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Telehealth Consent

Last updated: September 1, 2026

BY USING THE SERVICES, CREATING AN ACCOUNT, OR OTHERWISE AFFIRMATIVELY ACCEPTING THIS CONSENT, YOU ACKNOWLEDGE THAT YOU HAVE READ, ACCEPTED, AND AGREE TO BE BOUND BY THIS CONSENT. IF YOU DO NOT AGREE, DO NOT CREATE AN ACCOUNT OR USE THE SERVICES.

IF YOU ARE EXPERIENCING A LIFE-THREATENING SITUATION, CALL 911. IF YOU ARE IN A MENTAL HEALTH CRISIS OR CONTEMPLATING SUICIDE, CALL OR TEXT THE 988 SUICIDE & CRISIS LIFELINE AT 988.

This Telehealth Consent (this “Consent”) applies to clinical services you receive through the Jive Health platform from MD Integrations, Inc. and its affiliated professional entities (collectively, the “Medical Group”) and its licensed clinicians (the “Providers”). The platform itself is operated by Jive Health, a brand operated by 10ME LLC (“Jive Health,” “Company,” “we,” “us,” or “our”), which does not practice medicine.

Telehealth means the remote delivery of healthcare using technology — the delivery of health care services using electronic communications between a health care provider and a patient who are not in the same physical location. Telehealth may be used for diagnosis, treatment, follow-up, and patient education, and may include: the electronic transmission of medical records, photos, personal health information, and other data between you and your Provider; interactions via secure forms, asynchronous messaging, and live audio or video visits; and the use of data from medical devices and sound or video files. Alternative methods of care, such as in-person services, may be available to you, and you may choose an alternative at any time — discuss alternatives with your Provider.

The systems used in the services incorporate network and software security protocols designed to protect the privacy, security, and integrity of your health information in transit and at rest.

Possible benefits of telehealth

  • Telehealth can make accessing medical care easier, more efficient, and less expensive.
  • You can obtain medical care and treatment at times that are convenient for you, without traveling to an office or sitting in a waiting room.

Possible limitations and risks of telehealth

  • Information transmitted to your Provider may not be sufficient to allow appropriate medical decision-making, and your Provider may not be able to treat your condition via telehealth. You may be required to seek alternative or in-person care.
  • A remote clinician cannot perform a hands-on physical examination or assess vital signs in person, which may in some cases prevent diagnosis or treatment or the identification of a need for urgent medical care. Telehealth is not a replacement for an ongoing relationship with an in-person primary care physician.
  • An accurate evaluation depends on the accuracy of what you share. You must provide a complete and truthful medical history, including every diagnosis, medication, supplement, and prior treatment. Omissions can lead to misdiagnosis, inappropriate treatment, or harm.
  • Technology can fail or contain errors. Connection problems, bugs, or service interruptions may delay evaluation or treatment, limit functionality, or cause records, transmissions, data, or content to be corrupted or lost.
  • Despite safeguards, no electronic system is immune from the risk of unauthorized access to or disclosure of your information.
  • Due to the nature of the services and regulatory requirements in certain jurisdictions, your treatment options — especially pertaining to certain prescriptions — may be limited. State law governs telehealth and remote prescribing, and the services available to you may vary based on where you are located.
  • Telehealth is never appropriate for emergencies. If you are experiencing a medical emergency or a severe allergic or adverse reaction, call 911 or go to the nearest emergency room immediately.

Your Consent to Telehealth

By accepting this Consent, you acknowledge your understanding and agreement to each of the following.

Provider qualifications and service limitations

  • You have read this Consent carefully and understand the risks and benefits of telehealth in your medical care, and you give your informed consent to receive medical care by telehealth from Providers affiliated with the Medical Group through the Jive Health platform.
  • Your care is delivered remotely by telehealth. The clinician treating you may be a nurse practitioner or physician assistant rather than a physician, and you consent to treatment by these providers.
  • Telehealth technology evolves; the tools used in your care may differ from those described here.
  • No outcome is guaranteed — including outcomes of any laboratory testing — and your condition may fail to improve or may worsen. Some conditions cannot be safely treated by telehealth.
  • The services enable coordination and communication with a Provider and do not replace your relationship with any existing health care provider.

Your responsibilities

  • You have considered the benefits, risks, and alternatives to telehealth described above.
  • You have a duty to answer questions about your health and medical history honestly and accurately, and to keep your health care providers up to date on changes in your health, symptoms, treatments, or medications. You understand that withholding or providing inaccurate information in order to obtain treatment may result in serious harm, including in some cases death.
  • Visits are not recorded by the Medical Group.
  • Your Provider will evaluate your condition and decide, in their sole professional judgment, whether telehealth treatment is appropriate for you, and you accept that determination. Your Provider may conclude your condition requires in-person care.
  • You agree to provide accurate, current, and complete medical information — including records from other providers on request — and current emergency contact information.
  • You agree to monitor and respond to messages, reports, and communications from your care team through the platform.

Consent and withdrawal

  • You may withhold or withdraw this Consent at any time by emailing care@jivehealth.co with that instruction.
  • Withdrawal is effective upon receipt of your written notice. It does not affect any action taken by us or your Provider in reliance on this Consent before receipt, and does not affect any other provision of this Consent.
  • Otherwise, this Consent is considered renewed upon each new telehealth consultation with a Provider.

Electronic communication and privacy

The services necessarily involve electronic transmission of your personal and medical information. That information is handled as described in our Privacy Policy and, where applicable, its Consumer Health Data section. Information held by the Medical Group may constitute protected health information governed by HIPAA and the Medical Group’s own Notice of Privacy Practices. By using the services, you acknowledge receipt of that Notice.

