Telehealth Consent

1. Purpose

This Telehealth Informed Consent ("Consent") describes the terms under which you may receive healthcare services through telehealth technology via the Nuv platform (a HealthFare Group company). By proceeding with a telehealth consultation, you acknowledge that you have read, understand, and agree to the terms outlined below.

2. What is Telehealth?

Telehealth involves the delivery of healthcare services using electronic communications, including video conferencing, secure messaging, and other digital technologies. Through telehealth, your Provider can diagnose, consult, treat, and prescribe medications without an in-person visit.

3. Providers

Medical services are provided by independently licensed healthcare professionals, including physicians (MD/DO), nurse practitioners (NP), and physician assistants (PA), who are licensed in the state(s) where you receive care. The primary provider overseeing treatments is Andrew Joseph Hewitt, a doctor with extensive patient care experience.

All clinical decisions are made independently by your treating Provider based on their professional medical judgment. Nuv has financial relationships with the entities that employ or contract with Providers who deliver services through the Platform.

4. Anticipated Benefits

• Convenient access to healthcare from your home or any location
• Reduced travel time and associated costs
• Ability to receive care without taking time off work
• Timely access to specialist consultations
• Medications delivered directly to your door

5. Potential Risks

As with any medical treatment, telehealth carries potential risks, including but not limited to:

• Limitations due to the inability to perform a physical examination
• Delays in treatment due to technology failures
• Potential for misdiagnosis or incomplete information
• Security risks related to electronic transmission of health information, despite safeguards in place
• Possible side effects of prescribed medications (your Provider will discuss these with you)

6. Treatments Offered

Nuv provides the following categories of treatment through telehealth:

• GLP-1/GIP Weight Loss: Semaglutide and Tirzepatide — FDA-approved injectable medications for weight management
• Sermorelin: Growth hormone-releasing peptide for anti-aging, improved sleep, and body composition
• Peptide Therapy: Including BPC-157, GHK-Cu, and custom protocols for tissue repair, skin rejuvenation, and recovery
• Supportive treatments: Glutathione, Complex B injections, oral weight loss medications, and nutritional coaching

Off-Label and Investigational Use

Some peptide therapies, including BPC-157, are used in an off-label or investigational capacity. These peptides have not been approved by the FDA for specific medical indications. Your Provider will discuss the evidence, potential benefits, and risks of any off-label treatment before prescribing. You have the right to decline any treatment.

7. Compounding Pharmacy

Medications may be compounded (custom-prepared) by Strive Pharmacy, a licensed compounding pharmacy that follows strict quality standards. Compounded medications are not FDA-approved products; however, they are prepared using FDA-approved ingredients in accordance with applicable state and federal pharmacy regulations (503A/503B).

You are free to obtain your prescription from any pharmacy of your choice. Prescriptions may be transferred upon request.

8. Emergency Situations

Telehealth is not appropriate for medical emergencies. If you experience a life-threatening condition, call 911 or go to the nearest emergency room immediately. Examples include chest pain, difficulty breathing, severe allergic reactions, or signs of stroke.

9. Privacy and Data Security

All telehealth consultations are conducted through HIPAA-compliant platforms. Your health information is protected under the Health Insurance Portability and Accountability Act (HIPAA) and applicable state privacy laws. For more information, see our Privacy Policy.

10. Your Rights

• You have the right to withdraw consent and stop telehealth services at any time
• You have the right to request an in-person visit with a local provider
• You have the right to a copy of your medical records
• You have the right to ask questions about any treatment or medication
• You have the right to decline any recommended treatment
• Withdrawal of consent will not affect your right to future care or treatment

11. No Insurance Billing

Nuv operates on a cash-pay model. Services are not billed to insurance, Medicare, or Medicaid. You are responsible for the full cost of all consultations and medications.

12. State-Specific Notices

Florida: If you have a complaint about your care, you may contact the Florida Department of Health at www.floridahealth.gov or call (850) 245-4444.

13. Acknowledgment

By proceeding with your telehealth consultation through Nuv, you confirm that:

• You have read and understand this Telehealth Consent
• You understand the risks, benefits, and limitations of telehealth
• You consent to receive healthcare services via telehealth
• You understand that medications may be compounded by Strive Pharmacy
• You understand this is a cash-pay service and insurance will not be billed
• You have had the opportunity to ask questions

14. Contact

For questions about this consent, contact us at:

• Email: clinic@healthfaregroup.com
• Phone: +1 (561) 631-5134
• Address: 1500 W Cypress Creek Road, Fort Lauderdale, FL 33309