Service Terms and Conditions

 Telehealth Consultation REQUIRED

You understand that you will be connected with a licensed medical provider by telecommunication services to receive care and treatment when applicable.

You understand this is out of necessity, convenience and an abundance of caution which originated due to the Coronavirus (Covid-19) pandemic. This will continue until such a time that we are able or required to meet in person, or may continue depending on the circumstance. In-office visits may resume upon future recommended guidelines and services shall be rendered accordingly and respectively.

You understand that medical vitals (blood pressure & weight images) are required with services and this is for your safety, qualification and continued therapy.

You understand that telecommunication treatment has potential benefits including but not limited to: easy and convenient access to care, more privacy with a provider from the comfort of your home, lower cost and faster scheduling.

You understand that telecommunication has been deemed effective in treating a wide range of ailments and provides many advantages; however, you understand there is no guarantee that all treatment for all individuals will be effective.

You understand that it is your obligation to notify the medical provider of your location at the beginning of each treatment session. If for some reason, you change locations during the session it is your obligation to notify the medical provider of the change in location.

You understand that it is your obligation to notify the medical provider of any other person(s) in the location (either on or off the phone/camera) who can hear or see the session. You understand that you are responsible to ensure privacy at your location. You will notify the medical provider at the onset of each session and you are aware that confidential information may be discussed.

You understand that it is your obligation to ensure that any virtual assistant or artificial intelligence device including but not limited to: Alexa, Echo, etc. should be disabled or should not be in the location where information can be heard.

You agree that you will not record through audio, video or any other device any session unless you have notified the medical provider and this is agreed upon by Balanced Life Care, LLC in writing prior to your appointment.

You understand there are potential risks to using telecommunication technology including but not limited to: interruptions, disconnections, unauthorized access and technical difficulties.

 You understand some of these technological challenges include issues with software, hardware and internet connections which may result in interruption.

You understand that the medical provider is not responsible for any technological problems of which the medical provider has no control over. You further understand that the medical provider does not guarantee that technology will be available or work as expected.

You understand that you are responsible for information security on your device including but not limited to: a computer, tablet or phone and in your own location.

 You understand that the medical provider or yourself (or if applicable a guardian or conservator) can discontinue the telecommunication consultation/visit if it is determined by either you or the medical provider that the telecommunication connection or confidentiality are not adequate for the situation.

You further agree by submission of your payment that you acknowledge:

Balanced Life Care is NOT an emergency service. In the event of an emergency you agree to use a phone to call 9-1-1 and/or another appropriate emergency contact.

You recognize the medical provider may need to notify emergency personnel in the event he/she feels there is a safety concern including but not limited to: a risk to yourself or another person or in the event the medical provider becomes concerned that immediate medical attention is needed.

Though the medical provider and yourself may be in virtual contact through telecommunication services or by an in-office visit, neither Balanced Life Care nor the medical provider offers any emergency medical or urgent healthcare services or advice. You understand should other medical services be desired or required, you will contact your primary care physician. If emergency services are needed you understand you should call 9-1-1.

Balanced Life Care’s EHR and/or phone/video conferencing systems: Kareo / Doximity, facilitates video conferencing and messaging technology. You understand that this technology platform is not itself a source of healthcare, medical advice or other care.

During any time the medical provider may not have access to all of your medical and treatment records. You fully understand and agree not to hold Balanced Life Care, any of its associates or any medical provider you are connected with through Balanced Life Care responsible for limited information. You understand full access to your medical history and/or previous or current treatment may not be available or accessible to the provider and you consent to move forward with treatment without fault or liability against Balanced Life Care, any of its associates or a connected medical provider.

To maintain confidentiality you will not share your telecommunication appointment information with anyone not authorized to attend the session.

You understand that the medical provider can discontinue the telecommunication services if those services do not appear to benefit you therapeutically or if they are believed to cause greater harm than good for any reason that will be explained to you. You understand there may or may not be other treatment alternatives available to you and you agree you may be eligible for a refund of the total purchase price minus the $120 consultation fee and a $29.99 administrative processing fee for care services.

Telecommunication appointments eliminate the need for traveling to an in-person office visit and the wait with other potentially ill or contagious customers. If you miss your scheduled consultation call from the medical provider keep your phone handy; the doctor will make a second attempt to contact you. If you miss both calls from the medical provider this will be considered a no-show and additional fees may be assessed. If you are using a mobile device be sure the silence feature for unrecognized numbers is disabled.

When you agree to a scheduled consultation date and time (through email correspondence sent, received and verified, by verbal acknowledgement during the scheduling process, via text message or any other medium) you accept and agree to the “No Show Fee” of $49.99 and consent to render payment on behalf of the missed consultation.

By submitting and/or authorizing your payment you certify that you have read, agree to and fully understand all of the information provided in these terms and conditions regarding telecommunication and in-office visits. You agree to the terms and conditions to initiate care with a medical provider, and you hereby give consent to the use of telecommunication or in-office visits and associated fees for all services applicable.