By using telehealth Services provided by Aloha Functional Medicine and Wellness, PLLC, you acknowledge and agree to the following:

1. Location Requirement

You certify that you are physically located in Texas at the time of your telehealth session.

2. Nature of Telehealth

Telehealth includes:

• Synchronous audio/video communication

• Secure messaging

• Digital transmission of medical data

• Virtual evaluations

3. Limitations of Telehealth

You understand that telehealth:

• Limits physical examination capability

• May require in-person follow-up

• Cannot be used for medical emergencies

• Involves inherent technological risks

4. Risks of Telehealth

Potential risks include:

• Technology failures

• Delays or interruptions

• Data breaches (despite security measures)

5. Patient Responsibilities

You agree to:

• Provide accurate and complete information

• Participate actively in your care

• Take telehealth calls in a private location

• Follow provider recommendations

6. Consent

By scheduling or participating in telehealth, you consent to the use of telehealth for evaluation, treatment, follow-up, and communication.

You may withdraw your consent at any time.