
📍Serving Pennsylvania residents only. 💻 100% virtual. Always personalized
**Telehealth Consent Form**
Effective Date: June 23, 2025
By engaging in telehealth services with Shine Thru Health NP, you consent to the following:
1. **Nature of Telehealth:**
Telehealth involves healthcare services provided using electronic communications and may include video, phone, or digital forms.
2. **Privacy and Security:**
We use HIPAA-compliant platforms to ensure your data is secure. However, there are still risks to digital communications.
3. **Limitations:**
Telehealth does not allow for physical exams, and there may be limitations in diagnosis or treatment based on this format.
4. **Emergency Situations:**
We do not provide emergency services. If you experience a medical emergency, call 911 or go to the nearest ER.
5. **Consent to Care:**
You voluntarily consent to receive services and understand that you may stop care at any time.
6. **Questions:**
If you have questions, contact us at info@shinethruhealth.com.
By continuing with your appointment or completing the intake form, you confirm that you understand and agree to this consent.