Telehealth Medical Consent

Last Updated: September 8, 2026
By using telehealth services through Scale Down Weight Loss, you acknowledge and agree to
the following:

Nature of Telehealth
Telehealth involves delivering healthcare services using electronic communication technologies.
This may include video consultations, messaging, or digital questionnaires.

Risks of Telehealth
Potential risks include:
● Technical failures
● Incomplete information due to electronic communication
● Delays in evaluation or treatment

Benefits of Telehealth
Benefits may include:
● Improved access to healthcare providers
● Convenience and flexibility
● Reduced travel time

Patient Responsibilities
You agree to:
● Provide accurate medical information
● Inform providers of any changes in your condition

● Seek emergency care when appropriate

Consent to Treatment
By using the Platform, you consent to receiving telehealth services from licensed healthcare
providers.
You may withdraw consent at any time by discontinuing use of the Platform.

Contact Information
Scale Down Weight Loss

401 East Gold Coast Road Ste 201
Papillion, NE 68046

info@scaledownweightloss.com
402-295-0711