Consent to Telehealth

We provide websites and applications through which you can obtain an online visit with an independent, licensed health care professional (a “Provider“) and mail order pharmacy services for any medications prescribed to you (collectively, the “Services“). The Services constitute a form of telehealth, which involves the delivery of health care services using electronic communications between a health care provider and a patient who are not in the same physical location. We believe that telehealth has the potential to provide a number of benefits, including convenient, discreet, and affordable care. Telehealth may be used for diagnosis, treatment, follow-up and/or patient education. Telehealth may include, but is not limited to:

Electronic transmission of medical records, photo images, personal health information or other data between a patient and a Provider;
Interactions between a patient and a Provider via audio, video and/or asynchronous data communications, such as secure messaging and email; and
Use of data from remote monitoring devices, medical devices, and sound or video files.

The websites, applications, and information systems used in the Services incorporate network and software security protocols to protect the privacy, security, and integrity of your health information.

Possible Benefits of Telemedicine

Convenient Access to Care: Telehealth simplifies the process of accessing medical services, making it quicker, easier, and often more affordable compared to traditional in-office visits.
Flexible Scheduling: Receive medical care and treatment at times that fit your schedule, including evenings and weekends.
Virtual Consultations: Connect with healthcare providers remotely, eliminating the need for travel and in-person appointments, while still receiving high-quality care.

Possible Limitations of Telehealth

Insufficient Information for Diagnosis: The information shared with your Provider during a telehealth consultation may sometimes be inadequate for making accurate medical decisions, potentially requiring you to seek in-person care.
Limitations of Physical Examination: Certain tests or the assessment of vital signs cannot be conducted remotely, which may hinder the Provider’s ability to diagnose, treat, or identify urgent medical conditions.
Potential for Technological Issues: Technical disruptions, such as connectivity problems or system outages, could delay or interrupt your medical care.
Data Security Risks: Despite robust security protocols, there is a risk of data breaches that could compromise your protected health information.
Regulatory and Treatment Restrictions: Telehealth services may be subject to regulatory limitations in certain jurisdictions, which could restrict treatment options, including access to specific prescriptions.

By accepting this Consent to Telehealth, you acknowledge your understanding and agreement to the following:

Acknowledgment of Consent Review: I have carefully read this Consent to Telehealth and fully understand the associated risks and benefits of using telehealth for my medical care and treatment.
Informed Consent for Care: I give my informed consent to receive medical care and treatment via telehealth from Providers affiliated with Blueprint.
Understanding of Evolving Technology: I acknowledge that telehealth is an evolving field, and my medical care and treatment may involve technologies not explicitly described in this consent.
No Guarantees: I understand that while telehealth may offer potential benefits, no specific outcomes or improvements can be guaranteed. My condition may remain unchanged or, in some cases, worsen.
Duty to Provide Accurate Information: I have a responsibility to provide honest and accurate information about my health and medical history and to keep my health care providers, including my Provider, informed of any changes to my health, symptoms, treatments, or medications.
Consequences of Inaccurate Information: I understand that withholding or providing false information about my health may result in harm, including serious outcomes or, in rare cases, death.
Suitability for Telehealth: I acknowledge that my Provider may determine that my condition is not appropriate for telehealth treatment and may recommend seeking in-person or alternative medical care.
Coordination with Existing Providers: I understand that telehealth services support coordination and communication with a Provider but do not replace my relationship with my existing health care providers.
Emergency Care Limitation: I understand that telehealth services do not provide emergency care. If I am experiencing a medical emergency, I will call 9-1-1 and seek immediate medical attention.
Data Privacy and Security: I understand that my personal and health information will be collected, used, shared, and protected as outlined in the Privacy Policy.
Access to Records: I acknowledge my right to access all health and wellness information related to my telehealth consultations in accordance with applicable laws and regulations.
Sharing of Records: I understand that Blueprint and my Provider will only share my telehealth records with other health care providers at my request and with my consent. To do so, I must email Blueprint at support@blueprint.com and provide the necessary details about my health care provider.
Impact of Technical Failures: I understand that technical issues may result in the loss of my information or interruptions to my telehealth visit. I agree to hold Blueprint harmless for any such losses or delays in care, as described in the Terms of Use.
Right to Withdraw Consent: I can withdraw or withhold this consent at any time by emailing Blueprint at support@blueprint.com. Unless explicitly withdrawn, this consent is automatically renewed for each telehealth consultation.
Authorization for Information Use: I authorize Blueprint and its Providers to collect, use, and share my personal and health information as described in the Privacy Policy and for other purposes permitted by law, including treatment, payment, and health care operations.
California Notice on Open Payments Database: I acknowledge receipt of the following California notice: The Open Payments database is a federal tool for searching payments made by drug and device companies to physicians and teaching hospitals. It is available at https://openpaymentsdata.cms.gov.

All capitalized terms used in this Consent to Telehealth but not defined herein have the meanings assigned to them in the Terms of Use. For avoidance of any doubt, the terms “Blueprint“, “we“, “us“, or “our“ refer to and the terms “you“ and “yours“ refer to the person using the Services.