TELEHEALTH CONSENT

IMPORTANT EMERGENCY NOTICE

BestDaysRx and the telehealth services available through the platform are not intended for medical emergencies or urgent medical situations.

If you are experiencing a medical emergency, severe or rapidly worsening symptoms, or believe you may be experiencing a life-threatening condition, call 911 or seek immediate care at the nearest emergency department.

Do not rely on electronic messages, intake forms, email, text messaging, or other communications through the BestDaysRx platform for emergency medical care. Communications submitted through the platform may not be reviewed immediately.

PURPOSE OF THIS CONSENT

The purpose of this Consent is to provide information about telehealth and obtain your informed consent to receive healthcare services through telehealth from appropriately licensed healthcare professionals (“Providers”) using technology and administrative services facilitated through BestDaysRx.

This Consent applies to telehealth services you receive through the BestDaysRx platform and should be read together with the BestDaysRx Terms of Service, Notice of Privacy Practices, Privacy Policy, and other applicable notices or treatment-specific disclosures presented to you.

ABOUT BESTDAYSRX AND YOUR MEDICAL PROVIDER

BestDaysRx provides technology, administrative, marketing, customer support, and other non-clinical services that facilitate access to telehealth care.

BestDaysRx does not itself practice medicine and does not make medical or prescribing decisions.

Medical services are provided by independently licensed healthcare professionals. Providers exercise independent professional judgment in evaluating patients and determining whether a particular treatment, medication, dosage, diagnostic test, follow-up evaluation, or other medical service is clinically appropriate.

BestDaysRx does not direct or control a Provider’s independent clinical judgment.

Submitting a medical intake, requesting a treatment, selecting a treatment option, placing an order, or making payment does not guarantee that you will receive a prescription or any particular treatment.

Your Provider has sole responsibility for determining whether treatment is medically appropriate for you.

WHAT IS TELEHEALTH?

Telehealth involves the delivery of healthcare services through electronic communications, information technology, or other technologies when a patient and healthcare Provider are not physically located in the same place.

Depending on your medical needs, applicable law, and your Provider’s clinical judgment, telehealth services may include:

• electronic medical questionnaires or health assessments;
• medical history and symptom information;
• photographs or other images;
• medical records;
• laboratory or diagnostic test results;
• secure electronic messaging;
• telephone or audio communications;
• video consultations when appropriate or required;
• electronic transmission of prescriptions and other healthcare information; and
• follow-up communications regarding treatment.

Not every telehealth encounter requires every method listed above.

Your Provider determines what information and type of interaction are necessary to appropriately evaluate and treat you.

YOUR PHYSICAL LOCATION AND PROVIDER LICENSURE

Healthcare Providers must comply with applicable professional licensing and telehealth requirements.

You agree to accurately identify the state or jurisdiction in which you are physically located at the time healthcare services are provided.

Treatment availability may depend on your physical location, Provider licensure, applicable state and federal law, pharmacy availability, and other regulatory requirements.

You may not receive telehealth treatment through the platform if an appropriately licensed Provider is not available to provide care in the jurisdiction where you are located.

You agree not to misrepresent your location for the purpose of obtaining healthcare services.

HOW YOUR TELEHEALTH EVALUATION MAY BE CONDUCTED

Your Provider may rely on information you submit through the platform in evaluating whether telehealth treatment is appropriate.

This may include your:

• identity and age;
• current physical location;
• medical history;
• symptoms and health concerns;
• current and previous medications;
• medication allergies;
• diagnoses and previous treatments;
• photographs or other images;
• laboratory or diagnostic results when clinically appropriate;
• relevant medical records; and
• responses to medical questionnaires.

Your Provider may request additional information before making a treatment decision.

Depending on the circumstances, your Provider may determine that an audio or video consultation, laboratory testing, medical records, diagnostic testing, an in-person examination, or evaluation by another healthcare professional is necessary.

