Will provide you with remote dermatology consultations and services through the use of telehealth technology. By signing reading this Consent, you acknowledge that you understand and agree to the following terms and conditions.
This Consent Form is provided by DermOnDemand, an online platform dedicated to providing you with remote dermatology consultations and services (“Teledermatology Services”) through the use of telehealth technology. The providers on our platform are practicing as part of Joel E. Kopelman, MD PA.
Teledermatology involves the use of electronic communications to enable healthcare providers to evaluate, diagnose, and treat dermatological conditions remotely. By utilizing DermOnDemand’s teledermatology services, you will be able to communicate with a licensed healthcare professional (“Provider”) who will provide dermatology consultations and services remotely, using store-and-forward technology, video conferencing, live chat, or other electronic means.
DermOnDemand is committed to maintaining the confidentiality of your personal information and consultation records. We use industry-standard encryption and other security measures to protect the transmission and storage of your information. However, no system can guarantee complete security, and you acknowledge that there is a risk of unauthorized access to your information. For more information about how we protect your privacy, please review our Privacy Policy.
You understand that you have the option to seek dermatology services in-person and that teledermatology is not a substitute for a traditional in-person consultation. You acknowledge that you are choosing to use DermOnDemand’s teledermatology services voluntarily and that you have the right to withdraw your consent to use teledermatology services at any time by notifying DermOnDemand in writing.
By using DermOnDemand’s teledermatology services, you agree to:
By reading this Consent, you acknowledge that you have read, understood, and voluntarily agree to the terms and conditions set forth herein. You hereby give your informed consent to participate in DermOnDemand’s teledermatology services and authorize DermOnDemand and its Providers to provide you with remote dermatology consultations and services using telehealth technology.
