Telehealth informed consent

Effective September 6, 2026 · DrTelx

You will be asked to read and accept this consent on the secure intake before a physician reviews your assessment. It is published here so you can read it in advance and return to it at any time.

What telehealth means here

Telehealth is the delivery of health care using electronic communications when you and your physician are not in the same place. Menova uses asynchronous (store‑and‑forward) telehealth: you complete a written health assessment, a physician licensed in your state reviews it at a later time, and you communicate through secure messaging. There is no scheduled video or phone visit unless your physician determines one is needed or your state requires it.

How your care works

You complete an assessment about your age, cycle, symptoms, medical and family history, medications, and goals, and confirm your identity.
A physician licensed in your state reviews your answers. They may message you with follow‑up questions or request labs, records, or a synchronous (live) visit.
If hormone therapy is appropriate, the physician issues a prescription that is sent to the dispensing pharmacy. If it is not appropriate, the physician will tell you and may suggest alternatives or in‑person care. You are not charged if you are not prescribed.
Your physician remains available by secure message, checks in with you after about four weeks, and may adjust or discontinue treatment based on your response.

Expected benefits

Access to a menopause‑trained physician without travel or waiting rooms.
Faster evaluation and, when appropriate, faster start of treatment.
Ongoing communication with your physician on your schedule.

Possible risks and limitations

Without a physical exam, your physician relies on the accuracy and completeness of what you report. Incomplete or inaccurate information can lead to an inappropriate treatment decision. You agree to answer truthfully and to update your physician about changes in your health or medications.
Delays in evaluation can occur because of technology failures or message volume. Telehealth is not for emergencies.
In rare cases, security protocols could fail and cause a breach of privacy.
Your physician may determine that telehealth is not appropriate for you and refer you to in‑person care.
Hormone therapy has risks and side effects. Read the Important Safety Information and discuss any concerns with your physician before starting.

No guarantee of results

Your physician will use professional judgment, but no particular outcome can be guaranteed. Individual results vary.

Your rights

You may withhold or withdraw this consent at any time without affecting your right to future care. Withdrawing consent ends telehealth services through Menova.
You have the right to know the identity, credentials, and licensure of the physician treating you. See our Medical team page.
You have the right to request your records and to receive a copy of the Notice of Privacy Practices.
You may seek care elsewhere at any time, and we will send your records to another provider at your request.

Privacy and records

Your assessment, messages, and prescriptions become part of your medical record, which is maintained by DrTelx in accordance with HIPAA and state law. Information will not be shared without your authorization except as permitted by law and described in the Notice of Privacy Practices.

Emergencies

If you experience a medical emergency, such as chest pain, sudden shortness of breath, severe headache, vision or speech changes, or leg swelling and pain, call 911 or go to the nearest emergency department. Do not use messaging for urgent needs.

Licensing and complaints

Your physician is licensed by the medical board of the state in which you are located at the time of care. You may contact that board with questions or complaints; a list of state boards is at fsmb.org. [STATE‑SPECIFIC CONSENT LANGUAGE, e.g. for Texas, Kentucky, Georgia, or other states requiring particular disclosures, TO BE ADDED BY PARTNER.]

Your acknowledgement

By checking the consent box on the intake you confirm that you have read and understood this document, that your questions have been answered, that you are located in the state you selected, that you are 18 or older, and that you consent to receive care through telehealth as described.