Telehealth Informed Consent & Disclaimer

Elevate Wellness Center, LLC

By using this website and participating in services offered by Elevate Wellness Center, LLC, you acknowledge and agree to the following:

1. Introduction
Telehealth involves the use of secure electronic communications to provide healthcare services remotely. At Elevate Wellness Center, we support your wellness journey—including GLP-1 therapy and other evidence-based interventions—by connecting you with licensed, independent providers via telehealth.

Elevate Wellness Center, LLC is not a medical practice and does not provide clinical care or make medical decisions. We operate as a Management Services Organization (MSO), offering administrative, technological, and coordination support. All clinical services are delivered solely by independently contracted, licensed medical providers.

By continuing, you provide your informed consent to receive healthcare services via telehealth.

2. Nature of Telehealth Services
Telehealth services may include:

• Health assessments, consultations, diagnoses

• Treatment planning and follow-up care

• Prescription of medications, including compounded drugs

Services are delivered through HIPAA-compliant platforms including secure video conferencing, telephone, and/or asynchronous communications (e.g., messaging, emails, photos).

Providers will rely on the information you submit—such as intake forms, health history, photos, and other documentation—to make treatment decisions.

3. Role of Elevate Wellness Center
Elevate Wellness Center, LLC:

• Is not a medical provider or prescriber

• Does not engage in the practice of medicine

• Does not guarantee prescriptions or medical treatments

All healthcare services are provided by licensed, independent medical professionals, contracted through our affiliated provider networks. These providers have full clinical autonomy and may decline to prescribe medication or offer treatment if not deemed medically appropriate.

4. Benefits of Telehealth

• Access to healthcare from the convenience of your home

• Reduced travel time and cost

• Faster access to follow-ups and treatment adjustments

• Ongoing support for weight loss and wellness care

5. Limitations & Risks of Telehealth
Technology Risks: Service interruptions due to poor internet connectivity; potential unauthorized access despite HIPAA-compliant safeguards.

Clinical Limitations: Absence of a physical exam may limit a provider’s ability to fully evaluate your condition; certain health issues may require in-person evaluation or lab testing.

Prescription Limitations: No guarantee that medications (including GLP-1s or compounded products) will be prescribed; prescriptions are based on provider judgment and clinical necessity.

6. Medications & Compounded Drugs
If prescribed, your provider may recommend:

• FDA-approved medications, or

• Compounded medications prepared by licensed, FDA-registered compounding pharmacies

Important Notes:

• Compounded medications are not FDA-approved for safety or efficacy

• They are formulated for individual patients when commercial drugs are unavailable or unsuitable

• Providers may decline to prescribe compounded medications based on clinical appropriateness

7. Privacy & Confidentiality
Your information is protected under HIPAA and applicable state/federal privacy laws. Telehealth sessions may be recorded for internal quality assurance and training. Elevate Wellness Center uses secure, HIPAA-compliant technologies. You are responsible for ensuring your own privacy during sessions (e.g., choosing a quiet, secure space).

8. Communication & Technology Requirements
A stable internet connection and access to a video-enabled device are required. You consent to receive communications (including appointment reminders) via email, phone, or text. Elevate Wellness Center is not responsible for technical issues, lost messages, or data costs.

9. Financial Responsibility
All services are self-pay; insurance is not accepted. You are responsible for all out-of-pocket costs, including consultations, medications, and follow-ups. Payment is due at the time of service. Additional policies regarding late cancellations or no-shows are available upon request.

10. Emergencies & After-Hours Care
Telehealth is not appropriate for emergencies. If you are experiencing a life-threatening emergency, call 911 or go to your nearest emergency room.

If you are experiencing severe side effects from a prescribed medication, contact your provider or seek immediate in-person medical care.

11. Patient Rights & Responsibilities
You have the right to:

• Ask questions about your treatment and medications

• Decline or withdraw from telehealth services at any time

• Expect confidentiality, professionalism, and respect from all providers

You agree to:

• Provide complete and accurate health information

• Notify your provider of any changes to your condition

• Follow treatment recommendations and not misuse prescribed medications

• Participate in sessions from a secure, private environment

12. Consent & Acknowledgment
By proceeding, you confirm that:

• You have read, understood, and agree to this Telehealth Informed Consent & Disclaimer

• You understand the risks, benefits, and limitations of receiving healthcare via telehealth

• You consent to receive care through remote technologies and to share your health information with:

  • Independent, licensed healthcare providers

  • Partner pharmacies for prescription fulfillment

  • Elevate Wellness Center for administrative and coordination purposes

You understand that:

• There is no guarantee of receiving a prescription or treatment

• You may withdraw consent at any time by notifying us in writing

• Elevate Wellness Center does not provide refunds once medications have been processed or shipped, as all prescriptions are final

If you do not agree with any part of this consent, do not proceed with using our telehealth services.