If the Provider determines that sufficient information is not available to safely evaluate or treat you through telehealth, treatment may be delayed or declined.

PATIENT RESPONSIBILITIES

Telehealth depends substantially on the accuracy and completeness of the information you provide.

You agree to provide truthful, accurate, current, and complete information concerning your identity, physical location, medical history, medications, allergies, symptoms, diagnoses, previous treatments, and any other information reasonably requested by your Provider.

You agree not to intentionally omit information that could reasonably affect your Provider’s treatment decision.

You also agree to promptly inform your Provider of material changes in your health, medications, symptoms, pregnancy status when applicable, allergic reactions, adverse effects, or other information that could affect your treatment.

Failure to provide complete and accurate information may result in inappropriate treatment, medication interactions, adverse reactions, delayed treatment, or other health risks.

You are responsible for following your Provider’s treatment instructions and for contacting your Provider or another qualified healthcare professional if you have questions or concerns about your treatment.

POTENTIAL BENEFITS OF TELEHEALTH

Potential benefits of telehealth may include:

• more convenient access to healthcare;
• reduced need for travel to a medical office;
• improved access to Providers;
• timely communication with healthcare professionals;
• convenient follow-up care; and
• the ability to receive certain healthcare services remotely.

These benefits are not guaranteed, and telehealth may not be appropriate for every patient, medical condition, or treatment.

RISKS AND LIMITATIONS OF TELEHEALTH

Telehealth has limitations and potential risks.

These may include, without limitation:

• limitations resulting from the Provider’s inability to perform a traditional in-person physical examination;
• incomplete or inaccurate information provided by the patient;
• technical failures or interruptions;
• delays in evaluation or treatment;
• limitations in access to complete medical records;
• security or privacy risks associated with electronic communications;
• misunderstanding information transmitted electronically;
• limitations in diagnostic testing; and
• circumstances in which a medical condition cannot be appropriately evaluated or treated through telehealth.

Your Provider may determine at any time that telehealth is not appropriate for your condition and may recommend that you seek in-person care, emergency treatment, specialist evaluation, laboratory testing, or other healthcare services.

INDEPENDENT CLINICAL JUDGMENT AND TREATMENT ELIGIBILITY

All diagnosis, treatment, and prescribing decisions are made by your Provider using independent clinical judgment.

A treatment displayed or described on the BestDaysRx website is not a representation that the treatment is appropriate or available for you.

Your Provider may:

• approve or decline treatment;
• recommend a different treatment;
• determine that medication is not appropriate;
• select a medication or formulation;
• determine or modify dosage;
• request additional medical information;
• request medical records;
• require laboratory or diagnostic testing;
• require an audio or video consultation when appropriate;
• recommend an in-person examination;
• refer you to another healthcare professional; or
• discontinue treatment when medically appropriate.

Your Provider’s determination may differ from a treatment, medication, or dosage you requested or previously used.

No prescription is guaranteed.

PRESCRIPTION MEDICATIONS

If your Provider determines that prescription treatment is medically appropriate, the Provider may issue a prescription in accordance with applicable law and professional standards.

You understand that prescription medications may have risks, side effects, contraindications, warnings, and potential interactions with other medications or medical conditions.

You agree to review medication instructions and information provided by your Provider and/or dispensing pharmacy and to use medication only as directed.

You should contact your Provider, pharmacist, or another qualified healthcare professional if you have questions regarding your medication.

Seek immediate medical attention for symptoms that may indicate a serious or life-threatening reaction.

LABORATORY TESTING AND ADDITIONAL EVALUATION

Laboratory testing is not required for every treatment or every patient receiving care through the BestDaysRx platform.

Your Provider will determine whether laboratory testing or other diagnostic evaluation is clinically appropriate based on your medical history, symptoms, requested treatment, current treatment, applicable clinical standards, and other relevant circumstances.

When appropriate, your Provider may request existing laboratory results or order new testing before initiating, modifying, or continuing treatment.

