Consent to Telehealth

What you’re agreeing to

By accepting this consent, you agree to receive healthcare services by telehealth from a licensed clinician engaged by the provider organization (“we,” “us,” “your care team”). Please read it before you accept.

You can decline, or withdraw this consent later, without penalty. Declining means we can’t treat you by telehealth; it doesn’t affect your ability to seek care elsewhere.

What telehealth means here

Telehealth is healthcare delivered using electronic communications rather than an in-person visit. In your case, that may include:

• Secure messaging

• Review of the health questionnaire and any records you provide

• Audio, video, or live chat consultation where required or clinically appropriate

• Electronic transmission of your health information between your clinician and a pharmacy

Depending on your state and your clinical situation, your clinician may review your information and communicate with you asynchronously — meaning not in real time — or may require a live audio or video visit. That decision is made by your clinician based on state law and clinical judgment. You may request a live visit at any time.

Who is providing your care

A licensed clinician, authorized to practice in the state where you are located, will review your information and decide whether treatment is appropriate.

Yucca Health does not practice medicine and does not make clinical decisions. It provides the technology and administrative support that lets you connect with a clinician, and coordinates payment and fulfillment. Yucca Health does not employ your clinician or direct their clinical judgment.

Prescriptions, if any, are dispensed by a licensed U.S. pharmacy. Yucca Health does not operate a pharmacy.

You may choose a different clinician or pharmacy. You are not required to use any clinician or pharmacy made available through this platform. If you would prefer your prescription be sent elsewhere, tell us and we will accommodate that where we are able.

Your rights

• You can decline or withdraw. You may refuse telehealth, or withdraw this consent, at any time, without affecting your right to future care.

• You may request an in-person evaluation instead of, or in addition to, telehealth.

• You can ask questions about your treatment, including alternatives, at any time.

• You can request your medical records. Your clinician and pharmacy maintain your records and you have the right to access and copy them.

• You can ask who is participating. You have the right to know who is present or has access during any consultation.

Benefits and risks

Potential benefits include access to care without travel, shorter waits, and the ability to communicate with your care team through secure messaging.

Potential risks and limitations include:

• A clinician cannot physically examine you. Some conditions can’t be properly evaluated without an in-person exam, and a diagnosis or treatment decision could be affected.

• Care depends on what you tell us. If the information you provide is incomplete or inaccurate, treatment decisions may be wrong or unsafe.

• Technology can fail. Connection problems may delay or interrupt care.

• Electronic transmission carries security risk. We use safeguards, but no electronic system is completely secure.

• Follow-up may be needed. Some situations require in-person care, referral, or laboratory testing, and your clinician may decline to treat you by telehealth.

Emergencies

Telehealth cannot be used for emergencies.

If you are experiencing a medical emergency — including chest pain, difficulty breathing, severe abdominal pain, signs of a stroke, a severe allergic reaction, or thoughts of harming yourself — call 911 or go to the nearest emergency room immediately. Do not use messaging to report an emergency.

Compounded medications

Your clinician may determine that a compounded medication is appropriate for you.

Compounded medications are not approved by the FDA. The FDA does not review compounded drugs for safety, effectiveness, or manufacturing quality before they are marketed.

A compounded medication is prepared by a licensed pharmacy for an individual patient, pursuant to a prescription from a clinician who has determined that a compounded preparation is appropriate for that patient’s needs.

A compounded preparation is not the same as, and is not a substitute for, any FDA-approved product, and no claim is made that it is equivalent in safety, effectiveness, or quality.

Compounded medications carry the risks of their active ingredients, which your clinician will discuss with you, as well as risks associated with compounding itself, including variation in preparation.

Ask your clinician about the risks, benefits, and alternatives — including FDA-approved options — before starting treatment.

What we ask of you

• Provide complete and accurate information about your health, medications, supplements, and medical history

• Tell your care team promptly about changes in your health, new medications, or side effects

• Follow the treatment plan and instructions you’re given, and ask if anything is unclear

• Use a private, secure internet connection, and keep your login credentials confidential

• Contact your care team, or seek in-person care, if your condition worsens

Privacy

Information you share in the course of your care is protected health information and is handled under federal and state health privacy law. Your provider organization’s Notice of Privacy Practices describes how it may be used and disclosed, and your rights regarding it.

Information collected by Yucca Health through its website and portal is described in Yucca Health’s Privacy Policy and, for Washington and Nevada residents, its Consumer Health Data Privacy Notice.

No guarantee of outcome

No promise or guarantee has been made to you about the results of any treatment. Medicine is not an exact science, and outcomes vary between individuals. Your clinician will discuss what to reasonably expect, but no particular result is assured.

Your consent

By accepting, you confirm that:

• You have read and understood this document

• You have had the opportunity to ask questions, and any questions you asked were answered

• You understand the benefits, risks, and limitations of telehealth

• You understand that a compounded medication may be prescribed, and that compounded medications are not FDA-approved

• You understand that no outcome is guaranteed

• You are at least 18 years old

• You are physically located in the state you have provided

• You consent to receive healthcare services by telehealth

You may withdraw this consent at any time by contacting your care team.