Thank you for choosing Bask Health Inc. (Bask) and Arora Health & Aesthetics, LLC! You are viewing this form because you have elected to engage in asynchronous telemedicine visits with a Arora healthcare practitioner via Bask. Your practitioner is a board-certified physician licensed in your state. By clicking “I Agree,” I ACKNOWLEDGE I HAVE READ AND UNDERSTAND THE TERMS PRESENTED BELOW, AND UNDERSTAND THE RISKS AND BENEFITS OF ASYNCHRONOUS TELEMEDICINE, AND BY ACCEPTING THESE TERMS OF USE I HEREBY GIVE MY INFORMED CONSENT TO PARTICIPATE IN ASYNCHRONOUS TELEMEDICINE UNDER THESE TERMS.
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What is Telemedicine?
Telemedicine is the delivery of healthcare services, including examination, consultation, diagnosis, and treatment, through electronic communication technologies when you (the patient) are located in a different location than your healthcare practitioner. Arora allows you to receive treatment from a healthcare practitioner without having to travel to another location or schedule a separate appointment and helps you avoid long wait times that you might otherwise experience at an in-person visit. What is Asynchronous Telemedicine?
Asynchronous telemedicine is one way to deliver telemedicine. Asynchronous communication is often referred to as “store-and-forward” communication, where participants submit and collect data at different times. An example of asynchronous communication is a telemedicine encounter with a healthcare practitioner that involves sending photos, video, or other communications via email or text message. “Asynchronous” means “not occurring at the same time” and is different from “synchronous” telemedicine, which generally includes visits conducted in real-time between patients and healthcare practitioners through audio or video means (e.g., live phone calls or video-conferencing). Healthcare practitioners may use asynchronous telemedicine to aid in diagnoses and medical consultations when live communication or face-to-face contact is not possible or necessary.
Beluga’s platform (“Platform”), in particular, allows for the following asynchronous telemedicine services: 1) text-based healthcare practitioner-patient interactions through short message service (“SMS”) and multimedia messaging service (“MMS”) communications; and 2) secure information collection through asynchronous store-and-forward patient questionnaires.
What are the Possible Risks to Using Asynchronous Telemedicine?
As with any medical treatment, there are potential risks associated with the use of asynchronous telemedicine. Beluga believes that the likelihood of these risks materializing is very low.
These risks may include, without limitation, the following:
• Delays in medical evaluation and consultation or treatment may occur due to deficiencies or failures of the equipment or the Internet, which may include poor data quality, Internet outages, or other service interruption issues. You may reschedule the visit with your healthcare practitioner should these interruptions occur.
• Security protocols could fail, causing a breach of privacy of personal medical information.
• Because Beluga does not have access to your complete medical records, if you do not disclose to your healthcare practitioner a full list of your medical history including diagnoses, treatments, medications/supplements, and allergies, adverse treatment, drug interactions or allergic reactions, or other negative outcomes may occur.
• Asynchronous telemedicine services are NOT emergency services and your Personal Data (as defined in the Beluga Privacy Policy) WILL NOT BE MONITORED 24/7. If you think you are experiencing a medical emergency, CALL 911 IMMEDIATELY.
THE CARE YOU RECEIVE WILL BE AT THE SOLE DISCRETION OF THE HEALTHCARE PRACTITIONER WHO IS TREATING YOU, WITH NO GUARANTEE OF DIAGNOSIS, TREATMENT, OR PRESCRIPTION. THE HEALTHCARE PRACTITIONER WILL DETERMINE WHETHER OR NOT THE CONDITION BEING DIAGNOSED AND/OR TREATED IS APPROPRIATE FOR THE CARE PROVIDED THROUGH AN ASYNCHRONOUS TELEMEDICINE ENCOUNTER VIA THE PLATFORM.
