OncoHealth Medical Group, P.A.
Telehealth involves the use of electronic communications to enable healthcare providers at different locations to share individual patient medical information for the purpose of improving patient care. Telehealth services also include remote monitoring, appointment scheduling, health information sharing, psychological and mental health services, and non-clinical services, such as education programs and administration. OncoHealth Medical Group, P.A. (“OncoHealth Medical Group”) providers may include oncology physicians, specialists, subspecialists, psychiatrists, social workers, psychologists, nurse practitioners, physician assistants, and other licensed professionals. The information may be used for diagnosis, therapy, follow-up and/or education, and may include any combination of the following: (1) patient medical records; (2) medical images; (3) live two-way audio and video; (4) interactive audio; (5) output data from medical devices and sound and video files; and (6) text-based messaging, live or asynchronous.
Electronic systems used will incorporate network and software security protocols to protect the confidentiality of patient identification and imaging data and will include measures to safeguard the data and to ensure its integrity against intentional or unintentional corruption.
Primary responsibility for your medical care should remain with your local primary oncologist, if you have one, as does your medical record.
Expected Benefits:
Obtaining expertise of a specialist or other oncology professional who may not have a physical office in proximity to you.
More efficient medical evaluation, management, and information sharing in a convenient manner enabled by a mobile phone device.
Improved access to medical care by enabling you to remain physically at home or wherever is most convenient while the provider interacts with you remotely.
Possible Risks:
Delays in medical evaluation and treatment could occur due to deficiencies or failures of the equipment and technologies.
In rare events, the provider may determine that the transmitted information is of inadequate quality, thus necessitating a rescheduled telehealth consult or a face-to-face meeting with your local primary care doctor.
In very rare events, security protocols could fail, causing a breach of privacy of personal medical information.
In rare events, a lack of access to complete medical records may result in adverse drug interactions or allergic reactions or other judgment errors.
By choosing Get Started and using OncoHealth Medical Group’s Telehealth services, you acknowledge that you understand and agree with the following:
If you do not agree to be bound by this consent, promptly exit the Site. You may review our privacy policies and practices, including how we collect and handle your personal health information and financial information which may be dictated by state law. Please review this consent carefully before using the Services. We may change this consent or modify any features of the Services at any time. You accept this consent by using the Services, and you accept any changes to this consent by continuing to use the Services after we post or send you any changes that may occur in state or federal law.
I hereby consent to receiving OncoHealth Medical Group’s services via telehealth technologies. I understand that OncoHealth Medical Group and its consulting providers offer telehealth services, but that these services do not replace the relationship between me and my primary oncologist. I also understand it is up to the OncoHealth Medical Group provider to determine whether or not my needs are appropriate for a telehealth encounter.
I have been given an opportunity to select a consulting health care professional from the OncoHealth Medical Group prior to the consult, including a review of the consulting provider’s credentials provided upon request.
OncoHealth Medical Group’s licensed healthcare professionals can only practice in the states(s) where they are licensed. That means that wherever you are located for the sessions, the licensed professional must be licensed in that state. You agree to inform the licensed professional if your location has changed or if you have relocated your domicile to a different jurisdiction.
I understand that federal and state law requires health care providers to protect the privacy and the security of health information. I understand that OncoHealth Medical Group will take steps to make sure that my health information is not seen by anyone who should not see it. I understand that telehealth may involve electronic communication of my personal medical information to other medical and licensed healthcare practitioners who may be located in other areas, including out of state.
I understand there is a risk of technical failures during the telehealth encounter beyond the control of OncoHealth Medical Group. I agree to hold harmless OncoHealth Medical Group for delays in evaluation or for information lost due to such technical failures.
I understand that I have the right to withhold or withdraw my consent to the use of telehealth in the course of my care at any time, without affecting my right to future care or treatment. I understand that I may suspend or terminate access to the service at any time for any reason or for no reason. I understand that if I am experiencing a medical emergency, that I will be directed to dial 9-1-1 immediately and that the OncoHealth Medical Group health service specialists are not able to connect me directly to any local emergency services.
I understand video images and audio recordings of me may be captured and stored electronically. I understand that these recordings may be later viewed and used for purposes of quality improvement, evaluation and training, which may include OncoHealth Medical Group non-physician personnel and students. I understand and consent to the use of these images and audio recordings for the telehealth consultation and quality improvement, evaluation, education and training.
