Telehealth Consent Policy

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CONSENT TO TELEHEALTH QUICK.CLINIC

Last updated: March 02, 2017

 

Make sure you read all the important information below because we cover:

Only use our service if you’ve read this information and subsequently made an informed decision that our service is right for you. If you have any questions, please send us a message through the Website or call us at 800-604-0175

 

Notice for patients in Ontario – this service is provided by PopRx Inc. , a Canadian corporation, doing business as Quick.Clinic Health services (‘Quick Clinic’).

 

All Personal Health Information relating to this medical consultation and prescription will be stored by PopRx in compliance with the record keeping standards of the College of Physicians and Surgeons of Ontario and all applicable legislation of the province of Ontario.

 

NOT FOR EMERGENCIES

I understand that I should never use Quick Clinic in a medical or psychiatric emergency. I understand that in an emergency, I should dial 911 or go to an emergency department.

WHEN OUR DUTY OF CARE BEGINS

I understand that Quick Clinic doctors (‘the doctor’) will take responsibility for my care only after I have created an account, answered all the required health consult and provided a photo and/or have had a video visit and made payment, and the doctor has subsequently reviewed my request for treatment and the health consult that I have completed and any photos and/or information received from a video visit, reviewed all my information, and then subsequently determined that I am a good candidate for the telehealth services. I understand that the duty of care does not begin at the point of me answering questions or making payment or starting a video visit but at the point at which the doctor accepts the duty of care.

I understand that the doctor has the right to refuse to take responsibility for my care if the doctor makes a professional judgment that I am not a good candidate for this service. I understand that making a request for treatment (by completing a visit in the App or Website and making payment or by starting a video visit) or sending a message through the app does not in and of itself create a duty of care or create a doctor-patient relationship.

I understand that there may be a delay until the next business day before a doctor reviews my request for treatment and any messages I send.

I understand that the only content in the App or Website that constitutes professional medical advice is the personalized messages the doctor sends me (once I have completed the health consult and made payment, and the doctor has subsequently taken responsibility for my care) and any content that the doctor links to in such messages and advice that a doctor provides in a video visit. No other content in the App or Website constitutes professional medical advice. Specifically the information provided in our health consult about who we can and cannot treat does not constitute professional medical advice.

I understand that all other content in the App or Website does not constitute professional medical advice and is instead for information purposes only. Never disregard professional medical advice or delay in seeking it because of something you have read on our App or Website.

BENEFITS AND RISKS OF USING OUR SERVICE

I understand that by using the service I’m seeking great care that’s convenient and affordable.

I understand that important differences exist between Quick Clinic’s model of care and traditional healthcare. Specifically by using Quick Clinic I accept a far greater responsibility to read and understand information throughout the App and Website about the limitations of Quick Clinic’s model of care, the risks of seeking care this way, and the risks and benefits of a proposed treatment plan.

I understand that I must the read and understand the Consent to Telehealth, the Terms of Use, the Privacy Policy, the FAQs, the information provided about a service before I answer health consult, the information provided in the health consult themselves, messages I receive from Quick Clinic, and, very importantly, content provided via links in the message that the doctor sends me after the doctor has reviewed all my information and recommended a treatment plan and, when appropriate, prescribed a medicine.

I understand that to read important information I may need to both click on links and various titles to expand the information that’s visible below, and that without clicking on links and titles I will not be able to read important information that enables me to give my informed consent to a treatment.

I understand that by using Quick Clinic I accept the responsibility to provide full and truthful answers to all questions and, when requested, to provide unaltered photos of me that are taken at the time of using our service.

I understand that the doctor is unable independently to verify the information and photos I provide and that the doctor will make a professional judgment based on the information and photos I provide.

I understand that I won’t receive any other medical services that go beyond the diagnosis and treatment of acne, birth control, the diagnosis and treatment of a possible UTI, the diagnosis and treatment of male pattern baldness, the diagnosis and treatment of erectile dysfunction, the diagnosis and treatment of bacterial sinus infection, the diagnosis and treatment of acid reflux and the diagnosis and treatment of a cold sore, or preventative treatment of a cold sore. I need to seek other sources of care for my other medical needs.

