TELEHEALTH CONSENT

Please read carefully

Before You Begin

You are about to request a medical absence note through an asynchronous telehealth service. A licensed physician will review your information remotely.

By continuing, you acknowledge and agree that:

• You will not speak with a physician in real time.
• A licensed physician will review your written responses and determine whether an absence note is appropriate. This is not a diagnosis or treatment of your condition.
• This service is appropriate only for minor, self-limited illnesses. If you are experiencing a medical emergency, call 911.
• You have the right to withdraw from this service at any time.

This service is provided in accordance with California Business and Professions Code §2290.5 governing telehealth informed consent.

End of Document

You have reached the end of the agreement. You may now continue once the button becomes active.

Please review the entire agreement before accepting. The Agree & Continue button will become available once you reach the end of this document.
Work Excuse Request

Start Your Visit

0% complete