Some conditions and treatments can be evaluated primarily through medical history, symptoms, and other clinical information, while others may require laboratory testing or additional evaluation.

The decision regarding whether testing is medically necessary is made by your Provider using independent clinical judgment.

COMPOUNDED MEDICATION DISCLOSURE

Certain patients, when medically appropriate and legally permissible, may be prescribed a compounded medication.

Compounded medications are not FDA-approved. The U.S. Food and Drug Administration does not review compounded medications for safety, effectiveness, or quality before they are marketed in the same manner as FDA-approved medications.

Compounded medications may be prescribed when a licensed Provider determines that a compounded medication is clinically appropriate for an individual patient and when permitted under applicable law.

A compounded medication should not be understood to be an FDA-approved generic equivalent of an FDA-approved drug merely because it may contain the same or a similar active ingredient.

If you are prescribed a compounded medication, you may receive additional information or disclosures from your Provider or dispensing pharmacy.

You are encouraged to discuss with your Provider any questions regarding why a compounded medication is being recommended, available treatment alternatives, potential benefits, potential risks, and whether an FDA-approved treatment may be appropriate for you.

PHARMACY FULFILLMENT

When your Provider issues a prescription, the prescription may be transmitted to an appropriately licensed pharmacy for dispensing and fulfillment.

Pharmacy partners are separate entities responsible for pharmacy services, including preparing or dispensing medication, pharmacy counseling when applicable, packaging, and shipping in accordance with applicable law.

BestDaysRx does not itself compound or dispense prescription medications.

The pharmacy that fulfills a prescription may vary depending on your location, medication, prescription, pharmacy licensure, medication availability, and other applicable requirements.

Questions concerning the preparation, contents, labeling, storage, or dispensing of medication should be directed to the dispensing pharmacy.

TREATMENT AND STATE AVAILABILITY

Treatments displayed on the BestDaysRx website may not be available in every state or jurisdiction.

Treatment availability may vary based on:

• applicable federal or state law;
• Provider licensure;
• pharmacy licensure;
• prescribing or dispensing requirements;
• medication availability;
• individual medical eligibility; and
• other legal, regulatory, pharmacy, or clinical requirements.

BestDaysRx may restrict access to a treatment in a particular jurisdiction when necessary to comply with applicable requirements.

Your ability to view general information about a treatment on the website does not mean that the treatment is available to you in your location.

Current geographic availability information may be provided through the BestDaysRx Service Availability page or during the patient evaluation and ordering process.

ALTERNATIVES TO TELEHEALTH

Telehealth is not your only option for receiving healthcare.

Alternative methods of care may include evaluation or treatment by an in-person physician, primary care provider, specialist, urgent care center, hospital, pharmacy, laboratory, or other healthcare facility.

You may choose to seek in-person healthcare at any time.

Your Provider may also determine that telehealth is not an appropriate method for evaluating or treating your condition and may recommend or require in-person care or another form of evaluation.

PRIVACY AND ELECTRONIC COMMUNICATIONS

Telehealth involves the electronic transmission of health information.

Information may be exchanged through electronic questionnaires, secure messaging, email, telephone, video, medical records, laboratory information, pharmacy communications, and other electronic systems used to facilitate healthcare services.

BestDaysRx and healthcare Providers use administrative, technical, and physical safeguards intended to protect patient information as required by applicable law.

However, no electronic communication system can be guaranteed to be completely secure or free from technical failure.

Additional information regarding the collection, use, and disclosure of health information is provided in the applicable BestDaysRx Privacy Policy and Notice of Privacy Practices.

By using telehealth services, you acknowledge the inherent privacy and security risks associated with electronic communications.

COMMUNICATIONS RELATED TO YOUR CARE

You understand that BestDaysRx, your Provider, a medical group supporting your care, and/or a dispensing pharmacy may communicate with you regarding your healthcare, prescription, treatment status, pharmacy fulfillment, laboratory testing when applicable, account, or other matters related to your care.