I understand that by using the service for a telemedical consultation, I won’t have an in person consultation and physical exam that might identify a medical condition that needs further investigation or immediate treatment.

I understand that by using the service I won’t speak or message with a doctor or nurse in real time. The only exception to this is patients who will have a video visit with a doctor.

I understand that I must check the App or Website for messages because this is the way that the doctor will communicate important information to me. I understand that if I don’t check the App or Website regularly, then my care may be delayed.

I understand that if I have any questions relating to my care that aren’t urgent, I can message the doctor through the App or Website. I understand that the doctor may not review and respond to my messages until the next business day.

IMPORTANCE OF READING ALL THE INFORMATION WE PROVIDE

I understand that Quick Clinic will provide detailed information in the App and Website to help me make an informed decision about whether to accept a proposed treatment plan. The most important information about a treatment plan is in the link that the doctor will send me when the doctor prescribes a treatment. This information includes detailed information to help me decide if the benefits of the treatment plan outweigh the risks, given the alternative options available to me, which includes the option of not taking any treatment.

I understand the importance of reading the information the doctor provides about adverse events, including the signs and symptoms of serious side effects and common side effects from taking a medicine, as this will ensure that I seek appropriate medical attention in a timely manner.

IMPORTANCE OF ANSWERING ALL QUESTIONS FULLY AND TRUTHFULLY

I understand that by using Quick Clinic I seek to enter into a relationship where the doctor relies exclusively upon information and photos that I provide to decide whether or not treatment is safe and appropriate.

I understand that the doctor has no way of verifying the information and photos that I provide and that the doctor will consider information to be accurate, true and complete, including my age, gender and all my answers to health consult, and the photos to be of me, taken at the time of me using the service, and unaltered.

I understand that if I provide information that isn’t true and complete, then I’ll be at greater risk of adverse events from any treatment that the doctor prescribes and I may take a treatment that isn’t necessary, appropriate, or safe.

I understand that if I provide photos that are altered, not of me or not taken at the time of me using the service, then I’ll be at greater risk of adverse events from any treatment that the doctor prescribes and I may take a treatment that isn’t necessary, appropriate, or safe.

I understand that even if I provide information that is true and complete, I’m still at risk of adverse events from any treatment that the doctor prescribes.

I understand that even if I provide photos that are unaltered, of me and taken at the time of using the service, I’m still at risk of adverse events from my treatment that the doctor prescribes.

I understand that it is important that I don’t create more than one account. Creating more than one account makes it impossible for the doctor to see the full history of care that I’ve received from Quick Clinic. This increases the chances that the doctor will not have access to important information and photos in my medical record that could influence the doctor’s clinical decision.

I understand that by using Quick Clinic I’m giving my explicit consent for the doctor to access medication history, where it’s available, from records provided by pharmacy databases. I understand that, if appropriate, the doctor may take this information into account when making a treatment and prescribing decision but this doesn’t change how important it is that I provide full, true and complete information during the Quick Clinic visit.

RISKS OF ACCEPTING OUR TREATMENT PLAN

I understand that all the medicines that the doctor may prescribe or recommend, including over the counter medicines and ‘behind the counter’ medicines can cause serious side effects and adverse events that include severe allergic reaction, permanent disability and death.

I understand that it is my responsibility to make an informed decision whether to accept a treatment plan that the doctor proposes after weighing the risks and benefits of the medicine being prescribed, alternative treatment options and the risks and benefits of such alternatives, and the option of not seeking any treatment.

I understand the importance of reading the manufacturer’s leaflet that comes with a medicine, including an over the counter or behind the counter medicine, before I take a medicine because this leaflet includes important information about risks and warnings.

I understand that adverse events can be caused by a number of things, including an allergic reaction, side effects, or interactions between a medicine that the doctor prescribes and any medical conditions I may have, other prescription medicines or other things (e.g., supplements, herbs, over-the-counter medicines, or recreational drugs) I’m taking, and lifestyle choices such as smoking tobacco products or drinking alcohol.

