Please proceed with an online consult only if you agree to the following:
1. I understand that I will engage my doctor in online consult and that it is prohibited to record any part of the video conference or publish our conversation under the Data Privacy Act.
2. I understand that messaging or videoconferencing technology will be used for the consultation, and that there are limitations to an online setting since a complete physical and neurologic exam cannot be done by the doctor, both of which provide findings that may affect the diagnosis.
3. I understand that certain types of illnesses or conditions may require a face to face physical assessment and cannot be diagnosed through online consult.
4. I understand that there are potential risks to the technology including interruptions and technical difficulties, and that in rare instances security protocols could fail, causing a breach of privacy of personal medical information.
5. I understand that if my condition requires urgent care, the doctor may refer me out to another specialist or emergency care department for definitive treatment and the referring doctor's responsibility will conclude upon the termination of the video conference.
6. I understand that this is a paid consultation and I agree to pay via the available payment channels of my doctor after the consultation.
Please proceed with an online consult ONLY if you agree to the above terms.
Thank you!