REGENICS TELEHEALTH CONSENT & OPEN PAYMENTS NOTICE
Last Updated: 2/26/25
INFORMED CONSENT REGARDING THE USE OF TELEHEALTH
By clicking "I agree," checking a related box to signify your acceptance, using any other acceptance protocol presented through the service, or otherwise affirmatively accepting this consent, you acknowledge that you have read, accepted, and agreed to be bound by this consent. If you do not agree to this consent, do not create an account or use the service. You hereby grant agency authority to any party who clicks on the "I agree" button or otherwise indicates acceptance of this consent on your behalf.
If you are experiencing a life-threatening situation, such as contemplating suicide, call 911 or the Suicide & Crisis Lifeline at 988.
PURPOSE
The purpose of this consent form is to provide you with detailed information about telehealth services and obtain your informed consent regarding the use of telehealth in the delivery of healthcare and mental health services. These services may be provided by physicians, physician assistants, nurse practitioners, and mental health professionals using the online platforms owned and operated by Regenics and its subsidiaries. By utilizing these services, you acknowledge that telehealth is an alternative form of healthcare delivery and that it may not be appropriate for all conditions.
USE OF TELEHEALTH
Telehealth allows healthcare and mental health services to be delivered through electronic communication, information technology, or other means between a healthcare provider and a patient who is not in the same physical location. Telehealth may be used for medical evaluations, consultations, diagnoses, follow-up care, and patient education. The methods used in telehealth may include but are not limited to real-time video, audio, secure messaging, digital health applications, and the electronic transmission of medical records and other relevant personal health information.
Telehealth services are not intended for all medical concerns. Some conditions may require an in-person evaluation or emergency intervention. It is your responsibility to seek immediate medical attention at an emergency facility for urgent or life-threatening conditions.
ANTICIPATED BENEFITS
Telehealth may provide easier and more efficient access to medical care, reducing travel time and expenses. It may allow for timely diagnosis and treatment of certain conditions, particularly for patients who may not have convenient access to healthcare facilities. Additionally, mental health services provided through telehealth may improve accessibility to therapy and counseling services, reducing stress and anxiety related to travel or scheduling conflicts.
POTENTIAL RISKS
Telehealth services may have limitations that can impact the quality of care provided. These include potential issues such as incomplete medical assessments due to the absence of in-person examinations, reliance on self-reported symptoms that may be inaccurate, technological failures or connectivity issues that disrupt communication, security risks related to the transmission of personal health information, and regulatory restrictions that may limit the availability of certain treatments or prescriptions in specific jurisdictions.
By agreeing to telehealth services, you acknowledge that providers may not be able to conduct certain diagnostic tests or physical assessments that could impact medical decision-making. Additionally, mental health therapy via telehealth may not be suitable for all individuals, and some may experience worsening symptoms before improvement.
LIFE-THREATENING AND OTHER EMERGENCY SITUATIONS
If you are experiencing a life-threatening emergency, including but not limited to severe chest pain, shortness of breath, severe injury, stroke symptoms, or suicidal thoughts, you should immediately call 911 or seek emergency medical care at the nearest hospital. Telehealth providers are not equipped to handle medical emergencies or crisis intervention situations.
If you experience a technical failure preventing communication with your telehealth provider, contact Regenics at 1-800-368-0038 during regular business hours (Monday – Friday, 9 AM – 5 PM PT) for assistance.
DATA PRIVACY AND SECURITY
Regenics follows all applicable federal and state laws regarding the privacy and security of your personal health information. Telehealth services use secure communication systems with encryption to protect your data. However, no digital transmission can be entirely secure. By consenting to telehealth services, you acknowledge and accept the risks associated with electronic communication, including potential data breaches. Regenics is not responsible for unauthorized access to your personal health information resulting from your use of unsecured networks or devices.
LABORATORY PRODUCTS AND SERVICES
Some telehealth services may require laboratory testing, which may be conducted using at-home diagnostic kits provided by third-party laboratories. Regenics does not manufacture, process, or analyze laboratory tests and cannot guarantee the accuracy or reliability of these tests. Laboratory test results may contain inaccuracies such as false positives, false negatives, or inconclusive outcomes that may impact diagnosis and treatment.
NO REFUND POLICY
By using Regenics' telehealth services, you acknowledge that all fees and charges are non-refundable. This includes consultation fees, laboratory testing costs, and prescribed medications. Regenics does not provide refunds under any circumstances, including dissatisfaction with telehealth services, perceived ineffectiveness of treatment, or issues related to technological difficulties.
LIMITATIONS OF TELEHEALTH SERVICES
Telehealth services are provided as an alternative to in-person medical visits. While telehealth is an effective tool for certain medical conditions, it may not replace the need for in-person physical examinations, imaging tests, or hands-on treatments. If your provider determines that telehealth is not an appropriate method of care for your specific condition, you may be required to schedule an in-person consultation or seek alternative healthcare services.
ACKNOWLEDGMENT OF RESPONSIBILITIES
By agreeing to this telehealth consent, you acknowledge that you are responsible for providing truthful, complete, and accurate medical history and information. It is your responsibility to follow your provider's recommendations, including attending follow-up appointments, taking prescribed medications as directed, and seeking additional medical attention if your condition does not improve or worsens.
You acknowledge that certain medical and mental health conditions may require ongoing monitoring and in-person evaluation. Telehealth is not a substitute for routine preventative healthcare or emergency treatment. You understand that telehealth services may not be covered by health insurance and that you are responsible for all costs associated with your care.
GOVERNING LAW AND JURISDICTION
This Telehealth Consent is governed by the laws of the State of California. Any disputes arising under this agreement will be resolved through binding arbitration in Los Angeles, California, in accordance with the American Arbitration Association rules.
CONTACT INFORMATION
For any questions regarding this Telehealth Consent or to request additional information, please contact Regenics at:
Email: support@regenics.com
Phone: 818-515-0091
FINAL CONSENT ACKNOWLEDGMENT
By clicking "I Agree" or otherwise affirmatively accepting this consent, you acknowledge that you have read, understood, and agreed to this Telehealth Consent and Open Payments Notice. You accept all terms, including potential risks, limitations, and responsibilities associated with telehealth services.
Phone: 1-818-515-0091 (M-F 9AM – 5PM PT).