Telehealth Consent

Orders.Clinic Patient Consents

Telehealth Consent

Effective date: July 1, 2026

This Telehealth Consent explains the nature of healthcare services delivered through electronic communications, the benefits and limitations of telehealth, the responsibilities of patients and healthcare practitioners, and the risks you should understand before receiving telehealth services.

1. Introduction

This Telehealth Consent applies when you receive healthcare services remotely through or in connection with Orders.Clinic.

Orders.Clinic is operated by Clinic Protocols LLC, a Nevada limited liability company. In this consent, “Orders.Clinic,” “Clinic Protocols,” “we,” “us,” and “our” refer to Clinic Protocols LLC and its authorized personnel and service providers.

“Practitioner” means the physician, nurse practitioner, physician assistant, pharmacist, therapist, or other licensed healthcare professional who provides or participates in your healthcare services.

“Practice” means the medical practice, clinic, professional entity, or healthcare organization through which the practitioner provides services.

“Telehealth” includes healthcare services delivered through electronic communications when the patient and practitioner are not physically present in the same location.

This consent supplements any other consent, authorization, notice, treatment agreement, financial policy, privacy notice, or patient document provided by your practitioner or practice.

2. Role of Orders.Clinic

Orders.Clinic provides technology, administrative, account-management, communication, ordering, payment, documentation, and related support tools that may be used by patients, practitioners, medical practices, laboratories, pharmacies, manufacturers, suppliers, and other authorized participants.

Unless expressly disclosed otherwise, Clinic Protocols LLC and Orders.Clinic do not independently provide medical care, diagnose medical conditions, establish treatment plans, prescribe medications, dispense prescriptions, perform laboratory testing, or replace the professional judgment of a licensed healthcare practitioner.

Your healthcare services are provided by the practitioner or practice identified to you. That practitioner or practice is independently responsible for the healthcare services it provides.

The availability of a practitioner, product, laboratory test, prescription, treatment, protocol, educational resource, or communication tool through Orders.Clinic does not guarantee that it is appropriate or available for you.

3. Nature of telehealth services

Telehealth services may include one or more of the following:

  • Live video consultations.
  • Audio-only telephone consultations where permitted.
  • Secure messages between you and a practitioner or practice.
  • Asynchronous review of questionnaires, photographs, videos, records, laboratory results, or other information.
  • Remote evaluation of reported symptoms, medical history, medications, allergies, health goals, or treatment progress.
  • Remote monitoring using information or measurements submitted by you or transmitted by a connected device.
  • Review and ordering of laboratory or diagnostic testing.
  • Treatment recommendations, education, follow-up care, or care coordination.
  • Electronic prescribing where clinically appropriate and legally permitted.
  • Recommendations or orders for products and services.

Not every service listed above will be available to every patient, practitioner, medical condition, or jurisdiction.

4. Practitioner-patient relationship

Submitting a questionnaire, creating an account, requesting an appointment, uploading information, sending a message, or placing an item in a cart does not necessarily establish a practitioner-patient relationship.

A practitioner-patient relationship is established only when an appropriately licensed practitioner accepts responsibility for evaluating or treating you in accordance with applicable law and professional standards.

A practitioner may decline to establish or continue a practitioner-patient relationship if telehealth is not appropriate, required information is unavailable, identity or location cannot be verified, the practitioner is not authorized to practice where you are located, or another clinical or legal concern applies.

Your relationship with one practitioner does not necessarily create a relationship with Clinic Protocols LLC, another practitioner, a pharmacy, a laboratory, a manufacturer, or any other platform participant.

5. Identity and physical location

At the beginning of a telehealth interaction, you may be asked to confirm:

  • Your full legal name.
  • Your date of birth.
  • Your identity through identification documents or another verification method.
  • Your current physical location.
  • A telephone number where you can be reached.
  • An emergency contact.
  • The identity of any person present with you.

You agree to provide accurate information concerning your identity and physical location at the time services are provided.

Your practitioner may be unable to provide services if you are located in a state or jurisdiction where the practitioner is not licensed or otherwise authorized to practice.

If your location changes during a telehealth interaction, you agree to notify the practitioner.

6. Practitioner information

You have the right to know the identity and professional role of the practitioner providing your healthcare services.

