Consent to Treat / Telehealth Consent

Last updated 05/12/2025

By submitting any health intake form or booking a virtual visit, you consent to:

Receive care through telehealth services.

Allow our licensed providers to assess, diagnose, and treat you based on the information you provide.

Understand that no technology is 100% secure and accept the privacy risks of using virtual care platforms.

Understand that telehealth does not replace the need for in-person exams when necessary.

If you have questions, please contact our office before proceeding.