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The Refined Wellness and Medspa Telehealth Consent and Consent to Treat

Last updated: January 2026

Results may vary

As with any medical treatment or health-related product or service, results vary from person to person. Outcomes depend on many individual factors, including your health history, current conditions, genetics, other medications, adherence to clinical instructions, lifestyle, and environmental factors.

Any descriptions of potential benefits, improvements, or expected outcomes are not guarantees. Your experience may differ from examples, testimonials, or illustrations.


Informed consent and consent to treat

This Telehealth Consent and Consent to Treat (Consent) explains how telehealth works and obtains your informed consent to receive healthcare services using telehealth technologies.

By checking a box, clicking an “I Agree” button, or otherwise digitally signing or acknowledging this Consent, you confirm that you have read, understood, and agree to it.

If you do not agree, do not create an account and do not use telehealth services.

You also authorize any person who accepts this Consent on your behalf using your device or account credentials to act as your agent for that purpose.


Emergency notice

Telehealth is not for emergencies.

If you are experiencing a life-threatening situation, including chest pain, difficulty breathing, sudden loss of consciousness, severe injury, or thoughts of harming yourself or others, call 911 immediately or go to the nearest emergency room.

You may also call or text the 988 Suicide and Crisis Lifeline by dialing 988.


Purpose

The purpose of this Consent is to:

  • explain how telehealth works
  • describe benefits, limitations, and risks
  • obtain your informed consent to receive healthcare services using telehealth technologies

Parties and roles

The Refined Wellness and Medspa LLC (we, us, or our) provides general and non-clinical support for the telehealth experience, including account access support, basic navigation, and administrative assistance.

Clinical services are provided by independent, licensed healthcare professionals and or clinician groups (Providers). Providers are solely responsible for clinical decision-making, including whether telehealth is appropriate, what care to provide, and whether to prescribe medication.

We use a clinical support organization that helps facilitate access to Providers and supports care operations, including routing clinical requests and prescription coordination through the platform (Clinical Support Organization). Healthaide LLC performs this Clinical Support Organization role.

We are not your treating clinician and do not provide medical diagnosis, treatment, or prescriptions.


Definitions

  • Telehealth means the use of electronic communications, information technology, or other means to provide healthcare services when you and the Provider are not in the same physical location.
  • Service means the online portals, websites, mobile applications, messaging tools, scheduling tools, and related technology used to support the telehealth experience.
  • You or your means the individual patient receiving telehealth services.

How telehealth may be used

Telehealth may be used for evaluation, consultation, diagnosis, treatment planning, prescribing decisions, follow-up care, monitoring, and patient education, as determined appropriate by your Provider.

Telehealth interactions may include:

  • real-time communications by audio and or video
  • asynchronous communications such as messaging, questionnaires, and forms
  • sharing medical records, photos, images, and other health information
  • review of lab results and diagnostic data
  • administrative communications for scheduling and coordination

Your Provider may determine that telehealth is not appropriate and may direct you to in-person care.


Alternatives to telehealth

Telehealth is one option and may not be appropriate in all situations.

You may choose in-person care where available.


Anticipated benefits

Telehealth may offer:

  • access to Providers without travel
  • scheduling convenience
  • continuity of care
  • remote education and communication

No outcomes are guaranteed.


Potential risks and limitations

Risks may include:

  • limitations without in-person exams
  • delayed or missed diagnosis
  • reliance on user-provided information
  • delays due to technology or availability
  • technical failures
  • privacy risks
  • legal or regulatory restrictions

By agreeing, you accept these risks.


Your responsibilities

You agree to:

  • provide accurate and complete health information
  • submit requested materials
  • respond to communications promptly
  • follow Provider instructions
  • seek in-person or emergency care when needed

Prescriptions, pharmacies, and medication fulfillment

If appropriate, prescriptions may be sent to a pharmacy.

Pharmacies are independent third parties responsible for fulfillment.

You understand:

  • prescriptions are not guaranteed
  • availability varies
  • some medications require monitoring
  • prescriptions are generally non-returnable

Laboratory testing and diagnostics

Providers may require testing.

Labs are independent third parties.

You understand:

  • results may not be perfect
  • delays or issues may occur
  • Providers interpret results using professional judgment

Privacy, HIPAA, and electronic communications

Telehealth involves sharing personal and health information.

PHI is handled by Providers under applicable laws, including HIPAA where applicable.

Non-PHI information is governed by our Privacy Policy at:
https://refinedwellnessandmedspa.com/

Some communications may not be fully secure.

You are responsible for protecting your devices and accounts.


Technical issues, outages, and response times

Providers may not be immediately available.

If urgent, seek in-person care.

Technical issues may require rescheduling.


Support contacts

For general support:
info@refinedwellnessandmedspa.com

For clinical routing:
support@healthaide.io


Location and eligibility

Services depend on your location and provider licensing.

You must provide accurate location information.


Consent to treat

You consent to telehealth evaluation and treatment, including:

  • history review
  • counseling
  • testing orders
  • prescribing decisions where appropriate

Your Provider determines appropriateness.


No guarantees

No guarantees are made regarding outcomes, prescriptions, or availability.


Withdrawal of consent

You may withdraw consent at any time by discontinuing use.

Withdrawal may limit your access to services.


Acknowledgment

By accepting, you confirm that:

  • you have read and understood this Consent
  • you had the opportunity to ask questions
  • you understand risks and benefits
  • you consent to telehealth treatment

Signature and electronic acceptance

Your electronic acceptance is legally binding.

You may request a copy by contacting:
info@refinedwellnessandmedspa.com


Contact

General and non-clinical support: info@refinedwellnessandmedspa.com
Clinical routing support: support@healthaide.io

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