The practitioner or practice may provide information including:

  • The practitioner’s name.
  • Professional title and credentials.
  • Medical specialty or area of practice.
  • Practice name and contact information.
  • Licensing information where required.
  • Instructions for obtaining follow-up care or submitting a complaint.

You may ask questions about the practitioner’s identity, credentials, professional role, or practice before consenting to treatment.

7. Potential benefits of telehealth

Potential benefits of telehealth may include:

  • Improved access to healthcare services.
  • Reduced travel time and related expenses.
  • More convenient communication with a practitioner or practice.
  • Faster access to certain evaluations, recommendations, or follow-up services.
  • Access to practitioners who may not be located nearby.
  • Improved coordination among authorized healthcare participants.
  • Ability to receive certain services from your home or another private location.
  • Electronic access to messages, instructions, records, orders, and account information.

These are potential benefits only. No particular outcome, improvement, diagnosis, prescription, treatment, product, or result is guaranteed.

8. Risks and limitations of telehealth

Telehealth has risks and limitations that differ from an in-person encounter.

These may include:

  • A practitioner may be unable to perform a complete physical examination.
  • Certain visual, auditory, or physical findings may be difficult to evaluate remotely.
  • Information provided through a questionnaire, photograph, video, device, or message may be incomplete, inaccurate, delayed, or misunderstood.
  • A diagnosis or treatment recommendation may be delayed or limited because of missing information.
  • A condition may require an in-person examination, diagnostic testing, imaging, laboratory work, specialist evaluation, or emergency care.
  • Technology may fail, disconnect, freeze, transmit incorrectly, or produce poor audio or video quality.
  • Electronic communications may be delayed or may not be reviewed immediately.
  • Unauthorized persons may overhear or view a telehealth interaction if appropriate privacy precautions are not taken.
  • Despite security safeguards, electronic information may be subject to unauthorized access, interception, loss, corruption, or disclosure.
  • Differences in state law, licensure rules, prescribing restrictions, or professional requirements may limit available care.
  • A pharmacy, laboratory, supplier, manufacturer, insurer, or other third party may decline or delay a requested service.
  • Errors or delays may occur in electronic prescribing, laboratory orders, pharmacy processing, fulfillment, or delivery.

Your practitioner may determine at any time that telehealth is not sufficient or appropriate for your condition.

9. Alternatives to telehealth

Alternatives may include:

  • An in-person appointment with the same practitioner or practice.
  • An appointment with another local healthcare professional.
  • Urgent care.
  • An emergency department.
  • A specialist consultation.
  • Other healthcare services available in your community.

You may decline telehealth and request information about available alternatives. An equivalent in-person option may not always be available through the same practitioner, practice, program, or fee structure.

10. Your responsibilities

By receiving telehealth services, you agree to:

  • Provide complete, accurate, and current information about your identity, location, medical history, symptoms, medications, supplements, allergies, sensitivities, diagnoses, treatments, and health status.
  • Answer practitioner questions honestly and to the best of your knowledge.
  • Notify the practitioner of significant changes in your symptoms, medications, health status, pregnancy status, nursing status, or other relevant circumstances.
  • Follow instructions concerning laboratory testing, medications, treatment, monitoring, follow-up care, and emergency services.
  • Ask questions when you do not understand a recommendation, instruction, risk, treatment, prescription, or product.
  • Use a secure device, secure internet connection, and private location whenever reasonably possible.
  • Protect your account credentials and prevent unauthorized persons from accessing your account.
  • Inform the practitioner of every person who is present or able to hear the telehealth interaction.
  • Refrain from driving, operating machinery, or participating in another activity that could make the consultation unsafe.
  • Seek in-person or emergency care when advised or when your condition requires immediate attention.

11. Privacy and confidentiality

Telehealth involves the electronic collection, transmission, processing, and storage of health and personal information.

The practitioner, practice, Clinic Protocols LLC, and authorized service providers may use electronic systems to conduct telehealth visits, exchange messages, maintain records, process orders, coordinate care, and perform related services.

Reasonable administrative, technical, and physical safeguards may be used to protect your information. However, no electronic communication or storage system can be guaranteed to be completely secure.

Privacy risks may be increased when you:

  • Use public or unsecured Wi-Fi.
  • Use a shared or public device.
  • Participate from a location where other people can hear or see the interaction.
  • Leave your account signed in.
  • Share passwords or access codes.
  • Send sensitive information through ordinary email, text message, or another nonsecure method.
  • Permit smart speakers, recording devices, cameras, or other electronic devices to remain active nearby.

