Telehealth Informed Consent
Please read this consent carefully before proceeding with your consultation. By checking the consent box on the intake form, you agree to the terms below.
01
Nature of Telehealth Services
Telehealth involves the delivery of healthcare services using electronic communications, information technology, or other means between a healthcare provider and a patient who are not in the same physical location. Through Fig Health, Inc.'s platform, you will be connected with an independent, licensed healthcare provider who will:
- Evaluate your health information
- Conduct a consultation (synchronous via video/audio, or asynchronous via secure messaging)
- Make clinical decisions regarding your care
02
Benefits of Telehealth
Potential benefits of telehealth include:
- Increased accessibility to healthcare services, particularly for individuals in underserved or rural areas
- Convenience of receiving care from your location without travel
- Reduced wait times for consultations
- Continuity of care through digital follow-up and communication
03
Risks and Limitations of Telehealth
You understand and acknowledge that telehealth has certain risks and limitations, including but not limited to:
- The healthcare provider will not be able to perform a physical examination, which may limit the provider's ability to diagnose or treat certain conditions.
- Technology failures, including loss of internet connectivity, audio or video disruptions, or platform outages, may interrupt or prevent your consultation.
- Despite reasonable security measures, electronic communications carry some risk of interception by unauthorized third parties.
- In some cases, the provider may determine that telehealth is not appropriate for your medical needs and may recommend an in-person evaluation.
- Delays in evaluation or treatment may occur due to technology or communication limitations.
04
Medications and Compounded Formulations
FDA Status
Compounded medications are not FDA-approved. They have not been evaluated by the FDA for safety, efficacy, or quality. They are prepared by licensed, state-regulated compounding pharmacies based on an individual prescription from your healthcare provider.
Common Side Effects
Common side effects of GLP-1 receptor agonist medications may include:
- Nausea, vomiting, diarrhea, constipation, abdominal pain
- Injection site reactions
- Headache, fatigue, and decreased appetite
Serious Risks
Prescribing decisions are made solely by your healthcare provider based on their independent clinical judgment. Not all patients will be eligible for or receive a prescription.
05
Your Responsibilities
By consenting to telehealth services through Fig Health, Inc., you agree to:
- Provide complete, accurate, and truthful health information, including your medical history, current medications, allergies, and any relevant conditions
- Disclose all medications and supplements you are currently taking
- Follow the treatment plan and instructions provided by your healthcare provider
- Promptly report any adverse effects, changes in health, or concerns to your healthcare provider
- Seek emergency medical care in the event of a medical emergency by calling 911 or visiting your nearest emergency room
- Attend follow-up consultations as recommended by your provider
06
Emergency Situations
07
Privacy and Confidentiality
Your telehealth consultation will be conducted on a HIPAA-compliant platform. We take reasonable measures to protect the privacy and security of your health information. However, you are responsible for ensuring that you are in a private and secure location during your consultation and that unauthorized individuals cannot access your device or overhear your session.
For more information, please review our Privacy Policy.
08
Provider Independence
Healthcare providers who deliver services through the Fig Health, Inc. platform are independent, licensed professionals. They are not employees or agents of Fig Health, Inc.. Fig Health, Inc. does not control or direct the clinical judgment, diagnosis, or treatment decisions of any healthcare provider.
09
Right to Withdraw Consent
Your consent to telehealth services is voluntary. You have the right to withdraw your consent at any time without affecting your ability to seek care through other means. Withdrawal of consent may be communicated by contacting us at support@startfig.com. Withdrawal of consent does not affect the legality of care provided before withdrawal.
10
Recordings
Telehealth consultations may be recorded for quality assurance, training, or legal purposes. If your session is recorded, you will be notified and your consent will be obtained prior to recording in accordance with applicable state law.
11
State-Specific Disclosures
Telehealth laws and requirements vary by state. By consenting to telehealth services, you acknowledge that:
- Telehealth services may not be available in your state of residence
- Your state may have specific informed consent requirements, which this document is intended to satisfy
- Your healthcare provider is licensed in the state where you are located at the time of your consultation
If you have questions about telehealth availability in your state, contact us at support@startfig.com.
12
Acknowledgment and Consent
By checking the consent box on the Fig Health, Inc. intake form, I confirm that:
- I have read and understand this Telehealth Informed Consent in its entirety.
- I understand the nature, benefits, risks, and limitations of telehealth services.
- I understand that compounded medications are not FDA-approved and have not been evaluated by the FDA for safety, efficacy, or quality.
- I understand that clinical decisions, including prescribing, are made by an independent, licensed healthcare provider.
- I consent to receive healthcare services via telehealth through the Fig Health, Inc. platform.
- I agree to provide accurate and complete health information.
- I understand that I may withdraw consent at any time.
Your first step takes 5 minutes.
5 minutes. No charge if not prescribed. Compounded medications are not FDA-approved.