Effective Date: June 01, 2024
By utilizing the telehealth/telemedicine services provided by WZRD, I acknowledge and consent to the following terms:
Telehealth/Telemedicine facilitates the exchange of medical information between healthcare providers located in different areas through electronic communication. This exchange aims to enhance patient care. The healthcare providers involved may include, but are not limited to, primary care physicians, specialists, nurse practitioners, registered nurses, medical assistants, and other members of my healthcare team. My personal information may also be shared with family members, caregivers, legal representatives, or guardians who participate in the telehealth/telemedicine services with my consent. This information may be used for various purposes, including diagnosis, treatment, follow-up care, and education.
The transmission of my health information via telehealth/telemedicine may involve various forms of electronic data, such as:
The same legal protections that ensure the privacy and confidentiality of health information in traditional healthcare settings also apply to telehealth/telemedicine. My health information collected during telehealth/telemedicine sessions will remain confidential and will only be shared with my explicit consent, except when necessary for treatment, education, billing, and healthcare operations. By using these services, I consent to WZRD's handling, storage, and sharing of my protected health information, including images, with authorized third parties as outlined in WZRD’s Privacy Policy.
While efforts are made to secure electronic communications, I understand that there are inherent risks in using Internet-based communication platforms. WZRD employs network and software security protocols to protect my identification and imaging data from unauthorized access and ensure the integrity of the information. However, I acknowledge that the risk of data breaches, though minimized, cannot be entirely eliminated.
In some instances, individuals not directly involved in my medical care may be present during telehealth/telemedicine sessions to operate or maintain the equipment used. These individuals are required to adhere to WZRD’s privacy and security policies.
Telehealth/Telemedicine services may be subject to technical limitations, such as disruptions in Internet connectivity, which could impair the quality of the session (e.g., poor image or sound quality, dropped connections). I understand that these issues may affect the effectiveness of the consultation or care provided.
I agree to release WZRD and all members of my care team from any liability related to the loss of data or information caused by technical failures associated with telehealth/telemedicine services.
I understand that the health information I provide during my telehealth/telemedicine sessions may be the primary source of information for the healthcare professionals involved in my care. These professionals may not have access to my complete medical record or other information stored by WZRD.
This agreement shall be governed by the laws of the State of Florida. Both parties agree to submit to the jurisdiction of the federal and state courts located in Hillsborough County, Florida, and waive any rights to a jury trial in any related legal proceedings. In the event of a legal dispute, the party prevailing in court shall be entitled to reimbursement of reasonable legal fees and associated costs by the non-prevailing party.
By engaging with the telehealth/telemedicine services offered by WZRD, I confirm that I have read, understood, and agree to the terms outlined in this agreement. This document represents the entire agreement between the parties, superseding any prior discussions, proposals, or agreements related to the services provided.