Mission Weight Loss & Wellness Telehealth Consent & Disclosure

Last Updated: March 1, 2026

Introduction

This Telehealth Consent (“Consent”) describes important information about the use of telehealth (remote delivery of healthcare services) as part of the services offered by Mission Weight Loss & Wellness, LLC (“Mission,” “we,” “us,” or “our”) through our online platform. By clicking “I Agree,” signing, or otherwise indicating acceptance of this Consent, you acknowledge that you have read, understand, and agree to this Consent. If you do not agree, you should not use the telehealth services.

If you are experiencing a medical emergency, stop using the platform immediately and call 911 or seek in-person emergency care.

1. What Is Telehealth?

Telehealth involves providing healthcare services using electronic communications technologies when you and your healthcare provider are not in the same physical space. This can include:

• Video or audio consultations;
• Secure messaging;
• Transmission of medical records, images, or diagnostic data.

Depending on your needs, telehealth may be used for clinical evaluations, follow-ups, prescription management, or education related to weight-loss and wellness services.

2. Potential Benefits of Telehealth

Telehealth may offer several advantages, including:

• Improved access to care from the comfort of your home;
• Timely appointments without travel or in-office wait times;
• Flexible scheduling to fit your lifestyle;
• Efficient communication with your care team.

3. Potential Risks and Limitations

While telehealth has benefits, there are risks and limitations you should understand:

• Technology systems may fail, produce errors, or be temporarily unavailable;
• Diagnostic or treatment limitations due to remote interaction;
• Delays in care if technical problems occur;
• Security or privacy issues despite reasonable protections;
• Your provider may determine telehealth is inappropriate for your condition and recommend in-person care.

Telehealth does not replace necessary in-person medical evaluation when that is clinically indicated.

4. Medication Prescriptions and Lab Services

Clinical services delivered through telehealth may involve prescription medications or at-home lab tests as part of your care plan.

• Prescriptions will only be issued by licensed healthcare providers following clinical evaluation and determination of medical necessity.
• Labs or diagnostic tests may involve third-party partners. Mission and its providers cannot guarantee test accuracy or how results affect your care.

5. Privacy and Security

We use reasonable technical, administrative, and organizational safeguards to protect the privacy and security of your personal and health information. However, no electronic communication system is completely secure. Some privacy risks may remain, including unauthorized access or interception.

Mission’s Privacy Policy (linked separately on our website) explains how protected health information and other personal data are collected, used, and shared. You should review that policy before using our services.

6. Your Rights and Responsibilities

By consenting to telehealth:

• You agree that you are responsible for providing accurate and complete health information;
• You acknowledge that you may withhold consent at any time;
• You understand that refusing or withdrawing consent does not affect your right to future care, but may limit your access to remote services.

You may request alternative care options or discuss any questions with your assigned provider.

7. Emergency Situations

Telehealth services are not suitable for all medical situations, and urgent or emergent conditions require immediate in-person medical care. If you experience a medical emergency, call 911 or visit an emergency department without delay.

8. Consent Confirmation

By indicating your agreement (e.g., clicking “I Agree” in the platform, checking an acceptance box, or beginning a telehealth session), you:

• Acknowledge you understand this Telehealth Consent;
• Consent to receiving telehealth services;
• Confirm you have had the opportunity to ask questions and have them answered satisfactorily;
• Agree that Mission and your licensed healthcare provider may communicate electronically for purposes of your clinical care and administration.

Contact Information

If you have questions about telehealth, this Consent, or alternative care options, please contact:

service@missionwlw.com

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