OUR PROVIDERS DO NOT HANDLE MEDICAL EMERGENCIES. PLEASE DO NOT USE THE MEDRISING PLATFORM FOR ANY URGENT OR EMERGENCY MEDICAL NEEDS. IF YOU BELIEVE YOU ARE EXPERIENCING A MEDICAL EMERGENCY, IMMEDIATELY CALL 9-1-1 OR VISIT YOUR NEAREST EMERGENCY ROOM.

If you are in crisis or contemplating suicide, please contact one of the following resources:

Call: 1-800-273-TALK (1-800-273-8255)

Dial or Text: 988

Visit: 988Lifeline.org for live chat support.

I. Introduction

You are reading this Telehealth Informed Consent as part of your use of MedRising’s telehealth services provided through our platform. By using MedRising’s website, mobile apps, or other telehealth technologies (collectively, the “MedRising Platform”), you are consenting to telehealth services offered by our affiliated healthcare providers.

When you create an account, start a consultation, or click “I consent to telehealth,” you acknowledge that you have reviewed this document and consent to receive telehealth services through MedRising. A record of your consent is kept in the provider’s files, and each telehealth session you engage in reaffirms your ongoing acceptance of this consent.

II. What is Telehealth?

Telehealth involves delivering healthcare services through electronic communication between a healthcare professional and a patient in different locations. These services may include diagnosis, treatment, follow-up care, and education via video, audio, and store-and-forward methods. This document details the benefits, risks, and limitations of telehealth to ensure informed participation.

III. Benefits of Telehealth

Telehealth offers the benefit of convenient, flexible access to healthcare services without an in-office visit. You may access follow-up care or receive health guidance at times that suit your schedule. For follow-up care, you can contact us through the MedRising Platform or call 1-909-787-2342, available Mon-Sun, 4:00 am - 5:00 pm PST.

IV. Possible Risks of Telehealth

While telehealth is a powerful tool, it has limitations:

• Transmitted information may be incomplete, impacting the quality of healthcare you receive.

• Technical issues can delay or prevent service delivery.

• A lack of complete medical records may increase the risk of adverse interactions or misjudgments.

Should technical issues occur, you may contact us at 1-800-909-787-2342 during the same hours noted above. You may discontinue telehealth services at any time, but fees may apply for completed consultations.

MedRising may also offer diagnostic testing services through third-party labs, whose accuracy we cannot guarantee. These tests may produce false results, impacting the effectiveness of your care.

V. Patient Acknowledgments

1. By consenting to this document, you acknowledge the following:

2. You understand the benefits and risks of telehealth.

3. You recognize that electronic services carry increased privacy risks.

4. You understand that your provider may be a nurse practitioner or physician assistant.

5. You will be informed if others are present during a telehealth visit.

6. You affirm that the information you provide is accurate and complete.

7. Your provider may choose to provide care asynchronously through store-and-forward technology if deemed appropriate.

8. You understand there is no guarantee of receiving a prescription.

9. You agree to hold MedRising and its affiliates harmless for delays or issues due to technical failures.

10. Diagnostic services offered may contain defects that could affect the care you receive.

11. The MedRising Platform is limited to a specific set of healthcare services, and your provider may deny care if it is deemed clinically inappropriate.

12. Telehealth consultations may not always be in real time, so you should regularly check the MedRising Platform for updates.

13. You have the right to discuss telehealth services, benefits, risks, and alternatives with your provider.

14. You have access to your medical records and may share them with other healthcare providers as needed.

15. You may request to use a pharmacy or lab of your choice.

16. MedRising has rights as a third-party beneficiary of this consent.

VI. State-Specific Disclosures

The following disclosures apply based on your state of residence. These provide specific guidance on where to file complaints if you wish to do so, as mandated by various states.

Iowa

I have been informed that if I want to register a formal complaint about a provider, I should visit the medical board’s website, here: https://medicalboard.iowa.gov/consumers/filing-complaint.

Kentucky

I have been informed that if I want to register a formal complaint about a provider, I should visit the medical board’s website, here: https://kbml.ky.gov/grievances/Pages/default.aspx.

Maine

I have been informed that if I want to register a formal complaint about a provider, I should visit the medical board’s website, here: https://www.maine.gov/md/complaint/file-complaint.

New York

I have been informed that to get information regarding your rights and how to report professional misconduct, I should visit here: https://www.health.ny.gov/professionals/doctors/conduct.

Oregon

I have been informed that if I want to register a formal complaint about a provider, I should visit the medical board’s website, here: https://www.oregon.gov/omb/investigations/pages/how-to-file-a-complaint.aspx.

Rhode Island

I have been informed that if I want to register a formal complaint about a provider, I should visit the medical board’s website, here: https://health.ri.gov/complaints/.

Texas

I have been informed of the following notice:

NOTICE CONCERNING COMPLAINTS- Complaints about physicians, as well as other licensees and registrants of the Texas Medical Board, including physician assistants, acupuncturists, and surgical assistants may be reported for investigation at the following address: Texas Medical Board, Attention: Investigations, 333 Guadalupe, Tower 3, Suite 610, P.O. Box 2018, MC-263, Austin, Texas 78768-2018, Assistance in filing a complaint is available by calling the following telephone number: 1-800-201-9353, For more information, please visit our website at www.tmb.state.tx.us.

AVISO SOBRE LAS QUEJAS- Las quejas sobre médicos, asi como sobre otros profesionales acreditados e inscritos del Consejo Médico de Tejas, incluyendo asistentes de médicos, practicantes de acupuntura y asistentes de cirugia, se pueden presentar en la siguiente dirección para ser investigadas: Texas Medical Board, Attention: Investigations, 333 Guadalupe, Tower 3, Suite 610, P.O. Box 2018, MC-263, Austin, Texas 78768-2018, Si necesita ayuda para presentar una queja, llame al: 1-800-201-9353, Para obtener más información, visite nuestro sitio web en www.tmb.state.tx.us

Vermont

I have been informed that if I want to register a formal complaint about a provider, I should visit the medical board’s website, here: http://www.healthvermont.gov/health-professionals-systems/board-medical-practice/file-complaint; or Board of Osteopathic Examiners can be found at: https://sos.vermont.gov/opr/complaints-conduct-discipline/

Wyoming

I have been informed that if I want to register a formal complaint about a provider, I should visit the medical board’s website, here: http://wyomedboard.wyo.gov/consumers/file-a-complaint.

Please refer to your state’s medical board if your state-specific information is listed above, or reach out to MedRising for further assistance.