Telehealth Consent

1. Purpose & Scope

Halla LLC ("Halla Meds," "we," "us") facilitates access to licensed healthcare providers ("Providers"), including Elite Care Health, who deliver telehealth consultations through Halla Meds' platform. These services are limited to weight management, sexual health, and peptide therapy programs. Halla Meds is not a primary care provider, hospital, or emergency service.

By proceeding, you ("Patient," "Member") acknowledge you have read, understood, and agree to the terms of this Telehealth Consent.

2. Nature of Telehealth Services

Telehealth involves the delivery of healthcare services using electronic communications, including video, audio, text, and secure messaging. You understand that:

• Telehealth consultations may differ from in-person visits. The Provider may not be able to perform a physical examination.
• Technical difficulties may interrupt or prevent a consultation. In such cases, an alternative method of communication may be used.
• Not all health conditions are appropriate for telehealth. Your Provider will determine whether your condition can be adequately assessed and treated via telehealth.
• A telehealth Provider-patient relationship is not a substitute for an ongoing relationship with a primary care provider.

3. Consent to Receive Telehealth Services

By submitting your information to Halla Meds and proceeding with a consultation, you:

• Voluntarily consent to participate in telehealth consultations with Providers affiliated with or accessible through Halla Meds' platform.
• Acknowledge that you have truthfully and completely disclosed your health history, current medications, allergies, and any other relevant medical information.
• Understand that withholding or misrepresenting health information may result in inappropriate treatment recommendations and that you accept full responsibility for inaccurate disclosures.
• Accept that Providers may determine, at their sole clinical discretion, that telehealth services are not appropriate for your condition, and may decline to prescribe or may refer you to in-person care.
• Agree that no prescriptions are guaranteed and that a medical consultation does not guarantee any particular outcome or treatment plan.

4. Risks & Limitations

You acknowledge the following limitations and risks inherent to telehealth:

• Inability to perform physical examinations may limit the Provider's ability to diagnose certain conditions.
• Delays in information transmission due to technology failures could affect care.
• Security protocols are in place, but no electronic transmission is completely without risk.
• In rare cases, information transmitted may be insufficient to allow appropriate medical decision-making, and the Provider may need to refer you to in-person care.

5. State-Specific Availability

Halla Meds' affiliated Providers are licensed to practice in all 50 states, where clinically appropriate and permitted by applicable law. You represent that you are located in a state where services are currently offered at the time of your consultation.

If you have questions about availability in your state, contact us via our contact page before enrolling.

6. Emergency Disclaimer

Halla Meds is not an emergency service. Telehealth is not appropriate for medical emergencies.

If you are experiencing a medical emergency, including but not limited to chest pain, difficulty breathing, stroke symptoms, severe bleeding, or thoughts of harming yourself or others, call 911 immediately or go to the nearest emergency room.

Do not use Halla Meds' platform or messaging system to request emergency care.

7. Provider-Patient Relationship

A telehealth consultation through Halla Meds' platform creates a limited provider-patient relationship for the specific purpose of the program you enrolled in. This relationship:

• Does not constitute an ongoing primary care relationship.
• Does not create a duty by the Provider to provide future care beyond the scope of the initial consultation or active program.
• May be terminated by the Provider at any time if clinically appropriate or if you violate the Terms of Service.

8. Data Privacy & Security

All health information you provide is handled in accordance with our Privacy Policy and applicable HIPAA regulations. Halla Meds uses HIPAA-compliant technology platforms to store and transmit your protected health information (PHI). Consultations are not recorded without your explicit consent. Third-party service providers with access to PHI are bound by Business Associate Agreements (BAAs).

9. Withdrawal of Consent

You may withdraw this consent at any time by contacting us via our contact page or by canceling your program. Withdrawal of consent will not affect the lawfulness of any services already rendered.

10. Limitation of Liability

To the fullest extent permitted by applicable law, Halla LLC, its officers, directors, employees, affiliated Providers, and technology partners shall not be liable for any indirect, incidental, special, or consequential damages arising out of telehealth services, including outcomes related to delayed diagnosis, technical failure, or treatment decisions made in reliance on incomplete information provided by the Patient.

11. Acknowledgment

By agreeing to this consent, you acknowledge and understand that:

• The evaluation will be conducted remotely via written intake and, if requested by your Provider, video, phone, or digital communication.
• The Provider will rely on your self-reported medical history to make an informed decision.
• The telehealth consultation does not guarantee clearance for medication.
• The Provider may request additional information or lab tests if needed before prescribing.
• No in-person physical examination will be performed as part of this consultation.
• The Provider may use third-party telemedicine software for video or phone communication, if applicable.
• Your medical information may be stored electronically for record-keeping.
• Your telehealth consultation is confidential and protected under HIPAA. The Provider will not share your information without your consent unless legally required.
• You must take precautions to ensure privacy on your end (e.g., using a secure connection).
• You are not obligated to proceed with telehealth-based evaluation if you prefer in-person care.
• If approved, treatment will be fulfilled through Rx Ave Health and shipped directly to you.
• Prescriptions are not guaranteed and are only issued if approved by a licensed Provider based on their medical judgment.
• [Placeholder — confirm whether periodic follow-up check-ins are required before additional treatment may be approved, and at what cadence.]
• Any required lab tests or additional evaluations requested by your Provider are your responsibility.

By agreeing to this form, you confirm that you have read and understand this Telehealth Consent, have had the opportunity to ask questions, understand the risks, benefits, and limitations of telehealth-based evaluation and treatment, and voluntarily consent to receiving remote medical evaluation through Halla Meds.

12. Contact

Halla LLC
3555 Gwinnett Pl Dr NW, Duluth, GA 30096
Questions about this Telehealth Consent can be directed to us via our contact page.