Telehealth Consent & Agreement

Please read and acknowledge the following information before proceeding with telehealth services

Introduction

OnyxMD, a brand of Curated Care LLC, partners with Beluga Health, P.A. to provide telehealth services. This consent form explains the nature of telehealth consultations, their benefits and risks, and your rights as a patient. By proceeding with our services, you acknowledge that you have read, understood, and agree to the terms outlined below.

Nature of Telehealth Services

Telehealth involves the use of electronic communications to enable healthcare providers to deliver services to patients at different locations. Through our platform:

  • You will complete an online health questionnaire
  • A licensed healthcare provider will review your information
  • If appropriate, medication may be prescribed
  • Follow-up care may be provided through secure messaging
  • All services are provided by licensed healthcare professionals in your state

Benefits of Telehealth

  • Convenient access to healthcare from your home
  • Reduced travel time and associated costs
  • Privacy and discretion for sensitive health matters
  • Access to specialized care for men's health
  • Flexible scheduling and quick response times

Risks and Limitations

As with any medical service, there are potential risks associated with telehealth:

  • Delays in medical evaluation and treatment due to technical issues
  • Inability to perform physical examinations may limit diagnosis accuracy
  • Security protocols could fail, causing a breach of privacy
  • In rare cases, lack of access to complete medical records
  • Telehealth services cannot replace emergency medical care

⚠️ IMPORTANT: In case of emergency, call 911 or go to your nearest emergency room immediately.

Your Rights as a Patient

  • You have the right to refuse telehealth services at any time
  • You may request an in-person consultation instead
  • All medical information will be kept confidential per HIPAA regulations
  • You have the right to access your medical records
  • You may ask questions about your treatment at any time
  • You can file a complaint if you're dissatisfied with services

Healthcare Provider Information

Telehealth Services Provided By:

Beluga Health, P.A.
1321 Upland Dr., Suite 18399
Houston, TX 77043
Phone: (618) 740-4204
Website: www.belugahealth.com

Licensed healthcare providers available in 47 states (excluding Alaska, Mississippi, and New Jersey)

Pharmacy Partner

Prescriptions Fulfilled By:

Strive Pharmacy LLC
1275 E Baseline Rd
Gilbert, AZ 85233
Phone: 480-626-4366
Email: info@strivepharmacy.com
Pharmacy License #: 99-9817

Privacy and Security

We take your privacy seriously. All telehealth sessions and medical records are:

  • Protected under HIPAA regulations
  • Encrypted using industry-standard security protocols
  • Accessible only to authorized healthcare providers
  • Never shared without your explicit consent (except as required by law)

Informed Consent

By checking the box below and proceeding with our services, you acknowledge that:

  • You have read and understood this consent form
  • You consent to receive telehealth services
  • You understand the risks and benefits of telehealth
  • You agree to provide accurate medical information
  • You are located in a state where our services are available
  • You are 18 years of age or older
  • You understand that telehealth is not appropriate for emergencies

Financial Agreement

By using our services, you agree to:

  • Pay all fees associated with consultations and medications
  • Understand that services are not covered by insurance
  • Accept our refund and cancellation policies
  • Provide valid payment information

Service Availability

Note: OnyxMD telehealth services are currently available in 47 states. We do not provide services in:

  • Alaska (AK)
  • Mississippi (MS)
  • New Jersey (NJ)
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Last Updated: January 2025 | Version 1.0