Medical Disclaimer

Telehealth Consent

Telehealth is a form of healthcare that allows patients to access services using audio-video interfaces such as videoconferencing and secure asynchronous messaging. TeloLife uses telehealth technology to connect you with licensed clinicians for GLP-1 weight loss management.

All electronic systems used incorporate network and software security protocols to protect the confidentiality of your identification and health data, with measures to safeguard integrity against intentional or unintentional corruption.

Expected Benefits

• Improved access to weight loss management healthcare, enabling you to receive services across distances without waiting rooms or travel.
• More efficient medical evaluation, management, and care coordination for weight loss treatment.
• Direct access to specialized clinical expertise in GLP-1 therapy.
• Continuity of care with your established TeloLife care team from anywhere.

Possible Risks

As with any medical service, there are potential risks associated with telehealth. These include, but are not limited to:

• In rare cases, information transmitted may be insufficient (e.g., connection quality issues) to allow for appropriate medical decision-making.
• Delays in medical evaluation could occur due to technical deficiencies or equipment failures.
• In very rare instances, security protocols could fail, potentially causing a breach of personal medical information privacy.
• In rare cases, a lack of access to complete external medical records may result in unforeseen interactions or other errors in clinical judgment.

By Using TeloLife Services, You Understand and Agree That:

• The laws protecting privacy and confidentiality of medical information apply to telehealth, and no identifying information will be disclosed to third parties without your consent.
• You have the right to withhold or withdraw consent to telehealth at any time without affecting your right to future care.
• You have the right to inspect all information obtained in the course of a telehealth interaction and may receive copies for a reasonable fee.
• A variety of alternative methods of weight loss management may be available, and you may pursue those at any time.
• It is in your best interest to inform your primary care provider and all other healthcare providers of your participation in the TeloLife program.
• No specific results can be guaranteed or assured. Individual outcomes vary.

HIPAA Consent & Notice of Privacy Practices

How We Handle Your Information

• Patient information is kept confidential except as necessary to provide services or handle administrative matters related to your care, including sharing with licensed clinicians, licensed pharmacies, and diagnostic laboratories involved in your treatment.
• Your confidential health information will not be used for marketing, advertising, or the promotion of any products, goods, or services.
• TeloLife utilizes vendors and service partners in conducting business. Any such vendor with access to PHI is contractually required to abide by HIPAA confidentiality requirements through a Business Associate Agreement.
• We may remind you of appointments or provide care-related communications by telephone, email, or other means convenient to your care.
• Government agencies or authorized payers may inspect records including PHI in the normal performance of their regulatory duties.

Your HIPAA Rights

• You have the right to request restrictions on the use of your PHI, though we are not obligated to alter internal policies in all cases.
• You have the right to access, amend, and receive an accounting of disclosures of your PHI.
• You have the right to file a complaint with the HHS Office for Civil Rights if you believe your privacy rights have been violated, without fear of retaliation.

We may update our privacy policies as required by law or operational needs. Changes will be communicated as required.

Financial Consent & Billing Authorization

I understand and accept the following financial terms in order for TeloLife to render services:

• A valid payment method is required on file to maintain an active subscription. Any remaining balances for services rendered shall be paid in full.
• I authorize TeloLife to submit on my behalf and release any medical records or information necessary to process my consultation order.
• I authorize TeloLife to charge my payment method for orders placed, goods received, and services rendered not fully covered by third-party vouchers or credits.
• All plans are auto-renewing. I consent to being automatically charged for any active plan unless I explicitly request cancellation before my payment is processed through my patient portal.
• I certify that I am an authorized user of the payment method provided, and I understand the refund policy as described in our Terms of Service.

Shipping Authorization

All prescription medications are dispensed according to applicable state and federal law, with the approval of the licensed pharmacist in charge and in compliance with all relevant state and federal medical board and pharmacy board requirements.

• By authorizing shipment, you agree to hold TeloLife harmless for any delays or errors that occur during the shipping process and are outside of TeloLife's direct control.
• Medication is considered dispensed and the order completed when it is signed out for shipping by the licensed pharmacy — not upon delivery to your address.
• You authorize TeloLife and its licensed pharmacy partners to ship medication to the address provided in your intake form or any updated address you provide.
• All medications are for your personal use only. Redistribution, resale, or transfer to any other individual is strictly prohibited.

Licensing & Accreditation

How TeloLife is structured. TeloLife is a technology and telehealth platform. We do not practise medicine and we do not dispense medication. Clinical care is provided solely by independent, licensed physician groups, and all prescriptions are reviewed and issued by clinicians licensed in the state in which the patient is located. Medications are dispensed only by licensed pharmacies, in accordance with applicable state and federal law and with the approval of the licensed pharmacist in charge.

Accreditation. TeloLife is LegitScript Certified. LegitScript certification is an independent review of legal and regulatory compliance for healthcare websites and telehealth services. Our certification can be verified directly with LegitScript at legitscript.com — we do not host the record ourselves, so that it cannot be altered by us.

Where we operate. TeloLife serves patients in the United States only. We do not market to, accept patients from, or ship medication to any other country. Services are available only in states where our partner physician groups and pharmacies are licensed to operate.

Prescription-only medication. The GLP-1 medications available through TeloLife are prescription-only. No medication is supplied without a clinical consultation and a prescription issued by a licensed clinician. Eligibility is determined by that clinician, not by TeloLife and not by the completion of any questionnaire.

Licensure records. State pharmacy and dispensing licences are held by the licensed pharmacies and physician groups that provide care and fulfilment. Copies of the relevant licences for a given state can be provided on request to regulators, advertising platforms and payment partners — contact support@telolife.com.