Telehealth Informed Consent

1. Important notice

This document describes how telehealth care is delivered through AgeDefy and the consent you provide when you use the platform. Please read it carefully before starting a consultation or treatment.

2. What is telehealth

Telehealth is the delivery of healthcare using electronic communication and information technology between a provider and a patient who are not in the same physical location. It may be used for evaluation, treatment, follow-up care and patient education through interactive audio, video and data communication.

3. How AgeDefy delivers care

AgeDefy connects you with licensed clinicians who are licensed in the state where you are located. Consultations may take place through:

• Secure asynchronous messaging, including intake and follow-up
• Video consultation, where required or preferred
• Secure patient-portal communication

Communications are encrypted and carried over HIPAA-compliant infrastructure operated by our clinical partner, Heally. AgeDefy itself is not a medical practice, a pharmacy or a prescriber; clinical decisions are made by your treating provider.

4. Benefits of telehealth

• Care from your own home, without travel or a waiting room
• Scheduling that fits around your day
• Access to clinicians who may not be available locally
• Continuity of your record between visits
• Faster follow-up and medication management

5. Risks and limitations of telehealth

By using the service you acknowledge that telehealth carries limitations and risks, including:

• Examination limits — your provider cannot examine you physically. Evaluation rests on the information you give, your records and any lab results.
• Technology failure — a loss of internet or power can interrupt a visit.
• Transmission risk — despite reasonable safeguards, electronic transmission of medical information carries some inherent risk of interception or breach.
• Provider availability — telehealth is not suitable for emergencies or for conditions that require in-person assessment.
• Prescribing limits — certain medications, including some controlled substances, cannot be prescribed by telehealth under federal law.
• Delay — in some cases the information available may be insufficient for a decision, and evaluation or treatment may be delayed.

6. Your responsibilities as a patient

To receive safe and effective care you agree to:

• Give complete, accurate and truthful information about your history, medications, allergies and symptoms
• Tell your provider about any change in your condition, new medication or adverse reaction
• Maintain your own primary care provider for routine and in-person care
• Seek emergency care immediately when needed, rather than relying on telehealth
• Follow the plan your provider gives you
• Tell us if you are dissatisfied with your care or have concerns about your treatment

7. Not a substitute for emergency care

If you are experiencing a medical emergency — including chest pain, difficulty breathing, a severe allergic reaction, or thoughts of harming yourself or others — call 911 or go to your nearest emergency room immediately. Do not use this platform for emergencies. For mental-health crisis support, call or text 988.

8. Privacy and confidentiality

Your health information is protected under the Health Insurance Portability and Accountability Act (HIPAA) and applicable state law. AgeDefy and its clinical partner use HIPAA-compliant technology and protocols to protect it. Our Privacy Policy describes how information is collected, used and protected.

Consultations are not recorded without your express written consent.

9. No guarantee of outcome

No specific result is promised. Your provider decides whether treatment is medically appropriate, and a visit may conclude with no prescription. You may choose in-person care with a local clinician instead of, or in addition to, telehealth.

10. State-specific notice

Telehealth regulation varies by state. Your provider is licensed in the state where you are physically located at the time of the consultation. By using the service you confirm that you are physically present in a state where your assigned provider is licensed. Provider and treatment availability vary by state and may change.

11. Right to withdraw consent

You may withdraw your consent to telehealth at any time, without penalty, by contacting hello@agedefy.io. Withdrawal does not affect the lawfulness of care already provided, and you may continue with in-person providers of your choosing.

12. Your consent

By creating an account, submitting an intake form or taking part in a consultation through AgeDefy, you acknowledge that:

• You have read and understood this Telehealth Informed Consent
• You understand the benefits, risks and limitations of telehealth
• You voluntarily consent to receive care by telehealth through AgeDefy
• You understand that no guarantee of a specific outcome has been made
• You have had the opportunity to ask questions and have them answered

13. Questions and contact

AgeDefy, LLC — Patient Support
hello@agedefy.io — 650-444-1650