I understand that I may expect the anticipated benefits from the use of telehealth in my care, but that no results can be guaranteed or assured.
I understand that my healthcare information may be shared with other individuals for scheduling and billing purposes. Persons may be present during the consultation other than the OncoHealth Medical Group provider in order to operate the telehealth technologies. I further understand that I will be informed of their presence in the consultation and thus will have the right to request the following: (1) omit specific details of my medical history/examination that are personally sensitive to me; (2) ask non-medical personnel to leave the telehealth examination; and/or (3) terminate the consultation at any time.
I understand that my healthcare information may be shared with the peer mentor I have selected through the application for case management and care coordination purposes.
I understand that I may be asked to participate in a Focus Group to provide feedback regarding the application and my user experience. I understand that participation in the Focus Group is entirely voluntary. If I choose to participate, I understand that healthcare information I volunteer to share, may be shared with others in the Focus Group.
I understand that I will not be prescribed any Drug Enforcement Agency controlled substances nor is there any guarantee that I will be given a prescription at all.
I understand that if I participate in a consultation, that I have the right to request a copy of my medical records which will be provided to me at reasonable cost of preparation, shipping and delivery.
I understand that in the event of any problem with the website or related services, I agree that my sole remedy is to cease using the website or terminate access to the service. Under no circumstances will OncoHealth Medical Group or any OncoHealth Medical Group subsidiary or affiliate be liable in any way for the use of the telehealth services, including but not limited to, any errors or omissions in content or infringement by any content on the website of any intellectual property rights or other rights of third parties, or for any losses or damages of any kind arising directly or indirectly out of the use of, inability to use, or the results of use of the website, and any website linked to the website, or the materials or information contained on any or all such websites. I agree that I will not hold OncoHealth Medical Group , its subsidiaries or affiliates liable for any punitive, exemplary, consequential, incidental, indirect or special damages (including, without limitation, any personal injury, lost profits, business interruption, loss of programs or other data on my computer or otherwise) arising from or in connection with your use of the website whether under a theory of breach of contract, negligence, strict liability, malpractice or otherwise, even if we or they have been advised of the possibility of such damages.
I understand that OncoHealth Medical Group makes no representation that materials on this website are appropriate or available for use in any other location other than the location where I represent I am currently located. I understand that if I access these services from a location outside of the United States or from a state other than the state you have represented to the healthcare provider during your telehealth visit, that I do so at my own risk and initiative and that I am ultimately responsible for compliance with any laws or regulations associated with my use.
Additional State-Specific Consents: The following consents apply to users accessing the OncoHealth Medical Group website for the purposes of participating in a telehealth consultation as required by the states listed below:
Alaska: Consent to sending a copy of all records of the encounter to the person’s primary care provider if the prescribing advanced practice registered nurse is not the person’s primary care provider. AK Statute Sec. 08.68.710
Arizona: Guardian consents to verify his/her identity prior to performing a mental health screening or mental health treatment on a minor. AZ ST § 36-2272.
California: Patients who consent to synchronous video must separately consent to synchronous audio-only services. CA Department of Health Care Services. Telehealth FAQs. Providers must document in the patient’s medical chart that the patient has given a written or verbal consent to the audio-only telehealth encounter. CA Department of Health Care Services. Medi-Cal Part 2 General Medicine Manual. Telehealth
Connecticut: Patient consents to the telehealth provider’s disclosure of records concerning the telehealth interaction to the patient’s primary care provider. HB 5596 (2021 Session), Sec. 1 & SB 2 (2022 Session), Sections 20-7b to 20-7e.
Georgia: There will be no dissemination of any member images or information to other entities without written consent from the member. GA Dept. of Community Health GA Medicaid Telehealth Guidance Handbook, p. 13, 15, 50 & 59-60 (Oct. 2023)
Hawaii: For audio-only – For services furnished for purposes of diagnosis, evaluation, or treatment of a mental health disorder to a patient in their home, interactive telecommunications may include two-way, real-time audio-only communication technology if the distant site physician or practitioner is technically capable to use an interactive telecommunications system as defined in the previous sentence, but the patient is not capable of, or does not consent to, the use of video technology. HI Med-Quest Memo, QI-2338/FFS 23-22/CCS-2311. (Accessed Nov. 2023).
