Legal

Telehealth Informed Consent & Disclosure

Effective Date: January 19, 2025 Last Updated: January 19, 2026

Overview

Telehealth involves the use of electronic communications to provide healthcare services remotely. By scheduling or participating in a telehealth visit with Axiom Healthspan, you acknowledge and agree to the following terms.

1. Nature of Telehealth

Telehealth services may include consultations, evaluations, assessments, treatment recommendations, and follow-up care using audio, video, or electronic communication technologies.

2. Benefits and Risks

Benefits: Increased access to care, convenience, reduced travel requirements, and continuity of services.

Risks: Potential interruptions, unauthorized access, technical difficulties, or limitations related to the absence of an in-person physical examination.

3. Limitations of Telehealth

Telehealth may not be appropriate for all medical conditions. Certain diagnoses, treatments, or clinical situations require in-person evaluation or testing. Your provider will inform you if an in-person visit is recommended.

4. No Emergency Services

Telehealth services are not intended for medical emergencies. If you experience a medical emergency, call 911 or seek immediate emergency care at your nearest emergency facility.

5. Privacy and Security

Reasonable safeguards are used to protect your personal and medical information during telehealth communications. However, electronic communications carry inherent security risks that cannot be completely eliminated. We use encrypted, HIPAA-compliant platforms where possible.

6. Provider Licensure

Telehealth services are provided only in states where the healthcare provider is licensed or otherwise legally authorized to practice. Your provider will confirm eligibility prior to your consultation.

7. Your Consent

By participating in telehealth services, you voluntarily consent to receive healthcare via telehealth and acknowledge the risks, limitations, and conditions described in this document. You may withdraw this consent at any time by notifying your provider.

Questions?

Phone: 484-393-1588  |  Email: Email Us
21 Gay Street, Suite 902, Phoenixville, PA 19460

© 2026 Axiom Healthspan LLC. All rights reserved.

These statements have not been evaluated by the Food and Drug Administration. Axiom Healthspan products and services are not intended to diagnose, treat, cure, or prevent any disease. All products require a clinician review prior to dispensing. Always consult with a qualified healthcare provider before starting any new health program or protocol. Individual results may vary.