Telehealth Informed Consent & Disclosure

Effective Date: January 21, 2026

IMPORTANT NOTICE – NOT FOR EMERGENCIES
THE TRTBOSS PLATFORM IS NOT DESIGNED FOR EMERGENCY OR URGENT MEDICAL CARE. IF YOU BELIEVE YOU ARE EXPERIENCING A MEDICAL EMERGENCY, CALL 911 OR GO TO THE NEAREST EMERGENCY DEPARTMENT IMMEDIATELY.

1. Purpose of This Informed Consent

This Telehealth Informed Consent & Disclosure (“Consent”) explains:

How telehealth services are provided through the TRTBOSS platform

The benefits, risks, and limitations of telehealth

Your rights and responsibilities as a patient

The roles of the platform, clinicians, and other third parties

This Consent is provided to satisfy state telehealth informed consent requirements and must be affirmatively accepted before you receive telehealth services.

This Consent supplements, but does not replace:

Treatment-specific informed consents

Clinical discussions with your provider

Any additional disclosures required by law

2. Who Provides Your Care

Medical services accessed through the TRTBOSS platform are provided by independent, licensed healthcare professionals (“Clinicians”) who practice within the scope of their licensure and exercise independent medical judgment.

VALKORA LLC, doing business as TRTBOSS (“TRTBOSS”), is a non-clinical technology company and management services organization that:

Provides technology, administrative, and support services

Does not practice medicine

Does not diagnose, treat, or prescribe

Does not control or influence clinical decision-making

All medical decisions are made solely by your treating Clinician.

3. What Is Telehealth

Telehealth is the delivery of healthcare services using electronic communications when the patient and provider are not in the same physical location.

Telehealth services may include:

Video conferencing

Audio-only (telephone) encounters

Secure messaging

Asynchronous questionnaires or forms

Transmission of images or health information

You acknowledge that during telehealth visits, your provider is not physically present with you.

4. Telehealth Consent and Affirmative Agreement

By proceeding, you affirmatively consent to receive healthcare services via telehealth and acknowledge that:

Telehealth involves the use of electronic communications and information technology

Telehealth may have different risks and benefits than in-person care

Telehealth may not be appropriate for all conditions or situations

You understand that you may withdraw consent for telehealth services at any time by discontinuing use of the Platform or notifying your care team, subject to applicable law.

5. Benefits, Alternatives, and Limitations

Potential Benefits

Telehealth may offer:

Increased convenience

Improved access to care

Reduced travel and wait times

Alternatives

You understand that alternatives to telehealth include:

In-person medical care

Seeking care from another provider

Choosing not to receive treatment

Limitations

You acknowledge that:

A physical examination may not be possible

Diagnostic accuracy may be limited by the information available

Delays, interruptions, or technical failures may occur

Telehealth may result in delayed diagnosis or treatment in some cases

No specific medical outcome or improvement is guaranteed.

6. Risks of Telehealth

Potential risks of telehealth include, but are not limited to:

Technical failures, delays, or disconnections

Poor audio or video quality

Incomplete or inaccurate information affecting clinical decisions

Unauthorized access despite reasonable safeguards

Limitations inherent in remote evaluation

If technical issues compromise the quality or safety of care, your Clinician may:

Discontinue the encounter

Reschedule the visit

Recommend in-person evaluation or alternative care

7. Privacy and Security

Telehealth services involve electronic transmission of health information.

To protect confidentiality:

You are encouraged to participate from a private location

Providers conduct visits from private settings

You are responsible for securing your devices, networks, and surroundings

Health information may be used and disclosed for treatment, payment, and healthcare operations as permitted by law and described in the applicable Notice of Privacy Practices.

8. Access to Medical Records

Telehealth providers may rely on:

Information you provide

Records you authorize access to

Providers may not have access to your complete medical history, which may affect evaluation or diagnosis. You consent to this limitation.

9. When Telehealth Is Not Appropriate

A Clinician may determine that telehealth is not clinically appropriate based on your condition, symptoms, or available information.

In such cases:

Your request may not be submitted for clinical review

You may be advised to seek in-person, urgent, or emergency care

10. Prescriptions, Pharmacies, and Laboratories

Participation in telehealth services does not guarantee that:

A prescription will be issued

A particular medication will be prescribed

Prescribing decisions are made solely by Clinicians in accordance with:

Professional judgment

Applicable state and federal law

Certain medications, including controlled substances, may be subject to additional legal requirements or may not be available via telehealth.

You may request to use a pharmacy or laboratory of your choice, subject to legal and practical constraints.

11. Asynchronous Communication and Response Times

Some communications through the Platform may be asynchronous and are not monitored continuously.

You acknowledge that:

Response times are not guaranteed

The Platform must not be used for urgent or emergency conditions

12. Emergency Care

Telehealth services accessed through the Platform do not address medical emergencies.

If you believe you are experiencing an emergency:

Call 911, or

Go to the nearest emergency department immediately

13. Patient Responsibilities

You agree to:

Provide accurate, truthful, and complete information

Update your care team regarding changes in your health

Follow Clinician instructions

Seek in-person care when advised

Incomplete or inaccurate information may affect clinical decisions.

14. Minors

The Platform is intended for adults only.
Telehealth services are not provided to minors.

15. Recording of Telehealth Visits

Telehealth visits are not recorded unless:

You are notified in advance, and

Your consent is obtained, or

Recording is otherwise permitted by law

Patients may not record visits without provider permission where required by law.

16. Specialty Services and Additional Consents

Certain services—such as testosterone replacement therapy (TRT) or other specialty treatments—require additional, treatment-specific informed consent.

Telehealth consent alone is insufficient to receive such services.

17. Voluntary Consent and Acknowledgment

By proceeding, you acknowledge that:

You have read and understand this Consent

You had the opportunity to ask questions

You understand the risks, benefits, and limitations of telehealth

You voluntarily consent to receive telehealth services as determined appropriate by your Clinician

18. Changes to This Consent

This Consent may be updated from time to time.
The version in effect at the time of your encounter governs.

19. Contact Information

For questions regarding telehealth services or privacy practices:

TRTBOSS Team
contact@trtboss.com