Acid reflux

I understand that adverse events from taking medicines to treat acid reflux include but aren’t limited to severe allergic reaction, permanent disability and death.

I understand that if my symptoms keep bothering me then I should have an endoscopy that looks in my esophagus and stomach. I understand that taking medicine for acid reflux may delay a diagnosis of and treatment for a different underlying problem that is the real cause of my symptoms.

Acne

I understand that adverse events from taking antibiotics to treat acne include but aren’t limited to allergic reaction, permanent disability and death.

I understand that by using Quick Clinic to diagnose and treat acne, there’s a risk that the doctor misdiagnoses the cause of my skin problem resulting in a delay in diagnosing the true cause of my problem and that I’ll take prescription or over-the-counter medicines unnecessarily and expose myself to the risks of taking those medicines.

I understand that by using Quick Clinic to diagnose and treat acne, the doctor won’t be able to do a complete and thorough skin exam of my whole body and that a doctor in person may conduct a more thorough skin exam. Because Quick Clinic doctors cannot do a thorough skin exam, there is a risk that they may not identify a medical condition that needs further investigation or immediate treatment. There is also a risk that the photos of my skin that I send to Quick Clinic are not representative of my condition and that based on the photos I send the Quick Clinic doctors misdiagnose my condition.

I understand that even if Quick Clinic doctors correctly diagnose me with acne and initially prescribe treatment, it may subsequently be necessary for me to seek additional care with a doctor in person if the treatment is not effective or the doctors consider my acne to be too complicated to manage online.

Birth control pills

I understand that adverse events from taking birth control pills include but aren’t limited to stroke, heart attack, and death.

I understand that I can request a prescription for many different types of birth control pills and that different types of pills have different risks of adverse events and different side effects.

I understand that in general, combination birth control pills have a higher risk of serious side effects and adverse events, including blood clots, stroke, permanent disability, and death, than progestin-only pills. Combination pills contain 2 hormones, estrogen and progestin.

I understand that if I request a prescription for a combination pill then it’s important that I provide a recent and accurate blood pressure measurement because it’s not appropriate to take combination pills if I have a history of elevated blood pressure.

I understand that if I take a combination pill without knowing my blood pressure then I have a significant risk of blood clots, stroke, permanent disability and death.

I understand that if I request a prescription for a specific birth control pill, then I accept any increased risk of adverse events and serious side effects associated with that particular medicine.

Erectile dysfunction

I understand that adverse events from taking sildenafil (Viagra), tadalafil (Cialis) or vardenafil (Levitra) include but aren’t limited to a painful erection lasting more than 4 hours, sudden loss of vision in one or both eyes, sudden decrease or loss of hearing, allergic reaction, permanent disability and death.

I understand that if I have a condition where sex is not advised then I should not take sildenafil (Viagra), tadalafil (Cialis) or vardenafil (Levitra).

I understand that if I am taking nitroglycerin or other medicines that contain nitrates then I should not take sildenafil (Viagra), tadalafil (Cialis) or vardenafil (Levitra) as this combination can lower blood pressure unexpectedly and could be fatal.

I understand that sildenafil (Viagra), tadalafil (Cialis) and vardenafil (Levitra) are prescription medicines and not recreational drugs.

I understand that by using Quick Clinic to diagnose and treat erectile dysfunction, the doctor won’t have the opportunity to conduct a detailed physical examination that would be possible if I were to see a doctor in person. Because Quick Clinic doctors cannot do a detailed physical examination there is a risk that they may not identify potential physical causes of my condition that they would be able to identify and investigate further if I were to see them in person.

I understand that erectile dysfunction is often the first symptom of other health conditions, including cardiovascular disease and diabetes and that it’s important to have a range of investigative laboratory tests to look for the cause of my condition.

I understand that Quick Clinic doctors can order a set of investigative tests, help me understand the tests results and advise me on next steps. I understand that it’s my responsibility to seek follow-up care and ongoing care from a doctor in person and that it’s unlikely that Quick Clinic doctors will be able to provide follow-up care and ongoing care for any potential health conditions highlighted by the tests.

