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I hereby consent and authorize AlphaCare Inc.'s healthcare providers, which may include Medical doctors, Physician Assistants, Nurse Practitioners, and Medical Assistants, to conduct medical evaluations and provide necessary treatments. I also relieve alphacareinc.com of any legal liability that may arise from the actions of these medical providers.
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I acknowledge that during virtual consultations with AlphaCare Inc.'s healthcare providers, electronic communication technology will be utilized. I understand that this type of consultation will differ from an in-person visit with a healthcare provider as I will not be physically present in the same room.
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I acknowledge that there are inherent risks associated with electronic communication technology during virtual consultations, including the possibility of interruptions, unauthorized access, and technical issues.
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I am aware that my medical information may be shared with AlphaCare Inc.'s healthcare providers and pharmacy personnel to determine appropriate medication and treatment plans. I understand that all involved parties are committed to preserving the confidentiality of this information.
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I acknowledge the potential dangers associated with telemedicine or telehealth, such as misdiagnosis or delayed diagnosis, which may result in improper or incorrect treatment for patients. Despite this, I am still willing to proceed with a consultation through AlphaCare Inc.
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I am aware of the possibility of misdiagnosis or delayed diagnosis in telemedicine or telehealth. I agree to seek in-person medical attention if my symptoms do not show improvement within a reasonable timeframe, typically within 48 hours.
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I acknowledge that the treatment, therapy, or recommendations provided by AlphaCare Inc.'s medical team are meant as a preliminary and primary approach, and I agree to schedule a follow-up appointment with an in-person doctor as necessary for further evaluation.
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I am aware that I can revoke my consent for the utilization of telemedicine or telehealth at any moment during the treatment process. However, so long as my consent remains valid, the medical team of AlphaCare Inc. may offer healthcare services to me through telemedicine without requiring me to sign another consent form.
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I am aware that I can revoke my authorization to use telemedicine or telehealth at any stage of my treatment. As long as my authorization stands, the medical staff at AlphaCare Inc. are permitted to provide healthcare services to me through telemedicine without requiring me to sign a separate consent form.
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I have been informed of alternative options to a telemedicine or telehealth consultation, and I have chosen to participate in this form of consultation. I am aware that certain physical examinations may be restricted as a result of not being in the same location as my healthcare provider.
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I understand that Alphacare Inc. utilizes both synchronous and asynchronous (store and forward) methods for delivering telehealth care, and I have taken the time to visit the website to familiarize myself with these telemedicine practices and their scope of services.
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I'm aware that the services offered by AlphaCare Inc. are non-refundable.
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I comprehend that my payment for the consultation fee to Alphacareinc.com does not include the cost of the prescribed medication, and I will need to pay for it separately at the pharmacy.
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I am aware that the medical intake form requires the information provided to be complete, accurate, and current to the extent of my knowledge.
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I acknowledge that if I fail to furnish complete, accurate, and truthful information on the intake form, it could result in a misdiagnosis and an incomplete treatment, potentially putting my health at risk.
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I understand that AlphaCare Inc. retains the authority to refuse treatment if the patient or user supplies false or misleading information.