Depending on the communication preferences and permissions you provide, these communications may occur through secure messaging, email, telephone, or text message.

Electronic communications should not be used for medical emergencies.

MEDICATION SHIPPING AND STORAGE

If medication is shipped to you, you are responsible for promptly receiving the shipment and following any storage, handling, or administration instructions provided with the medication.

Certain medications may have specific temperature, refrigeration, light exposure, storage, or handling requirements.

Contact the dispensing pharmacy if you have concerns regarding the condition of a medication when received, including possible shipping damage, temperature exposure, packaging problems, or other dispensing-related concerns.

Do not use medication that you believe may have been damaged, contaminated, improperly stored, or incorrectly dispensed until you have received appropriate guidance from the pharmacy or your Provider.

CONTINUITY OF CARE AND FOLLOW-UP

Telehealth treatment through BestDaysRx is not necessarily a substitute for maintaining an ongoing relationship with a primary care physician or other healthcare professionals involved in your care.

You are encouraged to maintain appropriate routine medical care and to inform your healthcare professionals about medications and treatments you receive through telehealth when relevant to your care.

Your Provider may recommend follow-up evaluation, laboratory testing, medication monitoring, or care from another healthcare professional.

You agree to seek appropriate follow-up care when recommended.

NO GUARANTEE OF TREATMENT OUTCOME

Healthcare outcomes vary among individuals.

Neither BestDaysRx nor your Provider guarantees that a particular treatment will produce a specific result.

Your response to treatment may depend on numerous factors, including your medical condition, medical history, adherence to treatment instructions, medications, lifestyle, individual physiology, and other factors.

You should discuss expected benefits, risks, alternatives, and reasonable treatment expectations with your Provider.

RECORDING OF TELEHEALTH ENCOUNTERS

Unless specifically disclosed and permitted by applicable law, telehealth audio or video encounters should not be recorded by either the patient or Provider without the knowledge and consent of all required parties.

Medical documentation created by your Provider as part of your healthcare may become part of your medical record.

WITHDRAWAL OF TELEHEALTH CONSENT

You may withdraw your consent to receive telehealth services at any time by providing notice as directed by BestDaysRx or your Provider.

Withdrawal of consent will apply prospectively and will not affect healthcare services, prescriptions, disclosures, or other actions that occurred before your withdrawal was received.

Withdrawing consent to telehealth may prevent you from continuing to receive healthcare services through the BestDaysRx platform because Providers utilizing the platform may not provide in-person services through BestDaysRx.

You remain free to obtain healthcare from another provider.

ELECTRONIC SIGNATURE AND CONSENT

By checking the applicable consent box, clicking “I Agree,” electronically signing, or otherwise affirmatively accepting this Consent, you acknowledge and agree that:

• you have read and understand this Telehealth Informed Consent;
• you have had the opportunity to review the information presented to you;
• you understand the nature, benefits, risks, and limitations of telehealth;
• you understand that alternatives to telehealth, including in-person care, may be available;
• you understand that your Provider exercises independent medical judgment;
• you understand that requesting a treatment does not guarantee that a prescription will be issued;
• you agree to provide complete and accurate medical and location information;
• you understand that additional evaluation or testing may be required when clinically appropriate;
• you understand that treatment availability varies based on your location, medical eligibility, Provider availability, pharmacy availability, and applicable requirements;
• you understand the disclosures regarding compounded medications if such medication is prescribed to you; and
• you voluntarily consent to receive healthcare services through telehealth.

Your electronic acceptance has the same force and effect as your written signature to the extent permitted by applicable law.

PATIENT ACKNOWLEDGMENT

I acknowledge that I have read and understand this Telehealth Informed Consent. I understand the potential benefits, risks, and limitations of receiving healthcare through telehealth. I understand that treatment and prescriptions are not guaranteed and that all medical decisions are made by my treating Provider using independent clinical judgment. I voluntarily consent to receive healthcare services through telehealth.

I Agree