Telehealth Medical Consent

The Services are not intended for emergencies, urgent medical situations, crisis situations, or conditions requiring immediate in-person evaluation. Do not use Avono, the website, portal, messaging, email, SMS, or asynchronous forms for emergency or urgent medical needs.

If you believe you are experiencing a medical emergency, call 911 immediately, go to the nearest emergency room, or contact local emergency services. For urgent symptoms or serious side effects, seek immediate medical attention from an appropriate health care provider.

Avono is a digital health platform and administrative service provider. Avono does not practice medicine, nursing, pharmacy, dietetics, laboratory medicine, or any other licensed health care profession. Avono does not diagnose conditions, prescribe medications, dispense medications, compound medications, determine medical necessity, or control the independent medical judgment of Providers.

Any diagnosis, treatment decision, prescription decision, lab-order decision, medication-management decision, or other clinical decision is made by an independent licensed Provider acting within the scope of that Provider's professional license and applicable law. Pharmacies, laboratories, and other fulfillment partners are independent third parties responsible for their own professional services, licensing, operations, and compliance.

Telehealth may involve the delivery of health care services using electronic communications, online questionnaires, asynchronous intake forms, secure messaging, telephone, audio-video communications, remote patient communications, electronic prescribing, electronic records, and other technology-enabled methods.

Depending on the applicable service, telehealth may include review of your medical history, symptoms, lifestyle information, medication history, photographs or other uploads, lab results, pharmacy records, identity information, and other information you provide or authorize others to provide.

• Improved access to licensed Providers when in-person care may be inconvenient or unavailable.
• Convenient completion of intake forms, follow-up communications, prescription coordination, and support through online tools.
• Potentially faster communication, care coordination, and pharmacy fulfillment when clinically appropriate.
• Ability to receive health-related services from a private location selected by you.

Telehealth is not the same as an in-person physical examination. By using telehealth, you accept the risks and limitations of remote care, including the possibility that a Provider may not have access to all information that would be available during an in-person visit.

• A Provider may be unable to perform a hands-on physical exam, directly observe certain symptoms, or obtain immediate diagnostic tests.
• Information you provide may be incomplete, inaccurate, outdated, delayed, misunderstood, or insufficient for a clinical decision.
• Technology failures, poor connectivity, portal outages, delayed messages, device issues, or software errors may delay or interrupt evaluation, treatment, or communications.
• A Provider may determine that telehealth is not appropriate for you and may require in-person care, lab testing, additional records, specialist evaluation, or emergency care.
• Electronic communications may carry privacy and security risks, including unauthorized access, misdirected communications, or compromised devices or accounts.
• Diagnosis, treatment, medication response, adverse effects, and clinical outcomes are not guaranteed.

A provider-patient relationship is formed only when a Provider affirmatively accepts responsibility for your care under applicable law. Registering, completing an intake form, paying a fee, receiving general information, or interacting with Avono support does not, by itself, create a provider-patient relationship with Avono or any Provider.

Providers may decline to treat you, may discontinue care, may require additional information, may require lab testing or in-person evaluation, and may refer you to another provider or emergency care when clinically appropriate or legally required.

You understand and agree that use of the Services does not guarantee that you will be approved for treatment, receive a diagnosis, obtain a prescription, receive a specific medication, receive a refill, obtain a particular dose, achieve a desired outcome, lose weight, improve symptoms, improve laboratory markers, or avoid side effects.

Prescription decisions are made solely by Providers based on their independent clinical judgment, your information, applicable standards of care, medication availability, pharmacy requirements, federal and state law, and other relevant factors.

You are responsible for providing complete, truthful, current, and accurate information. You agree that Providers may rely on the information you provide and that inaccurate or incomplete information may increase the risk of incorrect advice, delayed treatment, inappropriate medication, side effects, or other harm.

• Provide accurate identity, age, contact, location, medical history, medication, allergy, pregnancy, surgery, family history, lab, and pharmacy information.
• Disclose all prescription medications, over-the-counter medications, supplements, recreational substances, alcohol use, controlled substances, allergies, contraindications, prior adverse reactions, and relevant medical conditions.
• Promptly update Providers about changes in your symptoms, health status, medications, pregnancy status, side effects, hospitalization, surgery, lab results, or other relevant circumstances.
• Use medications only as prescribed, follow Provider instructions, and read all medication instructions, warnings, labels, pharmacy materials, and safety information.
• Keep your account credentials secure and promptly notify Avono of suspected unauthorized access.
• Use the Services only for yourself unless Avono and applicable law permit otherwise.
• Seek in-person care, urgent care, or emergency care when directed or when symptoms warrant.