You are encouraged to participate from a private location, use headphones when appropriate, secure your internet connection, protect your device, and prevent unauthorized people from viewing your screen.

Information will be handled in accordance with applicable privacy requirements, the Orders.Clinic Privacy Policy, and the practitioner’s or practice’s Notice of Privacy Practices where applicable.

12. Other people present

Your practitioner may involve authorized clinical, administrative, interpretive, technical, or support personnel when reasonably necessary.

You will be informed of other persons participating in the clinical interaction when required, and you may ask about their identity and role.

You may request that a family member, caregiver, interpreter, legal representative, or other support person participate, subject to the practitioner’s approval and applicable privacy requirements.

You agree to identify any person who is present with you or able to hear or observe the consultation.

The practitioner may ask an unauthorized or disruptive person to leave or may end the consultation if privacy, safety, consent, or clinical concerns arise.

13. Technology failures

A telehealth interaction may be interrupted by internet outages, equipment failure, software errors, power interruptions, poor connectivity, audio or video problems, or other technical issues.

If the connection is interrupted:

  • Attempt to reconnect using the original link or platform.
  • Monitor your telephone, email, secure portal, or other approved communication method for instructions.
  • Contact the practitioner or practice using the contact information provided to you.
  • Call 911 or seek emergency care if an urgent medical condition exists.

The practitioner may continue the interaction by telephone, reschedule the appointment, direct you to an in-person facility, or take another appropriate action.

14. Emergencies and urgent conditions

Orders.Clinic and routine telehealth services are not emergency medical services.

Do not rely on a portal message, email, text message, questionnaire, or scheduled telehealth appointment for an emergency or condition requiring immediate attention.

If you believe you are experiencing a medical emergency, call 911 or go to the nearest emergency department.

Potential emergency symptoms may include, without limitation:

  • Chest pain or severe pressure.
  • Severe difficulty breathing.
  • Signs of a stroke.
  • Loss of consciousness.
  • Severe allergic reaction.
  • Uncontrolled bleeding.
  • Seizure.
  • Severe injury.
  • Suicidal thoughts, plans, or intent.
  • Thoughts or plans of harming another person.
  • Any condition that you reasonably believe may threaten life, health, or safety.

If an emergency arises during a telehealth encounter, the practitioner may contact emergency services and disclose information reasonably necessary to help protect you or another person.

15. Asynchronous services and secure messaging

Some telehealth services may be provided asynchronously. This means that you submit information for later review rather than communicating with a practitioner in real time.

Asynchronous information may include questionnaires, photographs, videos, laboratory results, messages, medical records, device readings, or other materials.

Asynchronous services may involve delays between submission and practitioner review.

Messages are not guaranteed to be reviewed immediately and should not be used for emergencies.

A practitioner may determine that the information submitted is insufficient and may request additional information, schedule a video consultation, require diagnostic testing, recommend an in-person examination, or decline to provide treatment.

16. Photographs, videos, records, and submitted information

You may be asked to submit photographs, videos, records, laboratory reports, measurements, medication information, identification documents, or other materials for clinical or administrative review.

You represent that information and materials you submit are accurate, authentic, and related to you or to a person for whom you are legally authorized to act.

Do not submit altered, misleading, incomplete, outdated, or unrelated information.

Submitted materials may become part of your medical, administrative, or transaction record and may be retained as required or permitted by law.

You should use secure upload or portal features when available rather than sending sensitive materials through ordinary email or text message.

17. Recording telehealth encounters

Telehealth encounters are not routinely recorded by Orders.Clinic.

A telehealth interaction may not be audio-recorded, video-recorded, photographed, streamed, transcribed by an automated tool, or otherwise captured unless all required participants provide advance consent and the recording is permitted by applicable law.

You agree not to record a telehealth encounter without first obtaining the practitioner’s express permission and the permission of any other person whose consent is required.

If a recording is proposed for treatment, documentation, quality, training, or another purpose, you may be presented with a separate consent explaining how the recording will be used, stored, and disclosed.

Clinical notes, messages, uploaded materials, and other records may be maintained even when the encounter itself is not recorded.

18. Prescriptions and treatment recommendations

Completing a telehealth consultation does not guarantee that a practitioner will issue a prescription, approve a refill, order a laboratory test, recommend a product, or provide a particular treatment.

