Telehealth Services Disclaimer

Effective Date: July 3, 2025

Last Updated: July 3, 2025

Overview of Telehealth Services

Virtual Concierge MD provides telemedicine services through licensed physicians practicing within independently owned professional practices. These services are delivered via secure telehealth platforms and are subject to specific limitations and requirements.

Service Availability

Licensed States

Virtual Concierge MD provides telehealth services ONLY to patients physically located in:

1. California
2. Illinois
3. Indiana
4. Montana
5. New York
6. Nevada

Location Verification Required

Before each consultation:

1. You must confirm your current physical location
2. Services cannot be provided if you're outside licensed states
3. Location falsification may result in service termination

Nature of Telehealth Services

What Telehealth Includes

1. Video consultations with licensed physicians
2. Audio-only visits (where permitted)
3. Secure messaging (asynchronous care)
4. Remote patient monitoring
5. Prescription services (non-controlled and controlled substances)
6. Follow-up care and chronic disease management

What Telehealth Does NOT Include

1. Emergency medical care
2. Procedures requiring physical examination
3. Certain controlled substance prescriptions (state-specific)
4. Services requiring in-person diagnostics
5. Workers' compensation evaluations
6. Disability determinations

Technology Requirements

Minimum Requirements

1. Reliable internet connection (broadband recommended)
2. Device with camera and microphone
3. Updated web browser or mobile app
4. Private location for consultations
5. Valid email address
6. Working phone number

Technical Limitations

We are not responsible for:

1. Internet connectivity issues
2. Device malfunctions
3. Software incompatibilities
4. Power outages
5. Third-party platform issues

Clinical Limitations

Examination Constraints

Telehealth cannot replicate all aspects of in-person care:

1. No physical palpation
2. Limited visual assessment
3. No hands-on procedures
4. Restricted diagnostic capabilities
5. Potential for misdiagnosis

When In-Person Care is Required

You may be referred for in-person care for:

1. Physical examination needs
2. Emergency conditions
3. Complex diagnoses
4. Procedure requirements
5. Legal/regulatory requirements

Informed Consent Requirements

Your Acknowledgment

By using telehealth services, you understand and agree:

1. Telehealth has inherent limitations
2. Misdiagnosis risk exists
3. Technical failures may occur
4. Privacy cannot be absolutely guaranteed
5. Results are not guaranteed

Consent Elements

You consent to:

1. Electronic transmission of health information
2. Recording of sessions (with notice)
3. Interstate practice where applicable
4. Alternative communication methods
5. Coordination with other providers

Privacy and Security

HIPAA Compliance

All telehealth services comply with HIPAA requirements:

1. Encrypted video platforms
2. Secure data transmission
3. Access controls
4. Audit trails
5. Business Associate Agreements

Your Privacy Responsibilities

You are responsible for:

1. Ensuring private location
2. Securing your devices
3. Protecting login credentials
4. Controlling room access
5. Using secure networks

Prescription Services

Controlled Substances (DEA Extension through 2025)

Current regulations allow prescribing without in-person exam through December 31, 2025:

1. Schedule II-V medications permitted
2. Valid prescription requirements apply
3. State-specific restrictions may apply
4. DEA registration verification required

Prescription Limitations

We cannot prescribe:

1. Medications requiring physical examination
2. Substances prohibited by state law
3. Medications outside scope of practice
4. Prescriptions for third parties

Emergency Protocols

Medical Emergencies

For medical emergencies, CALL 911 IMMEDIATELY

Telehealth is not appropriate for:

1. Chest pain
2. Difficulty breathing
3. Severe bleeding
4. Loss of consciousness
5. Suicidal/homicidal thoughts

Technical Emergencies

If connection is lost during urgent consultation:

1. Provider will attempt to reconnect
2. May call your registered phone
3. Follow predetermined backup plan
4. Seek immediate care if needed

Quality of Care Standards

Same Standards Apply

Telehealth services maintain the same standards as in-person care:

1. Professional licensing
2. Clinical guidelines
3. Documentation requirements
4. Continuing education
5. Peer review processes

Continuity of Care

We facilitate care coordination through:

1. Medical record sharing (with consent)
2. Provider-to-provider consultation
3. Referral networks
4. Follow-up scheduling
5. Care plan documentation

Financial Considerations

Insurance Coverage

1. Coverage varies by plan
2. Verify benefits before service
3. Copays/deductibles apply
4. Some services may not be covered
5. Prior authorization may be required

Payment Responsibility

You are responsible for:

1. Applicable copayments
2. Deductibles
3. Non-covered services
4. No-show fees
5. Technical failure charges (if applicable)

State-Specific Requirements

California

1. Verbal or written consent acceptable
2. Must inform patients of telehealth limitations
3. Prescriber must be licensed in California

Illinois

1. Written consent preferred
2. 15-session limit for out-of-state established patients
3. Specific privacy requirements

Indiana

1. Special telehealth certification required
2. Prior in-person exam for certain controlled substances
3. Specific consent language mandated

Montana

1. Special purpose license available
2. Rural health provisions
3. Specific documentation requirements

New York

1. Provider must be in US during consultation
2. Specific consent requirements
3. Enhanced privacy protections

Nevada

1. Expedited licensing available
2. Initial consultation requirements
3. Specific record-keeping mandates

Limitations of Liability

No Guarantee of Outcomes

Virtual Concierge MD does not guarantee:

1. Diagnosis accuracy
2. Treatment success
3. Technology reliability
4. Availability of services
5. Insurance coverage

Assumption of Risk

You acknowledge and accept risks including:

1. Technology failures
2. Miscommunication
3. Delayed diagnosis
4. Privacy breaches
5. Treatment limitations

Patient Rights and Responsibilities

Your Rights

1. Refuse telehealth services
2. Request in-person care
3. Access medical records
4. File complaints
5. Seek second opinions

Your Responsibilities

1. Provide accurate information
2. Follow treatment plans
3. Report changes in condition
4. Maintain follow-up appointments
5. Pay for services rendered

Changes to Services

We reserve the right to:

1. Modify service offerings
2. Update technology platforms
3. Change operating hours
4. Adjust state availability
5. Update policies and procedures

Contact Information

For Telehealth Support:

Virtual Concierge MD

Theressia L. Washington, MD, P.C.

9663 Santa Monica Blvd, Suite 957

Beverly Hills, CA 90210

Phone: (310) 275-8377

Email: telehealth@virtualconciergemd.com

Technical Support: support@virtualconciergemd.com

Medical Questions: medical@virtualconciergemd.com

By using Virtual Concierge MD telehealth services, you acknowledge that you have read, understood, and agree to this Telehealth Services Disclaimer.