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 may be used for diagnosis, therapy, follow-up and/or education, and may include any of the following:
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.
Responsibility for the patient care should remain with the patient’s local clinician, if you have one, as does the patient’s medical record.
As with any medical procedure, there are potential risks associated with the use of telemedicine. These risks include, but may not be limited to:
By checking the box associated with “Informed Consent”, You acknowledge that you understand and agree with the following:
I have read and understand the information provided above regarding telemedicine, have discussed it with my physician or such assistants as may be designated, and all of my questions have been answered to my satisfaction.
I have read this document carefully, and understand the risks and benefits of the teleconferencing consultation and have had my questions regarding the procedure explained and I hereby give my informed consent to participate in a telemedicine visit under the terms described herein.
By checking the Box containing “INFORMED CONSENT FOR TELEMEDICINE SERVICES” I hereby state that I have read, understood, and agree to the terms of this document. I hereby authorize DermCheck App and Mole Check App Inc. and all of its Healthcare Counselors to use telemedicine in the course of my diagnosis and treatment.