Medical Consent

This consent outlines the terms and conditions for healthcare services you receive from Pin Health Medical, P.A., (“PH Medical”), the medical practice that works with Pin Health, Inc. (collectively, “Pin Health” “we” or “us”).  

If you have any questions, please don’t hesitate to contact us at care@pin.health.

1. Updates to the Consent. We may update this consent without notice, but will update the “Last Updated” date at the beginning of the consent when we have made a material change.  If you don’t agree with the changes, you can stop using PH Medical’s services at any time.
2. Your Financial Responsibility. You agree to pay for the services you receive from PH Medical.  Further detail is set forth in the Terms of Service.
3. Permission to Treat.  You give PH Medical permission to provide healthcare services to you.  This may include prescribing medication and informing you of potential side effects.  It is important that you provide complete and accurate information to PH Medical.
4. Service Termination.  You can stop using PH Medical’s services at any time, and we can stop providing healthcare services to you at any time.  If we can no longer provide healthcare services to you, we will make every effort to contact you, and help you transfer your records to your new healthcare provider.
5. Privacy Notice. You acknowledge receipt of our Privacy Notice, which describes how we may use and disclose your health information.  A copy can also be obtained on our website, or we will send you a paper copy upon request.
6. Consent to Electronic Communications. You agree that we may contact you via messaging, email, phone, text, or mail. Those communications may be through our website, app, or otherwise, including electronic communications about your healthcare which may include protected health information (PHI). You understand that communicating via email, text messages, and other electronic means may not be secure, and could be viewed by unintended persons, and you agree to communicate with us via these electronic means. You agree to update your contact information as needed to ensure accuracy in our communications to you. You can opt out of communications from PH Medical at any time, though we may still contact you regarding critical or urgent lab results or health findings – including via phone – using reasonable efforts to reach you, given the medical significance of such information. You agree not to record any audio or visual communication with PH Medical including any Telehealth Services, without the express written consent of all parties to the relevant communication.
7. Limitation of Liability.  Telehealth services may have limitations.  Except in cases of gross negligence or willful misconduct, PH Medical is not liable for any harm related to your use of our clinical services.
8. Telehealth Services Consent. Telehealth Services are healthcare services delivered remotely using technology.  This can include video calls, telephone consultations, or secure messaging to connect with PH Medical health care providers.  You understand that there are risks and limitations in using telehealth, and that telehealth may not be appropriate for all conditions.  If you are experiencing a medical emergency, please do not use the telehealth services, and dial 911 or otherwise seek emergency medical treatment immediately.
9. Consent to Record for Training of Artificial Intelligence (AI) Tools and Healthcare Operations. We may use artificial intelligence (“AI”) tools to assist in our healthcare operations, and may use your personal information to train AI tools. We may also record and process your personal details while using our telehealth services to improve our healthcare services.
10. Dispute Resolution. If there is a dispute between you and PH Medical, the dispute will be resolved through individual arbitration. The details of that dispute resolution process are in the Agreement to Arbitrate in the Terms of Service on our website, as may be modified from time to time, and is hereby incorporated into this Agreement.

BY CHECKING THE BOX BELOW, I ACCEPT THE CONTENTS OF THIS CONSENT AND THE AGREEMENT TO ARBITRATE.