Telehealth Consent

1) Services & Modalities

Telehealth services may include:

• Review of medical records, history, questionnaires, images, and test results (store-and-forward/asynchronous communication)
• Live two-way audio and/or video encounters
• Electronic prescribing and care coordination with Pharmacies
• Patient education and remote monitoring data (if applicable)

Electronic systems used for telehealth incorporate administrative, physical, and technical safeguards to protect the confidentiality and integrity of your information. However, no system is 100% secure, and risks remain (see Section 3).

2) Relationship to Primary and In-Person Care

Telehealth services accessed through Curekey address a specific condition and are not a substitute for comprehensive primary care, emergency care, or medically necessary in-person evaluation. Providers will determine clinical appropriateness for telehealth on a case-by-case basis and may recommend or require in-person care when appropriate.

3) Expected Benefits & Possible Risks

Benefits may include:

• Improved access to licensed Providers without traveling to a clinic

Possible risks include (not exhaustive):

• Technical failures (e.g., poor connection, platform outage) that may delay care and require rescheduling or in-person follow-up
• Insufficient information quality from transmitted data leading to the need for additional evaluation
• Privacy/security incidents despite safeguards, including unauthorized access or disclosure due to failures of equipment, software, or network security
• Incomplete records that could increase the risk of medication interactions, allergic reactions, or judgment errors

If you experience an adverse reaction, need follow-up, or cannot communicate due to a technical issue, contact support@curekey.com so we can facilitate outreach from the Medical Group. For emergencies, call 911 immediately.

4) Your Consent & Acknowledgments

By consenting, you acknowledge and agree that:

1. Consent to Telehealth. You consent to receive medical services via telehealth technologies. You understand telehealth may involve the electronic transmission of personal medical information to Providers who may be in other locations (including out of state) as permitted by law.
2. No Guarantee of Prescription. A telehealth consultation does not guarantee that a prescription will be written. Controlled substances, including narcotic pain medications, will not be prescribed.
3. Alternatives. Alternatives to telehealth (e.g., in-person care) are available to you.
4. Right to Withdraw. You may withhold or withdraw consent to telehealth at any time without affecting your right to future care or treatment. You may suspend or terminate use of telehealth services at any time.
5. Privacy & Security. Federal and state laws require protection of your health information. Curekey and its partners take steps to safeguard your information, but email and SMS may be unencrypted and could be intercepted. You acknowledge these transmission risks when communicating about your care by email or SMS. This acknowledgment does not constitute consent to receive marketing or promotional communications.
6. Technical Issues. Technical failures outside our reasonable control may delay an evaluation, interrupt communications, or result in information loss. Providers may determine a telehealth visit is not clinically appropriate and may recommend an in-person visit.
7. Care Team Participation. Personnel other than your Provider (e.g., clinical staff, technical staff) may be present to operate telehealth technologies. You will be informed of their presence and may: (i) request to omit sensitive history details, (ii) ask non-medical personnel to leave the session, or (iii) end the session at any time.
8. Access to Records. You may request a copy of your medical records from the Medical Group/Provider. Reasonable fees may apply as permitted by law.
9. Identity & Location Attestation. You certify that the information you provide is accurate, that you are 18 years or older, and understand that Providers may only provide care when you are physically located in a state where they are authorized to practice. You agree to accurately provide your physical location when requested.
10. Photos/Media for Care. You consent to submitting photographs or videos (e.g., scalp/hairline) for clinical purposes, including evaluation, diagnosis, treatment, and monitoring. These photos or videos may become part of your medical record. This consent does not authorize Curekey, the Medical Group, or Providers to use your photos or videos for marketing, advertising, or promotional purposes. Any such use requires a separate authorization where required by law.
11. Pharmacy Disclosures. If a prescription is issued, you authorize the sharing of information necessary to process and fulfill your prescription with the applicable pharmacy and its service providers. Compounded medications may be prescribed when clinically appropriate. Compounded drugs are not FDA-approved, and the FDA does not review them before marketing for safety, effectiveness, or quality. Your Provider will determine whether a compounded medication is appropriate for you.
12. No Emergency Care. Telehealth through Curekey is not appropriate for emergencies. If you believe you are experiencing an emergency, call 911.

5) State-Specific Notices

Telehealth availability and requirements vary by state, including requirements related to patient identification, permitted telehealth modalities, the provider-patient relationship, informed consent, and documentation. Depending on your location, additional state-specific notices, disclosures, consents, or steps may be required and will be presented to you when applicable. Your Provider will comply with applicable state law at the time of service.

6) Complaints & Questions

Questions about telehealth or this consent? Contact support@curekey.com. We will coordinate with the Medical Group/Provider to address your question or concern.

7) Telemedicine Providers

Healthcare services offered through Curekey are provided by licensed clinicians via our telemedicine partners. Each partner is responsible for all medical evaluations, diagnoses, prescriptions, and clinical decision-making for the services it delivers.

If your care is transferred to a different Medical Group, you may be required to review and acknowledge or consent to that Medical Group’s applicable notices, policies, or consent documents before receiving further care.

Healthcare services offered through Curekey may be provided by licensed clinicians via our telemedicine partner, Beluga Health. Beluga Health is responsible for all medical evaluations, diagnoses, prescriptions, and clinical decision-making for services delivered through its network. For more information about Beluga Health and its provider network, please visit: www.belugahealth.com

Healthcare services offered through Curekey may also be provided by licensed clinicians via our telemedicine partner, MD Integrations, working with MDI Medical Group PC and its affiliated medical practices. MD Integrations is responsible for all medical evaluations, diagnoses, prescriptions, and clinical decision-making for services delivered through its network. For more information about MD Integrations, please visit: mdintegrations.com.

Additional consent terms that apply to care delivered through MDI Medical Group PC, including the Informed Consent for Telehealth Services, the Informed Consent for Peptide Therapy, and the GHK-Cu addendum, are available on the MDI Medical Group Consent page.

8) Locations

Curekey LLC (Non-Clinical Services & Platform):
16192 Coastal Highway, Lewes,
County of Sussex, Delaware 19958

Patient Location: As provided during registration and at the time of each visit.

Consent Statement (Click-Through)

By taking the affirmative action presented with this Telehealth Consent, you acknowledge that you have read and understood this Telehealth Consent, have had an opportunity to ask questions, and voluntarily consent to receive telehealth services from independent Providers via the Curekey Platform.