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<i>Updated: Decemeber 30,2019</i>  Telemedicine involves the use of electronic communications to enable healthcare providers at different locations to share individual patient medical information for the purpose of improving patient care. Providers may include primary care practitioners, specialists, and/or subspecialists. The purpose of this document is to obtain your informed consent to participate in telemedicine services offered by Oak Health LLC and its affiliated physicians and practices (collectively “OAK”). The telehealth services offered by OAK are limited in scope and are not intended to serve as a replacement of your primary care physician. Telemedicine involves the use of electronic communications to enable healthcare providers at different locations to share individual patient medical information for the purpose of improving patient care. Providers may include primary care practitioners, specialists, and/or subspecialists. The information gathered using telemedicine may be used for diagnosis, therapy, remote prescribing, follow-up and/or education and may include any of the following: <ul>   <li>Patient medical history, records and test results</li>   <li>Medical images</li>   <li>Realtime and non-real time bidirectional communication</li>   <li>Live two-way audio and video</li>   <li>Audio and video files</li>   <li>Output from medical devices</li> </ul> Electronic systems used will incorporate network and software security protocols to protect the confidentiality of patient identification and imaging data and will include measures to safeguard the data and to ensure its integrity against intentional or unintentional corruption. <h3>Expected Benefits:</h3> <ul>   <li>     Improved access to medical care by enabling a patient to not have to travel     to a remote site while the physician obtains medical information and test     results at distant/remote sites.   </li>   <li>More efficient medical evaluation and management.</li>   <li>Obtaining expertise of a distant specialist as needed.</li> </ul> <h3>Risks:</h3> As with any medical procedure, there are potential risks associated with the use of telemedicine. These risks include, but may not be limited to: <ul>   <li>     In rare cases, information transmitted may not be sufficient (e.g. poor     resolution of images) to allow for appropriate medical decision making by     the physician;   </li>   <li>     Delays in medical evaluation and treatment could occur due to deficiencies     or failures of the equipment;   </li>   <li>     In very rare instances, security protocols could fail, causing a breach of     privacy of personal medical information;   </li>   <li>     In rare cases, a lack of access to complete medical records may result in     adverse drug interactions or allergic reactions or other judgment errors;   </li> </ul> <h3>Consent:</h3> In granting your consent to receive telemedicine services from OAK, you agree to the following: <ul>   <li>     During the telemedicine consultation and/or services:     <ul>       <li>         Details of your medical history, examinations, x-rays, and tests may be         discussed with other health professionals and staff using interactive         video, audio, and other telecommunication technology.       </li>       <li>         In certain cases, a physical examination of you at a local clinic may be         required before being able to receive certain telemedicine services         and/or prescriptions, as applicable.       </li>       <li>         A non-medical technician may be present in the telemedicine studio to         aid in the video or telecommunication transmission.       </li>       <li>         Video, audio and/or photo recordings may be taken of you during the         telemedicine interaction.       </li>     </ul>   </li>   <li>     You understand that prior to receiving any telemedicine services, a     physician must first accept you as a patient and the physician alone can     determine if telemedicine is appropriate for you and your specific     circumstances. You understand that alternatives to telemedicine exist (such     as going to your primary care provider, a local clinic, or specialist) and     may be more appropriate for your medical needs.   </li>   <li>     You have had a chance to select and review an OAK physician and his/her     credentials prior to receiving telemedicine services.   </li>   <li>     You agree to hold OAK harmless for any loss of information or delay in     treatment(s) arising out of technical failures or from limitations inherent     to telemedicine, software, and/or the internet.   </li>   <li>     You understand that as in most medical services, no results can be     guaranteed, and that use of any medications or treatments can result in     experiencing adverse side effects.   </li>   <li>     In the event of any medical emergencies, you understand that you should     directly call 9-1-1 or the appropriate emergency number in your region.   </li>   <li>     All existing laws regarding access to medical information and copies of your     medical records apply to the use of telehealth services. Please note that     not all telecommunications are recorded and stored. Your personal and/or     health information may be shared with other individuals and certain systems     for purposes of billing, customer support, and providing the services.   </li>   <li>     Reasonable and appropriate efforts have been made to eliminate any     confidentiality risks associated with the use of the offered telehealth     services and all applicable federal and/or state laws apply to information     gathered over the course of the telehealth interaction(s).   </li>   <li>     You may withhold or withdraw consent to telehealth services at any time     without affecting your right to future care or treatment.   </li>   <li>     You have been advised of the potential risks and benefits of telemedicine.     You have had the opportunity to ask questions about the information     presented in this document and the telemedicine services. All of your     questions have been answered and you understand the information provided     herein.   </li> </ul> <h2>Consent to telehealth</h2> <strong   >YOU UNDERSTAND THAT BY CHECKING THE “AGREE” BOX FOR THESE TERMS OF USE AND/OR   ANY OTHER SUCH FORM OF THE SAME PRESENTED TO YOU FROM TIME TO TIME ON THE SITE   YOU ARE AGREEING TO THESE TERMS OF USE AND THAT SUCH ON-GOING ACTIONS IN USING   THE SITE CONSTITUTE A LEGAL SIGNATURE AND ON-GOING AGREEMENT TO THESE TERMS OF   USE (IN WHATEVER FORM).</strong >  All capitalized terms used in this Consent to Telehealth but not defined herein have the meanings assigned to them in the Terms of Service. For avoidance of any doubt, the terms “OAK”, “we”, “us”, or “our” refer to Oak Health LLC and the terms “you” and “yours” refer to the person using the Service. Telemedicine involves the delivery of healthcare services using electronic communications, information technology or other means between a healthcare provider and a member who are not in the same physical location. Telemedicine may be used for diagnosis, treatment, follow-up and/or member education, and may include, but is not limited to: Electronic transmission of medical records, photo images, personal health information or other data between a member and a healthcare provider; Interactions between a member and healthcare provider via audio, video and/or data communications; and Use of output data from medical devices, sound and video files. The electronic systems used in the OAK Service will incorporate network and software security protocols to protect the privacy and security of health information and imaging data and will include measures to safeguard the data to ensure its integrity against intentional or unintentional corruption. <h3>Possible Benefits of Telemedicine</h3> <ul>   <li>     Can be easier and more efficient for you to access medical care and     treatment.   </li>   <li>     You can obtain medical care and treatment at times that are convenient for     you.   </li>   <li>     You can interact with providers without the necessity of an in-office     appointment.   </li> </ul> <h3>Possible Risks of Telemedicine</h3> <ul>   <li>     Information transmitted to your provider(s) may not be sufficient to allow     for appropriate medical decision making by the provider(s).   </li>   <li>     The inability of your provider(s) to conduct certain tests or assess vital     signs in-person may in some cases prevent the provider(s) from providing a     diagnosis or treatment or from identifying the need for emergency medical     care or treatment for you.   </li>   <li>     Your provider may not able to provide medical treatment for your particular     condition via telemedicine and you may be required to seek alternative care.   </li>   <li>     Delays in medical evaluation/treatment could occur due to failures of the     technology.   </li>   <li>     Security protocols or safeguards could fail causing a breach of privacy.   </li>   <li>     Given regulatory requirements in certain jurisdictions, your provider(s)     treatment options, especially pertaining to certain prescriptions may be     limited.   </li> </ul> By accepting this Consent to Telehealth, you acknowledge your understanding and agreement to the following: <ul>   <li>     I have read this special Consent to Telehealth carefully, and understand the     risks and benefits of the use of telemedicine in the medical care and     treatment provided to me through OAK’s platform by “Providers”.   </li>   <li>     I give my informed consent to the use of telemedicine by providers     affiliated with OAK.   </li>   <li>     I understand that the delivery of healthcare services via telemedicine is an     evolving field and that the use of telemedicine in my medical care and     treatment may include uses of technology not specifically described in this     consent.   </li>   <li>     I understand that while the use of telemedicine may provide potential     benefits to me, as with any medical care service no such benefits or     specific results can be guaranteed. My condition may not be cured or     improved, and in some cases, may get worse.   </li>   <li>     I understand that “Providers” may determine in his or her sole discretion     that my condition is not suitable for treatment using telemedicine, and that     I may need to seek medical care and treatment in-person or from an     alternative source.   </li>   <li>     I understand that the same confidentiality and privacy protections that     apply to my other health care services also apply to these telemedicine     services.   </li>   <li>     I understand that I have access to all of my health and wellness information     pertaining to the telemedicine services in accordance with applicable laws     and regulations.   </li>   <li>     I understand that I can withhold or withdraw this consent at any time by     emailing OAK with such instruction. Otherwise, this consent will be     considered renewed upon each new telemedicine consultation with “Providers”.   </li>   <li>     I agree and authorize my health care provider to share information regarding     the telemedicine exam with other individuals for treatment, payment and     health care operations purposes.   </li>   <li>     I agree and authorize my health care provider to release information     regarding the telemedicine exam to OAK and its affiliates.   </li> </ul> 

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