or physician assistant and not a physician.
  4. Persons may be present during the telehealth visit other than your Provider in order to operate the telehealth technologies and/or for language translation assistance, if requested. If another person is present during the telehealth visit, you will be informed of the individual’s presence and their role.
  5. You understand that the information you provide as part of any telehealth offering is viewed as accurate, true, and complete.
  6. You understand that in certain instances, and in compliance with applicable law, your Provider may determine that it is appropriate to provide your Healthcare Services asynchronously via store-and-forward technology. In such instances, your Provider and you will communicate electronically through the YupMD Platform and not via telephone or video. You agree that if your provider makes that determination, you would like to receive Healthcare Services in this manner.
  7. You understand that there is no guarantee that you will be given a prescription and that the decision of whether a prescription is appropriate will be made in the professional judgment of your Provider. You understand that while the use of telehealth may provide benefits to you, no such benefits or specific results can be guaranteed and your condition may not improve.
  8. You understand there is a risk of technical failures during the telehealth encounter beyond the control of YupMD Medical Group and your Provider(s). YOU AGREE TO HOLD HARMLESS YUPMD MEDICAL GROUP AND ITS EMPLOYEES, CONTRACTORS, AGENTS, DIRECTORS, MEMBERS, MANAGERS, SHAREHOLDERS, OFFICERS, REPRESENTATIVES, ASSIGNS, PREDECESSORS, AND SUCCESSORS, INCLUDING YUPMD 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. You understand that certain diagnostic testing services, including laboratory products and services offered through the YupMD Platform to support the Healthcare Services of Providers, may contain defects, including ones which may limit functionality or produce erroneous results, any or all of which could limit or otherwise impact the quality, accuracy, and/or effectiveness of the medical care or other services that you receive from your Provider(s).
  10. You understand the YupMD Platform makes available a specific set of services and you may need to seek other resources for your other health needs. There is no guarantee that you will be approved for treatment by a Provider. Your Provider reserves the right to deny care for any reason if, in the professional judgment of your Provider, the provision of the services, including when provided via telehealth, is not medically or ethically appropriate. You understand that the Providers, and not YupMD or the YupMD Medical Group, are responsible for the quality and appropriateness of the care they render to you and make all decisions regarding clinical care in their independent discretion without the influence of YupMD or the YupMD Medical Group. You 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 YupMD.
  11. You understand that by using the YupMD Platform, you are not always speaking or messaging with your Provider in real-time, and there may be a delay before your messages or information is reviewed. You understand that you must check the YupMD Platform for messages because this is the way that your Provider will communicate important information to you. You understand that if you do not check the YupMD Platform regularly, then your services may be delayed.
  12. You understand that you have the opportunity to discuss the use of telehealth, including the Healthcare Services, with your Provider(s), including the benefits and risks of such use and the alternatives to the use of telehealth. You have the right to withdraw your consent to the use of telehealth in the course of your care, without prejudice to any future care or treatment and without risking the loss or withdrawal of any health benefits to which you are entitled, but you understand that the Providers who provide Healthcare Services via the YupMD Platform do not offer in-person treatment.
  13. You understand that you have access to your medical record pertaining to the Healthcare Services of Providers utilizing the YupMD Platform in accordance with applicable laws and regulations and that your primary care provider, or other treating provider, may obtain copies of your health and wellness information with your consent.
  14. You understand that while the YupMD Platform may make available access to pharmacy or diagnostic lab services that are coordinated with the Healthcare Services, you are able to request any pharmacy or lab of your preference.
  15. You agree that YupMD 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 YupMD Platform for the purposes of participating in a telehealth visit as required by the states listed below:

  1. Iowa: You have been informed that if you want to register a formal complaint about a provider, you should visit the medical board’s website, here: Iowa Medical Board.
  2. Kentucky: You have been informed that if you want to register a formal complaint about a provider, you should visit the medical board’s website, here: Kentucky Board of Medical Licensure.
  3. Maine: You have been informed that if you want to register a formal complaint about a provider, you should visit the medical board’s website, here: Maine Board of Licensure in Medicine.
  4. New York: You have been informed that to get information regarding your rights and how to report professional misconduct, you should visit here: New York State Department of Health.
  5. Oregon: You have been informed that if you want to register a formal complaint about a provider, you should visit the medical board’s website, here: Oregon Medical Board.
  6. Rhode Island: You have been informed that if you want to register a formal complaint about a provider, you should visit the medical board’s website, here: Rhode Island Department of Health.
  7. Texas: You have been informed of the following notice:some text
    • 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 at Texas Medical Board.
    • AVISO SOBRE LAS QUEJAS: Las quejas sobre médicos, así como sobre otros profesionales acreditados e inscritos del Consejo Médico de Texas, incluyendo asistentes de médicos, practicantes de acupuntura y asistentes de cirugía, se pueden presentar en la siguiente dirección para ser investigadas: Texas Medical Board, Attention: Investigations, 333 Guadalupe, Tower 3, Suite 610, P.O. Box 2018, MC-263, Austin, Texas 78768-2018. Si necesita ayuda para presentar una queja, llame al: 1-800-201-9353. Para obtener más información, visite nuestro sitio web en Consejo Médico de Texas.
  8. Vermont: You have been informed that if you want to register a formal complaint about a provider, you should visit the medical board’s website, here: Vermont Board of Medical Practice; or Board of Osteopathic Examiners can be found at: Vermont Board of Osteopathic Examiners.

Wyoming: You have been informed that if you want to register a formal complaint about a provider, you should visit the medical board’s website, here: Wyoming Board of Medicine.
‍

‍