Effective Date: 09 June 2025

Please read this Informed Consent to Telehealth Services (“Consent”) carefully. By clicking “I Agree,” scheduling a telehealth appointment, or receiving telehealth services through HealthBlendRX LLC (“HealthBlendRX,” “we,” “us,” or “our”) or any partner service provider, you acknowledge and agree to the following:

1. Nature of Telehealth Services Telehealth involves the use of electronic communications and information technologies to deliver health care services at a distance. These services may include:

• Medical evaluation, diagnosis, treatment, and consultation
• Electronic transmission of medical records, images, and data
• Remote prescribing and follow-up care

2. Potential Benefits of Telehealth

• Increased access to care
• Convenient and efficient service delivery
• Reduced travel time and associated costs

3. Potential Risks of Telehealth

• Incomplete transmission of information due to technological limitations
• Delays in medical evaluation due to connectivity or device failure
• Limited physical examination which may affect diagnosis
• Risk of data breach or unauthorized access despite encryption and security measures

4. Confidentiality and Privacy HealthBlendRX follows HIPAA-compliant standards to protect your privacy and medical information. All telehealth communications are encrypted. You understand and agree that:

• You are responsible for securing your own internet connection and location privacy
• Despite best efforts, total security cannot be guaranteed in any online environment

5. Patient Rights You have the right to:

• Be treated with respect and dignity
• Ask questions about telehealth procedures
• Decline telehealth services at any time without affecting your right to future care
• Request a copy of your medical records

6. Conditions for Participation By participating in a telehealth session, you agree to:

• Provide accurate and complete information about your health
• Be in a safe, private, and quiet environment during sessions
• Not record telehealth sessions without prior written consent

7. Alternatives to Telehealth You understand that alternative options, such as in-person care, may be available and that you can choose another form of care at any time.
8. Consent and Acknowledgment By proceeding with telehealth services, you acknowledge that:

• You have read and understood the information provided above
• You understand the risks and benefits of telehealth
• You consent to receive medical care through telehealth technology from HealthBlendRX and its affiliated providers

If you have questions about this Consent, please contact us at:
Email: support@healthblendrx.com

Thank you for choosing HealthBlendRX for your telehealth care.