COVID-19 Testing:

---

Introduction

Telemedicine is the delivery of healthcare services when the healthcare provider and patient are not in the same physical location through the use of technology. Electronically-transmitted information may be used for diagnosis, therapy, follow-up and/or patient education, and may include any of the following:

• Patient medical records
• Medical images
• Interactive audio, video, and/or data communications
• Output data from medical devices, sound and video files

The interactive electronic systems used will incorporate network and software security protocols to protect the confidentiality of patient identification and imaging data and will include measures to safeguard the data and to ensure its integrity against intentional or unintentional corruption.

Potential Benefits

1. Improved access to medical care by enabling you to still be anywhere and speak to the doctor.


2. This service supports and does not replace traditional care delivery. You can still visit the office as needed.


3. Your insurance will be billed as usual. There is nothing else for you to do at this time. (Please contact your insurance provider for information about how they handle telemedicine services).


4. You have an additional way to remain in touch so that you can stay healthy and engaged in your health care while achieving your health care goals.

Potential Risks

As with any medical procedure, there are potential risks associated with the use of telemedicine. These risks include, but may not be limited to:

1. Information transmitted may not be sufficient (e.g., poor resolution of images) to allow for appropriate medical decision making by the physician and consultant(s).


2. The consulting physician(s) are not able to provide medical treatment to the patient through the use of telemedicine equipment nor provide for or arrange for any emergency care that I may require.


3. Delays in medical evaluation and treatment could occur due to deficiencies or failures of the equipment.


4. Security protocols could fail, causing a breach of privacy of personal medical information.


5. A lack of access to complete medical records may result in adverse drug interactions or allergic reactions or other medical judgment errors.

Proceeding with this service signifies that you have read and agreed with the following:

1. The laws that protect the privacy and confidentiality of medical information also apply to telemedicine. No information obtained during a telemedicine encounter which identifies me will be disclosed to researchers or other entities without my consent.


2. I have the right to withhold or withdraw my consent to the use of telemedicine during the course of my care at any time. I understand that my withdrawal of consent will not affect any future care or treatment, nor will it subject me to the risk of loss or withdrawal of any health benefits to which I am otherwise entitled.


3. I have the right to inspect all information obtained and recorded during the course of a telemedicine interaction, and may receive copies of this information for a reasonable fee.


4. A variety of alternative methods of medical care may be available to me. These include an in office visit, a visit to the Emergency room or Urgent care when necessary. My physician has explained the alternative care methods to my satisfaction.


5. Telemedicine may involve electronic communication of my personal medical information to other medical practitioners who may be located in other areas.


6. I may expect benefits from the use of telemedicine in my care, but that no results can be guaranteed or assured. My condition may not be cured or improved, and in some cases, may get worse.

Please contact us with questions.

Thank you,
Dr. Marshall

Call today to schedule an appointment OR Request Your Initial Consultation Today