FLORIDA CLINIC CONSENT

WHOLE PLANT WELLNESS

CLINIC CONSENT & POLICIES

TELEHEALTH CONSENT

Whole Plant Wellness provides medical services through telehealth, including virtual phone consultations.

Telehealth allows you to receive care remotely. Telehealth may have limitations compared to in-person visits.

Telehealth is not for emergencies. In the event of an emergency, call 911.

I consent to receive medical services through telehealth, including virtual phone appointments.

HIPAA PRIVACY NOTICE

Whole Plant Wellness is required by law to protect the privacy of your health information and to provide you with notice of our legal duties and privacy practices.

Your health information may be used and disclosed for treatment, payment, and healthcare operations as permitted by law.

I acknowledge and consent to the use and disclosure of my health information in accordance with HIPAA regulations.

BILLING & NO-SHOW POLICY

Payment is required at the time of booking.

Whole Plant Wellness does not store your credit card information.

You may cancel or reschedule your appointment up to 48 hours before your scheduled appointment time to receive a refund.

Cancellations, reschedules within 48 hours, or failure to attend your appointment are not eligible for refund or credit.

I acknowledge and agree to the Billing & No-Show Policy.

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