By accepting this Telehealth Medical Consent, you acknowledge and agree to the following:

1. You have carefully reviewed this Telehealth Medical Consent and understand the risks, limitations, and potential benefits of telehealth services.

2. You understand that telehealth involves electronic communications and that this may increase privacy and security risks compared with some in-person care settings.

3. You understand that your provider may be a physician, nurse practitioner, physician assistant, or other licensed healthcare professional, depending on the services offered and permitted under applicable law.

4. You understand that other individuals may be present during a telehealth encounter to operate technology, assist with care delivery, or provide language interpretation, if needed. You will be informed if another person is present and of that person’s role.

5. You agree that information you provide through the Guppy Meds Platform is accurate, complete, and truthful to the best of your knowledge.

6. You understand that some healthcare services may be provided asynchronously, including through store-and-forward technology, messaging, questionnaires, uploaded records, or other electronic review methods, where permitted by law and deemed clinically appropriate by your provider.

7. You understand that there is no guarantee you will receive a prescription, and any decision to prescribe medication will be based solely on the professional judgment of your provider.

8. You understand that telehealth may not be appropriate for every condition or every patient, and your provider may determine that in-person care, additional evaluation, or a different level of care is necessary.

9. You understand that technical failures may occur and may delay or disrupt services. These issues may be outside the control of Guppy Meds or your provider.

10. You understand that diagnostic testing services and third-party laboratory services may have limitations or defects that could affect the quality, timing, accuracy, or effectiveness of your care.

11. You understand that Guppy Meds makes available only certain services, and you may need to seek other healthcare resources for conditions or concerns outside the scope of services offered through the platform.

12. You understand that your provider may decline to provide care or treatment if, in the provider’s professional judgment, the requested services are not medically appropriate, ethically appropriate, or suitable for delivery through telehealth.

13. You understand that providers are independently responsible for the medical care they render, including diagnosis, treatment decisions, and prescribing decisions, in accordance with applicable law and their professional judgment.

14. You understand that communications through the Guppy Meds Platform may not always be reviewed in real time, and that delays may occur before messages, forms, or clinical information are reviewed.

15. You agree to regularly check the Guppy Meds Platform and your designated communication channels for messages, instructions, treatment updates, and other important information relating to your care.

16. You understand that you have the opportunity to discuss telehealth with your provider, including the benefits, risks, and alternatives, and that you may withdraw your consent to telehealth at any time, subject to any services already rendered and subject to the fact that providers offering care through the platform may not provide in-person services.

17. You understand that you may have access to your medical records related to healthcare services provided through the Guppy Meds Platform, in accordance with applicable laws and regulations.

18. You understand that although the Guppy Meds Platform may facilitate access to pharmacies, laboratories, or related services, you may request the pharmacy or laboratory of your choice where permitted and clinically appropriate.

19. You understand that no specific result or outcome is guaranteed from any telehealth service, treatment plan, medication, or provider recommendation.