I understand that the investigative tests that Quick Clinic doctors will order do not include tests to identify potential hormonal causes of my erectile dysfunction. I understand that if I don’t follow the advise of Quick Clinic doctors to order investigative laboratory tests, then I will not be able to identify potentially serious underlying health conditions, which left untreated could result in premature death or permanent disability.

Cold Sore

I understand that adverse events from taking antivirals to treat or prevent a cold sore include but aren’t limited to allergic reaction, permanent disability and death.

I understand that by using Quick Clinic to diagnose and treat a cold sore, there’s a risk that the doctor misdiagnoses the cause of my symptoms. If this happens then I’ll take an antiviral medicine unnecessarily, expose myself to the risks of taking that medicine, and potentially delay the investigation of a more serious condition.

I understand that by using Quick Clinic to obtain an antiviral medicine when I’ve been in close contact with someone who has a cold sore – but I don’t myself have symptoms – there’s a risk that I take the medicine unnecessarily because I won’t actually get a cold sore. If this happens then I’ll expose myself to the risks of taking that medicine.

I understand that if my  cold sore symptoms haven’t improved after 3 days of taking the antiviral medicine, then it’s important that I visit a doctor in person.

Hair loss

I understand that adverse events from taking finasteride to treat male pattern baldness include but aren’t limited to breast cancer, prolonged sexual dysfunction, high-grade prostate cancer, allergic reaction, permanent disability and death.

I understand that by using Quick Clinic to diagnose and treat male pattern baldness, the doctor won’t be able to carry out a ‘hair-pull’ test that could assist in the diagnosis of male pattern baldness.

Sinus infection

I understand that adverse events from taking antibiotics to treat a bacterial sinus infection include but aren’t limited to allergic reaction, permanent disability and death.

I understand that by using Quick Clinic to diagnose and treat a possible bacterial sinus infection, there’s a risk that the doctor misdiagnoses the cause of my infection as bacteria and not a virus or an allergy.

I understand that there’s a risk that I’ll be misdiagnosed with a bacterial sinus infection when in fact my symptoms are caused by a virus. If this happens then I’ll take an antibiotic unnecessarily and expose myself to the risks of taking that antibiotic.

I understand that if my symptoms haven’t improved after 3 days of taking the antibiotic treatment, then it’s important that I send Quick Clinic doctors a message or visit a doctor in person.

UTI

I understand that adverse events from taking antibiotics to treat a UTI include but aren’t limited to allergic reaction, permanent disability and death.

I understand that by using Quick Clinic to diagnose and treat a possible UTI, the doctor won’t be able to conduct a live interview and physical exam that might identify a medical condition that needs further investigation or immediate treatment. Also, the doctor won’t be able to carry out 3 tests that would help determine if I have a UTI or whether a different condition is the cause of my symptoms. Specifically, these 3 tests are a urine dipstick test, a urinalysis and a urine culture. Without carrying out these tests and solely relying on my answers to the questionnaire in the app, the doctor will correctly diagnose approximately 90% of patients who have a UTI and 90% of patients who don’t have a UTI. 10% of patients who actually have a UTI and 10% of patients who don’t actually have a UTI will be incorrectly diagnosed without these additional tests.

I understand that in cases where the doctor makes an incorrect diagnosis of a UTI, the doctor may prescribe an antibiotic treatment that isn’t appropriate for my specific needs. This means I may take an antibiotic that I don’t need to take.

I understand that if my symptoms haven’t disappeared after 3 days of taking the antibiotic treatment, then it’s important that I visit a doctor in person for a physical examination.

RISKS TO ELECTRONIC HEALTH INFORMATION

I understand that although Quick Clinic implements a wide range of administrative, physical, and technical safeguards to protect my health information and comply with HIPAA, Quick Clinic cannot guarantee the privacy and confidentiality of my health information.

For more details about how Quick Clinic protects and uses your health information and complies with HIPAA, see our Privacy Policy.