A. Telemedicine Services. I understand that I’ve been provided the opportunity to utilize telemedicine services (“Telemedicine Services”) with Teleperinatal, Inc providers, which also operate under Ouma Health and Maternity Advocates program names. I voluntarily authorize Teleperinatal and its physicians, advanced practice professionals, and other health care providers (“Provider(s)”), to utilize Telemedicine Services. I understand that Telemedicine Services involve the use of electronic communication by way of remote written electronic communication and video conferencing in lieu of direct in-person patient/ Provider interaction. I also understand that my health care information may be shared with individuals who are not my Providers for scheduling and billing purposes, as well for operating any equipment, including video equipment, utilized to provide Telemedicine Services. Information gathered from me as part of the Telemedicine Services may be used for diagnosis, therapy, follow-up and/or education, and may include, without limitation, the following:
B. Confidentiality. I understand that the laws that protect privacy and the confidentiality of medical information also apply to Telemedicine Services, and that no information obtained in my use of Telemedicine Services that identifies me will be disclosed to third parties without my consent. I understand that the Telemedicine Services will utilize electronic systems that will incorporate network and software security protocols to protect the confidentiality of patient identification and imaging data and will include measures to safeguard the data and to ensure its integrity against intentional or unintentional corruption.
C. Risks: I understand that there are risks associated with Telemedicine Services, including, without limitation, those listed below and I agree that I have had an opportunity to ask questions about the risks:
D. Expected Benefits: I understand that there are certain expected benefits to utilizing Telemedicine Services, which include, but are not limited to, those listed below and I agree that I have had an opportunity to ask questions about the benefits:
E. Consent to Telemedicine Services. I agree that the use of Telemedicine Services has been explained to me, including the purpose, anticipated benefits, anticipated duration, reasonable alternatives, the option of not utilizing Telemedicine Services, and the risks of not utilizing Telemedicine Services. I have had the opportunity to ask questions, and all my questions have been answered. I voluntarily consent to utilizing the Telemedicine Services as part of my care with Teleperinatal. By agreeing to this form and the use of Telemedicine Services, I understand the following:
F. No Guarantee: I understand that the use of Telemedicine Services is not an exact science and I acknowledge that no warranty or guarantee has been made to me about the use of Telemedicine Services.
G. SMS messaging and email: I hereby consent and state my preference to have my Providers communicate with me by email or standard SMS messaging regarding various aspects of my medical care, which may include, but shall not be limited to, test results, prescriptions, appointments, and billing. I understand that email and standard SMS messaging are not confidential methods of communication and may be insecure. I further understand that, because of this, there is a risk that email and standard SMS messaging regarding my medical care might be intercepted and read by a third party.
Last updated: December 24, 2022
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The words of which the initial letter is capitalized have meanings defined under the following conditions. The following definitions shall have the same meaning regardless of whether they appear in singular or in plural.
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These are the Terms and Conditions governing the use of this Service and the agreement that operates between You and the Company. These Terms and Conditions set out the rights and obligations of all users regarding the use of the Service.
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Our Service may contain links to third-party web sites or services that are not owned or controlled by the Company.
The Company has no control over, and assumes no responsibility for, the content, privacy policies, or practices of any third party web sites or services. You further acknowledge and agree that the Company shall not be responsible or liable, directly or indirectly, for any damage or loss caused or alleged to be caused by or in connection with the use of or reliance on any such content, goods or services available on or through any such web sites or services.
We strongly advise You to read the terms and conditions and privacy policies of any third-party web sites or services that You visit.
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Notwithstanding any damages that You might incur, the entire liability of the Company and any of its suppliers under any provision of this Terms and Your exclusive remedy for all of the foregoing shall be limited to the amount actually paid by You through the Service or 100 USD if You haven't purchased anything through the Service.
To the maximum extent permitted by applicable law, in no event shall the Company or its suppliers be liable for any special, incidental, indirect, or consequential damages whatsoever (including, but not limited to, damages for loss of profits, loss of data or other information, for business interruption, for personal injury, loss of privacy arising out of or in any way related to the use of or inability to use the Service, third-party software and/or third-party hardware used with the Service, or otherwise in connection with any provision of this Terms), even if the Company or any supplier has been advised of the possibility of such damages and even if the remedy fails of its essential purpose.
Some states do not allow the exclusion of implied warranties or limitation of liability for incidental or consequential damages, which means that some of the above limitations may not apply. In these states, each party's liability will be limited to the greatest extent permitted by law.
The Service is provided to You "AS IS" and "AS AVAILABLE" and with all faults and defects without warranty of any kind. To the maximum extent permitted under applicable law, the Company, on its own behalf and on behalf of its Affiliates and its and their respective licensors and service providers, expressly disclaims all warranties, whether express, implied, statutory or otherwise, with respect to the Service, including all implied warranties of merchantability, fitness for a particular purpose, title and non-infringement, and warranties that may arise out of course of dealing, course of performance, usage or trade practice. Without limitation to the foregoing, the Company provides no warranty or undertaking, and makes no representation of any kind that the Service will meet Your requirements, achieve any intended results, be compatible or work with any other software, applications, systems or services, operate without interruption, meet any performance or reliability standards or be error free or that any errors or defects can or will be corrected.
Without limiting the foregoing, neither the Company nor any of the company's provider makes any representation or warranty of any kind, express or implied: (i) as to the operation or availability of the Service, or the information, content, and materials or products included thereon; (ii) that the Service will be uninterrupted or error-free; (iii) as to the accuracy, reliability, or currency of any information or content provided through the Service; or (iv) that the Service, its servers, the content, or e-mails sent from or on behalf of the Company are free of viruses, scripts, trojan horses, worms, malware, timebombs or other harmful components.
Some jurisdictions do not allow the exclusion of certain types of warranties or limitations on applicable statutory rights of a consumer, so some or all of the above exclusions and limitations may not apply to You. But in such a case the exclusions and limitations set forth in this section shall be applied to the greatest extent enforceable under applicable law.
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If You are a European Union consumer, you will benefit from any mandatory provisions of the law of the country in which you are resident in.
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We reserve the right, at Our sole discretion, to modify or replace these Terms at any time. If a revision is material We will make reasonable efforts to provide at least 30 days' notice prior to any new terms taking effect. What constitutes a material change will be determined at Our sole discretion.
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