If a Provider determines that a prescription is medically appropriate, the prescription may be sent to a licensed pharmacy selected by the Provider, selected by you, or otherwise available through the Services. Pharmacies are independent entities responsible for dispensing, counseling, shipping, labeling, substitution decisions, storage, and compliance with applicable pharmacy laws.

Medication availability, formulation, packaging, dosing supplies, refills, shipment timing, cold-chain handling, and dispensing are not guaranteed. Pharmacy delays, supply shortages, adverse weather, carrier issues, address errors, regulatory changes, and clinical review requirements may delay or prevent fulfillment.

Certain medications or products that may be discussed, prescribed, or dispensed through Clinical Partners may be compounded medications. Compounded medications are not FDA-approved and are not generic versions of FDA-approved drugs. The FDA does not review compounded medications for safety, effectiveness, or quality before they are marketed. Compounded medications may be prescribed only when a Provider determines they are appropriate for a patient and when a licensed pharmacy determines it may lawfully compound and dispense them.

You understand that compounded medications may have different ingredients, inactive ingredients, strengths, dosage forms, concentrations, instructions, packaging, dosing devices, storage requirements, risks, benefits, and quality controls than FDA-approved medications. You should ask your Provider and dispensing pharmacy any questions you have about a medication before using it.

Some services may relate to weight management, GLP-1 therapies, hormone optimization, testosterone therapy, peptide therapies, sexual health, hair recovery, longevity, or wellness. These categories may involve medical risks and may not be appropriate for everyone.

You must disclose contraindications and risk factors, including pregnancy, breastfeeding, personal or family history of endocrine tumors, pancreatitis, gallbladder disease, kidney disease, liver disease, cardiovascular disease, uncontrolled blood pressure, prostate disease, blood clots, sleep apnea, fertility considerations, psychiatric history, eating disorders, medication interactions, and any other condition identified by your Provider or medication materials.

Some treatments, including testosterone and certain other therapies, may be regulated as controlled substances or otherwise subject to additional legal and clinical requirements. Providers may require identity verification, prescription drug monitoring program checks, laboratory testing, medical records, video visits, in-person examinations, follow-up visits, refill controls, risk screening, and other requirements before prescribing or continuing any such treatment.

A Provider may refuse, delay, modify, or discontinue treatment if required or advisable under federal or state law, clinical standards, prescription monitoring information, suspected misuse, safety concerns, incomplete information, or pharmacy requirements.

Providers may require baseline or follow-up lab testing, vital signs, photographs, records, or other monitoring. Failure to complete requested testing or monitoring may result in delayed treatment, denial of treatment, discontinuation of treatment, or refusal of refills. You are responsible for following instructions and obtaining testing where required.

You consent to receive communications through the website, portal, email, SMS/text, phone, push notifications, and other electronic methods. Electronic communications may include administrative messages, intake requests, care coordination, payment communications, prescription coordination, reminders, support messages, and health-related information.

Messages may not be reviewed immediately. Portal, email, SMS, and other electronic communications are not appropriate for emergencies or urgent medical issues. If you do not receive a timely response or your condition worsens, seek appropriate in-person, urgent, or emergency care.

Telehealth requires you to take reasonable steps to protect your privacy, including using a private location, secure internet connection, secure device, and accurate contact information. You are responsible for controlling who can access your device, email, phone, text messages, account, and location.

Avono, Providers, pharmacies, and other partners may collect, use, and disclose information as described in applicable privacy policies, notices of privacy practices, authorizations, and law.

You agree to pay all applicable fees, subscription charges, medication costs, pharmacy costs, shipping charges, lab charges, consultation fees, taxes, and other charges disclosed to you or otherwise incurred through your use of the Services. Payment for a service does not guarantee treatment, prescription approval, medication availability, or any clinical outcome.

You may withdraw this Consent by discontinuing use of the Services and contacting compliance@avono.io. Withdrawal will not affect actions already taken in reliance on this Consent, may not entitle you to a refund, and may prevent Providers from continuing to evaluate or treat you through the Services.

By using the Services, you acknowledge that you have read this Consent, understand the risks and limitations of telehealth, have had the opportunity to ask questions, and voluntarily consent to receive telehealth services from independent Providers when available and clinically appropriate.

Avono Health

compliance@avono.io

avonohealth.com