HRTpeptide

Telehealth Informed Consent

Effective July 13, 2026

What telehealth means here

Your care at HRTPeptide is delivered by telehealth: your provider reviews the information you submit (guided visit, medical intake, uploads, and messages) and communicates with you asynchronously through secure messaging. In some situations your provider may request a phone or video visit, additional laboratory testing, or refer you for in-person evaluation.

Expected benefits

Access to provider-led evaluation and treatment without travel or scheduling delays; care documented in one secure place; direct messaging with your provider.

Possible risks

Telehealth is not a substitute for all in-person care. Risks include: your provider not being able to perform a physical examination, which may limit diagnosis; delays in evaluation due to technology failure; and, rarely, security failures compromising the privacy of health information despite safeguards. Some conditions cannot be safely treated by telehealth, and your provider will tell you if that applies to you.

Your responsibilities

Provide accurate and complete health information; complete recommended laboratory work; report side effects or new symptoms promptly; keep your contact information current; and seek in-person or emergency care when instructed or when symptoms are urgent. FOR EMERGENCIES, CALL 911 — do not wait for a message reply.

Prescriptions

Any prescription is issued at your provider's sole clinical judgment and filled by a licensed 503(A) compounding pharmacy. Compounded medications are not FDA-approved products. Your provider will explain the rationale, expected effects, side effects, and monitoring plan for any prescribed therapy.

Privacy

Your information is handled as described in the Privacy Policy & Notice of Privacy Practices, which you should read together with this consent.

Your rights

You may withhold or withdraw this consent at any time without affecting your right to future care, ask questions about any aspect of your treatment, and request your records. Withdrawal of consent may mean telehealth care cannot continue, in which case transition or referral will be arranged as clinically appropriate.

Acknowledgment

By checking the consent boxes during intake and typing your name as an electronic signature, you confirm that you have read and understood this consent, had the opportunity to ask questions, and agree to receive care via telehealth under these conditions.