Indiana: A written agreement must be employed documenting patient informed consent for the use of patient-physician e-mail. The agreement must be discussed with and signed by the patient and included in the medical record.IN Admin. Code, “Article 5” Title 844, 5-3-5. p. 11.
Iowa: A licensee who uses telemedicine shall ensure that the patient provides appropriate informed consent for the medical services provided, including consent for the use of telemedicine to diagnose and treat the patient, and that such informed consent is timely documented in the patient’s medical record. Iowa Admin Code, Sec. 645-327.9
Maine: The social worker will obtain written permission of the client prior to recording any part of the telehealth session and will disclose how the social worker will store and dispose of the recording file(s). If a recording is made a part of the clinical record, social workers shall retain and dispose of in accordance with Chapter 17 of board rules. ME Regulation, 02-416-18.
Massachusetts: Live video telehealth must be used, with the member’s consent, to conduct the comprehensive evaluation or reevaluation under 130 CMR 430.601(A)(9) for members receiving therapy.
Minnesota: The person receiving targeted case management or the person’s legal guardian has the right to choose and consent to the use of interactive video under this subdivision and has the right to refuse the use of interactive video at any time. MN Statute Sec. 256B.0625, Subdivision 20b(b).
New Hampshire: Telehealth sessions shall not be recorded without the patient’s consent. Subject to the patient’s consent, forward the medical record to the patient’s primary care or treating provider, if appropriate. NH Revised Statutes Annotated, 329:1-d-V(c) as amended by HB 500.
New Jersey: Prior to an initial contact with a patient for the purpose of providing services to the patient using telemedicine or telehealth, a licensee shall: Provide the client the opportunity to sign a consent form that authorizes the licensee to release records of the encounter to the patient’s primary care provider or other health care provider identified by the client. The patient’s medical information shall be entered into the patient’s medical record, whether the medical record is a physical record, an electronic health record, or both, and, if so requested by the patient, forwarded directly to the patient’s primary care provider, health care provider of record, or any other health care providers as may be specified by the patient. NJ Administrative Code 13:30-9.4
New York: Telehealth sessions/services shall not be recorded without the consent of the NYS Medicaid member. The provider shall obtain verbal or written consent for communication-based technology services (CBTS) annually. NY Office of Mental Health. Telehealth Services Guidance for OMH Providers. April 2023, p. 11.
Oklahoma: No dissemination of any member images or information to other entities without written consent. OK Admin. Code Sec. 317:30-3-27.1.
Pennsylvania: Services rendered via telehealth may not be recorded without the beneficiary’s consent. Licensed practitioners and provider agencies are not permitted to mandate the use of recording for telehealth service delivery and must still provide the service if an individual or legal guardian, as applicable, does not consent to a recording. PA Department of Human Services, Office of Mental Health and Substance Abuse Services Bulletin OMHSAS-22-02, p. 4, 6, July 1, 2022
Rhode Island: patient informed consent for the use of patient-physician e-mail and other text based communications. RI Department of Health. Telemedicine.
South Carolina: A patient’s written consent is required prior to the dissemination of any of their images or information to other entities. SC Health and Human Svcs. Dept. Physicians Provider Manual, p. 34 (Jul. 2023).
Tennessee: I understand that I may request an in-person assessment with a non-OncoHealth Medical Group provider before receiving a telehealth assessment. OncoHealth Medical Group does not provide in-person assessments.
Texas: An adult client must also provide written or verbal consent to the distant site provider to allow any other individual to be physically present in the distant or patient site environment during a telehealth or telemedicine service. Provider must obtain informed consent from the client, client’s parent, or the client’s legally authorized representative prior to rendering a behavioral health service through a synchronous audio-only technology platform. TX Medicaid Telecommunication Services Handbook, pg. 6
Vermont: Neither a health care provider nor a patient shall create or cause to be created a recording of a provider’s telemedicine consultation with a patient. 18 Vermont Statute Annotated Ch. 219, Sec. 9362
Washington: For audio-only telemedicine, providers must obtain consent before rendering the service per RCWs 74.09.325 and 71.24.335.