All prescribing and treatment decisions are made by the practitioner based on professional judgment, available information, applicable law, clinical appropriateness, and the practitioner’s scope of practice.

A practitioner may require:

  • Additional medical records.
  • Laboratory or diagnostic testing.
  • Identity verification.
  • An in-person examination.
  • Consultation with another healthcare professional.
  • Additional informed consent.
  • Ongoing monitoring or follow-up appointments.

Certain medications cannot be prescribed through telehealth or may be subject to additional federal, state, pharmacy, practitioner, or program restrictions.

A pharmacy may independently review, delay, transfer, decline, or request clarification concerning a prescription.

19. Laboratory and diagnostic testing

A practitioner may recommend or order laboratory or diagnostic testing as part of your care.

You are responsible for completing recommended testing and following preparation, collection, scheduling, and follow-up instructions.

Test results may be delayed, incomplete, inaccurate, inconclusive, or affected by collection, handling, transportation, laboratory, technical, or biological factors.

A result displayed in an account or portal does not replace interpretation by a qualified healthcare professional.

You should discuss your results and any required follow-up with the ordering practitioner or another qualified healthcare professional.

20. Products, fulfillment, and delivery

A practitioner may recommend or order products or services that are fulfilled by a pharmacy, laboratory, manufacturer, supplier, distributor, or other third party.

Product availability, preparation, dispensing, packaging, shipping, delivery, storage, and related services may be performed by independent third parties.

A recommendation or order does not guarantee product availability, insurance coverage, fulfillment, shipping eligibility, delivery timing, or a particular result.

You are responsible for reviewing product labels, following storage and use instructions, inspecting delivered products, and promptly reporting damaged, incorrect, compromised, or unexpected items.

Do not use a product that appears damaged, altered, improperly stored, mislabeled, expired, or unsafe.

21. Electronic communications

You consent to receive electronic communications reasonably related to telehealth services, including:

  • Appointment confirmations and reminders.
  • Secure portal messages.
  • Requests for information or documentation.
  • Practitioner or practice communications.
  • Laboratory or diagnostic notifications.
  • Prescription, order, fulfillment, and shipping updates.
  • Billing and payment communications.
  • Security, consent, policy, and account notices.

Communications may be sent by email, telephone, text message, secure portal, application notification, or another contact method you provide or authorize.

Standard telephone, messaging, data, and internet charges may apply.

Ordinary email and text messaging may not be fully secure. You may request information about available secure communication methods.

22. Fees, insurance, and payment

You are responsible for understanding the fees associated with telehealth services, consultations, products, laboratory testing, prescriptions, shipping, and related services.

Unless expressly stated otherwise, payment does not guarantee a prescription, treatment recommendation, product approval, diagnosis, or desired clinical outcome.

Insurance coverage and reimbursement vary by plan, service, practitioner, location, diagnosis, and other factors.

You are responsible for confirming insurance coverage and for paying amounts not covered by insurance, except where applicable law or a separate agreement provides otherwise.

A consultation fee may remain payable when a practitioner completes a professional review but determines that a prescription or requested treatment is not appropriate, subject to the applicable financial or refund policy.

23. Minors and legal representatives

A parent, legal guardian, personal representative, healthcare proxy, or other legally authorized person may be required to provide consent for a patient who cannot independently consent.

The person providing consent represents that they have the legal authority required to act for the patient.

The practitioner or practice may request documents or information verifying that authority.

A parent, guardian, or authorized representative may be required to remain present during all or part of a telehealth encounter involving a minor.

Applicable law may allow a minor to consent independently to certain healthcare services. Privacy and access rights may vary depending on the service and jurisdiction.

24. Accessibility and language assistance

You may request reasonable accessibility assistance or language assistance when needed to understand or participate in telehealth services.

Available assistance may include interpreters, auxiliary aids, alternative document formats, telephone assistance, or another reasonable communication method.

Notify the practitioner, practice, or Orders.Clinic support in advance when possible so that appropriate arrangements may be evaluated.

Availability may depend on the service, practitioner, technology, timing, and applicable legal requirements.

25. Right to ask questions or stop the encounter

You may ask questions about telehealth, the practitioner, a proposed treatment, the technology being used, privacy practices, potential risks, available alternatives, fees, or any other aspect of your care.

You may request that a telehealth encounter be paused or stopped at any time.

