Consents

Telehealth consent

By using our services, you consent to receive healthcare via telehealth.

1. What is Telehealth

Telehealth allows healthcare services to be delivered remotely using electronic communication technologies.

2. Potential Benefits

  • Convenient access to care
  • Reduced travel time
  • Timely communication

3. Potential Risks

  • Technical failures
  • Limited physical examination
  • Possible delays in care

4. Provider Relationship

A provider-patient relationship is established only after review and acceptance by a licensed provider.

5. Privacy

We use secure systems to protect your information. However, no system is completely risk-free.

6. Emergency Situations

Telehealth is not appropriate for emergencies.
If you are experiencing an emergency, call 911 immediately.

7. Prescriptions

Prescriptions are issued only when clinically appropriate and in accordance with state and federal laws.

8. Patient Responsibility

You agree to:

  • Provide accurate medical information
  • Follow provider recommendations
  • Use services appropriately

9. Consent

By using our services, you:

  • Acknowledge understanding of telehealth
  • Accept associated risks
  • Consent to receive care remotely
  • You understand that telehealth may not be appropriate for all conditions and that in-person care may be recommended when necessary

Talk With Our Providers

Your care does not end after the first visit. Your Formula provides ongoing access to licensed medical professionals who can answer questions, monitor your progress, and help keep your treatment moving in the right direction.

Complimentary Wellness Session

Your first conversation is on us.

15 minutes, one on one, with founder Suzana Marku, NP-C. Your symptoms, your goals, and an honest read on whether Your Formula is right for you. No cost. No obligation.

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Ready to receive
your custom
formula?

Your Formula telehealth platform provides personalized consultations, comprehensive evaluations, lab testing, and evidence-based treatments to help patients achieve safe, effective, and goal-oriented health outcomes through convenient, clinician-guided care.

Get In Touch With Us

*All indicated fields must be completed.
Please include non-medical questions and correspondence only.
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