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Terms and Conditions |
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By starting this virtual visit, I acknowledge and consent to the following:
I will identify myself to the practitioner and will also request the practitioner's name and credentials.
Telemedicine services may include any of the following: health care delivery; diagnosis and consultation; treatment; transfer of medical data; prescription refills and appointment scheduling; patient education.
I understand and agree that it is the role of the practitioner to determine whether or not the condition being diagnosed and/or treated is appropriate for a telemedicine encounter. I understand that if my provider believes I would be better served by another form of service (e.g., face-to-face service), I will be referred to that form of service.
I understand that security measures are taken with the use of Telemedicine Services, including but not limited to encryption of data and video transmission, protection of the electronic medical record behind a firewall, password protection of access to the record by the practitioner and patient, and other reliable authentication techniques. I understand there are potential risks to privacy notwithstanding such measures. I will hold Riverside harmless for information lost due to technical failures.
I authorize Riverside to forward or allow access to my patient-identifiable information to third parties as needed for Telemedicine Services and effective care.
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