The practitioner may also pause or end an encounter if:

  • The technology is not adequate.
  • Your identity or location cannot be confirmed.
  • Privacy cannot reasonably be maintained.
  • An in-person examination or emergency evaluation is required.
  • The practitioner is not authorized to provide care where you are located.
  • The interaction becomes unsafe, inappropriate, abusive, or clinically insufficient.

26. Voluntary participation and withdrawal of consent

Your participation in telehealth is voluntary.

You may decline telehealth before services begin or withdraw your consent for future telehealth services by notifying your practitioner, practice, or Orders.Clinic support.

Withdrawal will not affect the lawfulness of services or information processing that occurred before the withdrawal.

Withdrawal does not require a practitioner or practice to provide services through another method when the requested alternative is unavailable, clinically inappropriate, outside the practitioner’s practice model, or otherwise not required by law.

Information already incorporated into a medical, legal, billing, transaction, or compliance record may be retained as required or permitted by law.

27. No guarantee of outcome

Medicine and healthcare involve uncertainty. Neither your practitioner, the practice, Clinic Protocols LLC, Orders.Clinic, nor another platform participant can guarantee a diagnosis, prescription, treatment plan, product recommendation, result, improvement, cure, or other outcome.

Treatment effectiveness and risk vary based on individual circumstances, including medical history, adherence, age, genetics, current conditions, medications, lifestyle, and other factors.

You should promptly report side effects, adverse reactions, unexpected symptoms, worsening conditions, or other concerns to an appropriate healthcare professional.

28. State-specific requirements

Telehealth laws, informed-consent requirements, professional standards, prescribing rules, privacy requirements, and patient rights vary by state and healthcare profession.

Your practitioner or practice may provide additional notices or request additional consent based on:

  • Your physical location.
  • The practitioner’s profession and licensing authority.
  • The type of healthcare service.
  • The treatment or prescription being considered.
  • Your age or legal capacity.
  • Other applicable legal or clinical requirements.

If a state-specific or treatment-specific consent conflicts with this general consent, the more specific requirement will control to the extent of the conflict.

29. Patient acknowledgment and consent

By electronically accepting this Telehealth Consent, I acknowledge and agree that:

  • I have read and understood this Telehealth Consent.
  • I understand the nature of telehealth and the types of technology that may be used.
  • I understand the potential benefits, risks, limitations, and alternatives associated with telehealth.
  • I understand that telehealth may not be appropriate for every condition.
  • I understand that I may be required to obtain an in-person examination, laboratory testing, diagnostic testing, specialist evaluation, or emergency care.
  • I understand that technical failures or interruptions may occur.
  • I understand that electronic communications involve privacy and security risks.
  • I agree to provide accurate information concerning my identity, physical location, health history, symptoms, medications, allergies, and other relevant circumstances.
  • I understand that Orders.Clinic is a technology and administrative platform and that my healthcare services are provided by the practitioner or practice identified to me.
  • I understand that no prescription, treatment, product, diagnosis, or outcome is guaranteed.
  • I understand that telehealth and Orders.Clinic are not emergency medical services.
  • I understand that I may ask questions before or during a telehealth interaction.
  • I understand that I may withdraw my consent for future telehealth services.
  • I consent to receive healthcare services through telehealth.

30. Electronic signature

Selecting an acceptance checkbox, entering my name, signing electronically, clicking a consent button, or otherwise electronically accepting this Telehealth Consent constitutes my electronic signature.

I intend for my electronic signature to have the same legal effect as a handwritten signature to the extent permitted by applicable law.

I understand that an electronic record of my acceptance may include my name, account information, date, time, IP address, device information, consent version, and related authentication or audit information.

31. Questions and contact information

Questions about your medical care, treatment recommendations, prescriptions, symptoms, side effects, or clinical eligibility should be directed to your practitioner or medical practice.

Questions about Orders.Clinic account access, technology, consent records, platform support, or administrative matters may be submitted using the contact information below.

Clinic Protocols LLC
Doing business as Orders.Clinic
1810 E Sahara Ave
STE 75963
Las Vegas, NV 89104

Support email:

support@orders.clinic

Privacy email:

privacy@orders.clinic

Phone:

(702) 482-8555

Website:

orders.clinic

Online support:

Contact Orders.Clinic

Orders.Clinic support is not an emergency medical service. For a medical emergency, call 911 or seek immediate emergency care.

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