Telehealth Informed Consent

Lux Health, LLC, d/b/a Health Convenience ("Company," "we," "us," or "our") provides telehealth and healthcare-related services through electronic communications, information technology, and other means. Telehealth involves the delivery of healthcare services when the healthcare provider and patient are not in the same physical location.

Telehealth includes both:

• Synchronous Services: Real-time video consultations, phone consultations, and live chat communications between you and a healthcare provider
• Asynchronous Services: Questionnaire-based intake, secure messaging, store-and-forward communications, and electronic health assessments where communication between you and the provider does not occur in real time

Telehealth services may include, but are not limited to: remote consultations via secure video platforms, phone consultations, electronic messaging, online patient intake forms, and prescription management (where applicable).

Telehealth services offer potential benefits, including but not limited to:

• Convenience in accessing healthcare providers from your home or other location
• Protection against the transmission of communicable illnesses
• Improvements to the quality of care when your clinician can consult with other providers as needed
• Reduced travel time and costs associated with in-person visits
• Improved access to medical care for patients in remote or underserved areas
• More efficient care coordination between healthcare providers

You understand that telehealth services involve certain risks and limitations, including but not limited to:

• Technological risks, including disruptions to call or video connection and other technical difficulties
• The unavoidable risk of unauthorized access when sending or receiving protected health information electronically
• Certain conditions and treatments may not be suitable for telehealth and may require an in-person visit
• The healthcare provider may not have access to all of your medical records during the telehealth visit
• Delays in evaluation and treatment could occur due to deficiencies or failures of the equipment or technology
• In rare cases, information transmitted may not be sufficient to allow for appropriate medical decision-making
• A lack of access to your complete medical record could result in adverse drug interactions, allergic reactions, or other complications

By consenting to telehealth services, you agree to the following responsibilities:

• You must be physically located in the State of Florida at the time of the telehealth visit or service
• You must conduct the visit in a private space where others cannot overhear or see private information on the screen
• You are solely responsible for ensuring privacy and confidentiality on your end
• You may not record (audio or video) any telehealth consultation. The Company does not routinely record telehealth consultations; if recording or AI-assisted documentation tools are utilized by the Provider, you will be separately notified and your consent will be obtained
• You must not drive during the appointment
• You must be appropriately dressed as if visiting the office
• You must turn off all other electronic devices and social media during the appointment
• You must be connected to the patient portal and ready for your visit at least ten (10) minutes prior to the scheduled time
• If you use the internet for telehealth, you should use a network that is private and secure
• You are responsible for providing truthful, accurate, and complete health information to your healthcare provider, including your current medications, allergies, medical history, and symptoms

All clinical decisions, including the decision to prescribe or not prescribe medication, are made solely by the treating healthcare provider in the exercise of their independent professional judgment and in accordance with applicable standards of care, laws, and regulations.

You further acknowledge that the healthcare provider may determine that telehealth is not appropriate for your condition and may decline to provide treatment via telehealth, in which case you may be advised to seek in-person care. No refund shall be due solely because a prescription was not issued or a desired treatment was not provided.

You have the right to withdraw from or discontinue treatment at any time without penalty. You may refuse any recommended treatment, medication, or procedure. If you choose to withdraw from treatment, you agree to notify the Company in writing. Withdrawal from treatment does not affect your obligation to pay for Services already rendered. The Company and its healthcare providers shall not be liable for any adverse health consequences resulting from your decision to withdraw from or refuse recommended treatment.

You or the healthcare provider may discontinue the telehealth consultation at any time if either party determines that technical difficulties are too disruptive to continue or that the visit is not suitable for telehealth. In such cases, the provider may ask you to schedule an in-person visit.

In the event a telehealth consultation cannot be completed due to a Provider-side technical failure or the Provider's inability to render care, a refund or rescheduling will be offered at the Company's discretion. Patient-side technical failures (including inadequate internet connectivity, device malfunction, or failure to connect to the patient portal on time) do not entitle the patient to a refund. See the Patient Financial Consent Form for complete refund and fee policies.

The Company is not a substitute for your primary care physician and does not replace the relationship between you and your existing healthcare providers.

All telehealth consultations are conducted through secure, HIPAA-compliant platforms. Your Protected Health Information (PHI) will be handled in accordance with our Notice of Privacy Practices and applicable federal and state laws. While we implement robust security measures, there is an unavoidable risk of unauthorized access when transmitting information electronically.

The Company's telehealth Services are currently available only to patients who are physically located in states where our healthcare providers are licensed to practice at the time of the telehealth visit or service. As of the effective date of this Consent, Services are available to patients physically located in the State of Florida. The Company may expand or restrict the geographic availability of its Services at any time without notice. It is your responsibility to verify that Services are available in your location before scheduling an appointment.

This Telehealth Informed Consent is in addition to, and does not replace, the Company's Terms and Conditions, Privacy Policy, Notice of Privacy Practices, Consumer Health Data Privacy Policy, and Patient Financial Consent Form. In the event of any conflict between this Consent and the Terms and Conditions, this Consent shall control with respect to telehealth-related matters.