We and the Medical Group will share your telehealth record with your other health care providers only with your consent and at your request. You may request that your telehealth record be sent to another provider by emailing care@jivehealth.co with your consent along with the provider’s name, address, and phone number. You also have access to your health and wellness information from your telehealth consultations in accordance with applicable law.

If a technical failure affecting the services results in a loss of your information or an interruption of your care, you agree to hold Jive Health harmless for any resulting loss of information or delay in care, in addition to any disclaimers in our Terms of Service. We do not and cannot guarantee the security or privacy of the services you use to receive communications, including your email service provider.

Financial considerations

  • You remain free to seek examination and treatment from any other healthcare provider at any time.
  • Prescriptions issued through the services are filled by partner pharmacies and shipped to you.
  • You are responsible for the cost of the services, including prescriptions, and agree not to submit claims for these services to any federal or state healthcare program (including Medicare or Medicaid) or seek reimbursement from such programs.

State-Specific Information

If you have a concern about a medical professional, you may contact the medical board in your state. The following additional consents and notices apply to patients accessing the services from the states listed.

Alaska

You have been informed that if you want to register a formal complaint about a provider, you should visit the Alaska State Medical Board’s website at commerce.alaska.gov.

California

Medical doctors are licensed and regulated by the Medical Board of California. To confirm a license or file a complaint, go to www.mbc.ca.gov or call (800) 633-2322. The Open Payments database is a federal tool used to search payments made by drug and device companies to physicians and teaching hospitals; it can be found at openpaymentsdata.cms.gov.

Florida — Weight Loss Consumer Bill of Rights

Warning:

  • Rapid weight loss may cause serious health problems. Rapid weight loss is weight loss of more than 1½ to 2 pounds per week, or weight loss of more than 1 percent of body weight per week after the second week of participation in a weight-loss program.
  • Consult your personal physician before starting any weight-loss program.
  • Only permanent lifestyle changes, such as making healthful food choices and increasing physical activity, promote long-term weight loss.
  • Qualifications of your weight-loss provider are available upon request.

You have a right to:

  1. Ask questions about the potential health risks of this program and its nutritional content, psychological support, and educational components.
  2. Receive an itemized statement of the actual or estimated price of the weight-loss program, including extra products, services, supplements, examinations, and laboratory tests.
  3. Know the actual or estimated duration of the program.
  4. Know the name, address, and qualifications of the person who has reviewed and approved the weight-loss program according to section 468.505(1)(j), Florida Statutes.

You have been informed that if you want to check the licensing details of a provider, you can visit the Florida Department of Health’s website at mqa-internet.doh.state.fl.us.

Iowa

You have been informed that if you want to register a formal complaint about a provider, you should visit the Iowa Board of Medicine’s website at medicalboard.iowa.gov.

Idaho

You have been informed that if you want to register a formal complaint about a provider, you should visit the Idaho Board of Medicine’s website at elitepublic.bom.idaho.gov.

Indiana

You have been informed that if you want to register a formal complaint about a provider, you should visit the Indiana Attorney General’s website at in.gov/attorneygeneral.

Kentucky

You have been informed that if you want to register a formal complaint about a provider, you should visit the Kentucky Board of Medical Licensure’s website at kbml.ky.gov.

Maine

You have been informed that if you want to register a formal complaint about a provider, you should visit the Maine Board of Licensure in Medicine’s website at maine.gov/md, or the Maine Board of Osteopathic Licensure’s website at maine.gov/osteo.

Oklahoma

You have been informed that if you want to register a formal complaint about a provider, you should visit the Oklahoma Board of Medical Licensure and Supervision’s website at okmedicalboard.org, or the Oklahoma Board of Osteopathic Examiners’ website at osboe.us.thentiacloud.net.

Oregon

You have been informed that if you want to register a formal complaint about a provider, you should visit the Oregon Medical Board’s complaint form at oregon.gov/omb.

Rhode Island

You have been informed that if you want to register a formal complaint about a provider, you should visit the Rhode Island Department of Health’s website at health.ri.gov.

Texas

NOTICE CONCERNING COMPLAINTS — Complaints about physicians, as well as other licensees and registrants of the Texas Medical Board, including physician assistants, acupuncturists, and surgical assistants, may be reported for investigation at the following address: Texas Medical Board, Attention: Investigations, 333 Guadalupe, Tower 3, Suite 610, P.O. Box 2018, MC-263, Austin, Texas 78768-2018. Assistance in filing a complaint is available by calling 1-800-201-9353. For more information, please visit www.tmb.state.tx.us.

AVISO SOBRE LAS QUEJAS — Las quejas sobre médicos, así como sobre otros profesionales acreditados e inscritos del Consejo Médico de Tejas, incluyendo asistentes de médicos, practicantes de acupuntura y asistentes de cirugía, se pueden presentar en la siguiente dirección para ser investigadas: Texas Medical Board, Attention: Investigations, 333 Guadalupe, Tower 3, Suite 610, P.O. Box 2018, MC-263, Austin, Texas 78768-2018. Si necesita ayuda para presentar una queja, llame al 1-800-201-9353. Para obtener más información, visite www.tmb.state.tx.us.

Vermont

You have been informed that if you want to register a formal complaint about a provider, you should visit the Vermont Board of Medical Practice’s website at healthvermont.gov, or the Vermont Board of Osteopathic Examiners’ website at sos.vermont.gov/opr.

All capitalized terms used but not defined in this Consent have the meanings assigned to them in our Terms of Service.

Questions about this Consent? Contact us at care@jivehealth.co or (312) 800-8802.