Telehealth informed consent.

Telehealth involves the delivery of healthcare services using interactive electronic communications between you and a US-licensed clinician who is not physically in the same location as you. Visits on this platform are conducted asynchronously (by written intake and secure messaging) and, when clinically appropriate, by audio or video.

• Access to licensed clinicians without travel.
• Faster initial evaluation for non-emergent conditions.
• Discreet, private care from your home.

• Telehealth may not be appropriate for every condition. A clinician may determine that in-person evaluation, additional testing, or referral is required and may decline to prescribe.
• Information transmitted may be insufficient for clinical decision-making and may require follow-up. Photos, lab values, or self-reported information may be incomplete or inaccurate.
• Delays in evaluation or treatment may occur due to deficiencies or failures of equipment, connectivity, or third-party services.
• Although our systems use industry-standard safeguards, no electronic transmission of health information is ever 100% secure.

Submitting an intake or paying a consultation fee does not guarantee that a prescription, refill, or specific treatment will be issued. The decision is made in the independent professional judgment of the prescribing clinician. If treatment is declined, you will be notified, and the consultation fee is refundable as described in our Terms of Service.

Some medications offered through Happy Labs (including, but not limited to, compounded GLP-1 medications, NAD+, sermorelin, glutathione, compounded testosterone and hormone formulations, and certain topical formulations) are compounded by state-licensed 503A or 503B pharmacies and are not FDA-approved as finished drug products. The FDA has not reviewed compounded medications for safety, efficacy, or quality. Other medications may be prescribed off-label, meaning the FDA has not specifically approved the medication for the indication being treated. Off-label prescribing is legal and common in clinical practice. Your clinician will discuss the risks and alternatives.

Telehealth is not appropriate for medical emergencies. If you are experiencing a medical emergency, call 911 or go to the nearest emergency department.

Your health information will be handled in accordance with our HIPAA Notice of Privacy Practices and Privacy Policy. Visit records are maintained per applicable law.

Some states (including Florida, California, Texas, New York, and New Jersey) require additional disclosures, consents, or patient bills of rights. By using the service, you acknowledge any state-required notices that are displayed to you during intake or at checkout.

You may withdraw this consent at any time by discontinuing use of the service. Your decision will not affect your right to future care.

This consent applies to order creation (asynchronous process) and critical-results follow-up when a physician contacts the patient. It is provided by our physician network partners and is incorporated into this Telehealth Informed Consent by reference.

I understand that Telehealth is a mode of delivering health care services via communication technologies (e.g., internet or cellphone) to facilitate diagnosis, consultation, treatment, education, care management, and self-management of a patient's health care.

By acknowledging my consent below, I understand and agree to the following:

• I understand that Junction and affiliate Openloop Healthcare Partners, PC offer Telehealth consultations, which are conducted through videoconferencing, telephonic, and asynchronous technology and my Telehealth provider will not be present in the room with me.
• I understand there are potential risks to the use of Telehealth technology, including but not limited to, interruptions, delays, unauthorized access, and or other technical difficulties. I understand that either my Telehealth provider or I can discontinue the Telehealth appointment if the technical connections are not adequate for my visit.
• I understand that I could seek an in-office visit rather than obtain care from a Telehealth provider, and I am choosing to participate in a Telehealth consultation with Junction, an affiliate of Openloop Healthcare Partners, PC, Openloop Healthcare Partners, PC, Openloop Healthcare Partners California, PC, Openloop Healthcare Partners Colorado, PC, Openloop Healthcare Partners New Jersey, PC, Openloop Healthcare Partners Wisconsin SC, Reliant.MD Medical Associates, PLLC, Reliant.MD Medical Associates California, PC, Reliant.MD Medical Associates Colorado, PC, Reliant.MD Medical Associates New Jersey, PC, Reliant.MD Medical Associates Wisconsin, SC, MECNB Physician Services, PC, MECNB Physician Services California, PC, MECNB Physician Services Colorado, PC, MECNB Physician Services New Jersey, PC, and MECNB Physician Services, SC.
• To protect the confidentiality of my health information, I agree to undertake my Telehealth consultation in a private location, and I understand that my Telehealth provider will similarly be in a private location.
• I understand that I am responsible for payment of any amounts due and owing resulting from my Telehealth visit.
• In an emergent situation, I understand that the responsibility of my Telehealth provider may be to direct me to emergency medical services, such as an emergency room.

By acknowledging below, I certify:

• that I have read this form and/or had it explained to me;
• that I understand the risks and benefits of a Telehealth appointment;
• that I have been given the opportunity to ask questions and that such questions have been answered to my satisfaction.

Physician network consent form effective as of February 21, 2023.

By checking the Telehealth Informed Consent box at checkout, or by continuing to use Happy Labs services, you confirm you have read this consent (including the physician network consent above), had the opportunity to ask questions, and agree to receive care via telehealth under these terms.