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Your Rights and Acknowledgements:
Asynchronous telemedicine is one way to deliver telemedicine. Asynchronous communication is often referred to as “store-and-forward” communication, where participants submit and collect data at different times. An example of asynchronous communication is a telemedicine encounter with a healthcare practitioner that involves sending photos, video, or other communications via email or text message. “Asynchronous” means “not occurring at the same time” and is different from “synchronous” telemedicine, which generally includes visits conducted in real-time between patients and healthcare practitioners through audio or video means (e.g., live phone calls or video-conferencing). Healthcare practitioners may use asynchronous telemedicine to aid in diagnoses and medical consultations when live communication or face-to-face contact is not possible or necessary. Arora’s platform (“Platform”), in particular, allows for the following asynchronous telemedicine services: 1) text-based healthcare practitioner-patient interactions through short message service (“SMS”) and multimedia messaging service (“MMS”) communications; and 2) secure information collection through asynchronous store-and-forward patient questionnaires. What are the Possible Risks to Using Asynchronous Telemedicine? As with any medical treatment, there are potential risks associated with the use of asynchronous telemedicine. Arora believes that the likelihood of these risks materializing is very low.
These risks may include, without limitation, the following: • Delays in medical evaluation and consultation or treatment may occur due to deficiencies or failures of the equipment or the Internet, which may include poor data quality, Internet outages, or other service interruption issues. You may reschedule the visit with your healthcare practitioner should these interruptions occur. • Security protocols could fail, causing a breach of privacy of personal medical information. • Because Arora does not have access to your complete medical records, if you do not disclose
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JURISDICTION AND LIMITATION OF LIABILITY
All products and services offered by SYNC Health LLC are intended for use solely within the United States. All telehealth consultations and prescribing are governed by the laws of the state in which the patient is located at the time of service. Compounded medications prescribed through this platform are not FDA-approved and have not been evaluated by the FDA for safety, effectiveness, or quality. SYNC Health LLC disclaims any liability for the use of its products or services outside the U.S. or for any unauthorised applications. SYNC Health LLC shall not be liable for any direct, indirect, incidental, consequential, or punitive damages arising from product or service use, misuse, or adverse reactions. Members waive their right to pursue any claims related to product or service use through class action lawsuits.
to your healthcare practitioner a full list of your medical history including diagnoses, treatments,
medications/supplements, and allergies, adverse treatment, drug interactions or allergic
reactions, or other negative outcomes may occur.
• Asynchronous telemedicine services are NOT emergency services and your Personal Data (as
defined in the Arora Privacy Policy) WILL NOT BE MONITORED 24/7. If you think you are
experiencing a medical emergency, CALL 911 IMMEDIATELY.
THE CARE YOU RECEIVE WILL BE AT THE SOLE DISCRETION OF THE HEALTHCARE
PRACTITIONER WHO IS TREATING YOU, WITH NO GUARANTEE OF DIAGNOSIS,
TREATMENT, OR PRESCRIPTION. THE HEALTHCARE PRACTITIONER WILL DETERMINE
WHETHER OR NOT THE CONDITION BEING DIAGNOSED AND/OR TREATED IS
APPROPRIATE FOR THE CARE PROVIDED THROUGH AN ASYNCHRONOUS
TELEMEDICINE ENCOUNTER VIA THE PLATFORM.
Your Rights and Acknowledgements:
• You have the same privacy rights via asynchronous telemedicine that you would have during
an in-person visit. Dissemination of any identifiable images or information from the
asynchronous telemedicine visit to researchers or other entities will not occur without your
written consent. For more information about how we protect your privacy, please read the Arora
Privacy Policy here
• Asynchronous telemedicine may involve electronic communication of your personal medical
information to healthcare practitioners who may be located in other areas, including out of state.
• You understand that you may expect the anticipated benefits from the use of asynchronous
telemedicine, but that no results can be guaranteed or assured.
• You understand that all information submitted to Arora via text message and entered by your
healthcare practitioner in the Arora Platform will be part of your medical record and available to
