Telehealth Consent & Open Payments Notice

Effective Date: April 21, 2025

BY CLICKING “I AGREE,” CHECKING A RELATED BOX TO SIGNIFY YOUR ACCEPTANCE, USING ANY OTHER ACCEPTANCE PROTOCOL PRESENTED THROUGH THE SERVICE, OR OTHERWISE AFFIRMATIVELY ACCEPTING THIS CONSENT, YOU ACKNOWLEDGE THAT YOU HAVE READ, UNDERSTOOD, AND AGREED TO BE BOUND BY THIS CONSENT. IF YOU DO NOT AGREE, DO NOT USE NAVIOMD SERVICES.

IF YOU ARE EXPERIENCING A LIFE-THREATENING EMERGENCY OR MENTAL HEALTH CRISIS, CALL 911 OR THE NATIONAL SUICIDE & CRISIS LIFELINE AT 988.

PURPOSE

This Telehealth Consent (“Consent”) explains how healthcare services may be delivered to you via telehealth technologies and outlines your rights, risks, and responsibilities. NavioMD facilitates access to remote clinical care through its technology platform and a network of contracted partners and providers, including Qualiphy, The Pharmacy Hub, Steer Health, and licensed third-party laboratories.

TELEHEALTH SERVICES

Telehealth involves using electronic communication technologies to provide healthcare services when the provider and patient are not physically present in the same location. These services may include:

Video or phone consultations
Secure messaging and chat interfaces
Digital intake and health assessments
Prescription management and refill coordination
Lab orders and result review
Asynchronous clinical evaluation (where permitted by law)

Through the NavioMD platform, you may interact with:

Licensed medical professionals via our telehealth partner Qualiphy
Digital care tools and scheduling/reminder systems via Steer Health
Pharmacy services and prescription fulfillment via The Pharmacy Hub
Lab testing and diagnostics via certified third-party labs

Providers may assess your condition and, based on their judgment, determine the appropriateness of care and treatment via telehealth.

JURISDICTIONAL SAFEGUARDS & LICENSURE COMPLIANCE

NavioMD is committed to operating in full compliance with all federal and state laws regarding the practice of medicine, pharmacy fulfillment, and telehealth services.

Pharmacy Fulfillment: The Pharmacy Hub is licensed to dispense and ship prescriptions to all 50 U.S. states.
Telehealth Services: Our clinical partner, Qualiphy, provides services through licensed professionals and currently does not support telehealth care in Alabama or Mississippi.

To ensure licensure compliance:

Patients are required to provide a valid state of residence and shipping address at the time of intake.
Our platform dynamically restricts access to care, payment processing, and prescriptions in states where provider services are not currently available.
Patients in unsupported states are blocked from proceeding and notified during onboarding.
Our team conducts regular audits and oversight to maintain ongoing regulatory compliance.

If you are located in an unsupported jurisdiction, you will not be able to access clinical services via NavioMD until service becomes available in your area.

BENEFITS OF TELEHEALTH

Faster access to licensed healthcare providers
Flexibility and discretion in receiving care
Remote prescription management and lab coordination
Reduced need for travel and wait times
Continuity of care through integrated digital tools

RISKS AND LIMITATIONS

As with any medical care, telehealth has potential risks, including but not limited to:

Limited ability to perform physical examinations
Misdiagnosis or missed diagnosis due to remote limitations
Delays due to provider unavailability or technical failures
Emotional discomfort during mental health sessions
Data breaches despite security measures
Incorrect or incomplete information impacting care
Limitations in prescribing due to state laws or clinical discretion
Inaccuracies or limitations in lab results

APPROPRIATENESS & EMERGENCY SITUATIONS

NavioMD and its partners are not emergency service providers. In an emergency, you must seek in-person care or call 911.

If you're experiencing a medical or psychiatric crisis, call 911 or 988 (Suicide & Crisis Lifeline).
If you're disconnected from care or experiencing a technical issue during your session, contact our support team:

Phone: 561‑858‑7970
Email: support@naviomd.com

PROVIDER ROLES & PARTNER RELATIONSHIPS

Care and administrative support are facilitated through the following NavioMD partnerships:

Qualiphy – Delivers clinical services via licensed physicians, nurse practitioners, and physician assistants.
The Pharmacy Hub – Our pharmacy fulfillment partner, licensed in all 50 states, ships medications to your door discreetly.
Steer Health – Provides engagement technology including intake, scheduling, reminders, and follow-up communications.
Third-Party Laboratories – Conduct at-home or offsite diagnostic testing. Results are routed to your provider for review and clinical decision-making.

Providers act independently in clinical matters and determine whether telehealth is appropriate based on your medical condition, location, and treatment needs.

PATIENT RESPONSIBILITIES

As a patient, you agree to:

Provide accurate health, demographic, and location information
Use a secure and private device during consultations
Follow your provider’s instructions, including lab testing or follow-up visits
Report adverse reactions, errors, or concerns promptly
Not use NavioMD services for emergency care or urgent psychiatric issues

LABORATORY TESTING & LIMITATIONS

If your provider orders a diagnostic lab test:

Testing may be conducted via third-party laboratories not affiliated with NavioMD
Lab results may be subject to variability or error (false positives/negatives)
Providers rely on available information and lab data but are not responsible for test quality
Lab results will be considered in the context of your full health profile

OPEN PAYMENTS NOTICE

Under the federal Physician Payments Sunshine Act, manufacturers of medical products must report payments made to healthcare providers. You may review these records at: https://openpaymentsdata.cms.gov

PRIVACY & DATA SECURITY

NavioMD and its partners comply with HIPAA and all relevant data privacy regulations. Your data is protected using industry-standard encryption, secure cloud infrastructure, and access controls.

We will not disclose your protected health information (PHI) except:

As required by law
For purposes of treatment, payment, or healthcare operations
To fulfill your request for care via NavioMD or its partners
When necessary to prevent harm or report abuse (per mandatory reporting requirements)

You are encouraged to read our full Privacy Policy.

CONSENT, WITHDRAWAL & CHOICE

By accepting this Consent, you confirm:

You voluntarily choose to receive telehealth services
You understand the nature, risks, and limitations of care
You are located in a jurisdiction where NavioMD is authorized to operate
You may use any pharmacy of your choice and may request prescription transfers
You agree to pay for all services and will not submit claims to Medicare, Medicaid, or other government insurers
You may withdraw your consent at any time by emailing support@naviomd.com (note: this does not impact services already rendered)

CONTACT INFORMATION

NavioMD Privacy & Compliance Team
300 S Pine Island Rd, Suite 260
Plantation, FL 33324
Phone: (877) 276-2846
Email: support@naviomd.com