Telehealth Consent

Consent to telehealth

Halo connects you with independent licensed healthcare providers (the “Halo Provider Network,” including OpenLoop Healthcare Partners PC and its affiliated state-specific professional corporations) who deliver care through videoconferencing, telephonic, and asynchronous (messaging-based) technology. By accessing or using the Halo platform to receive care, you consent to receive that care via these telehealth modalities.

The technology platform is provided by Halo Wellness, LLC. Clinical decisions remain with the provider in the Halo Provider Network.

Treatment-specific consent

By proceeding, you confirm that you understand and consent to the following:

1. Care will be delivered via telehealth (video, phone, or async messaging) rather than in-person evaluation. You consent to receive care this way for as long as you remain a Halo member, unless your provider determines an in-person visit is needed.
2. You authorize Halo and the Halo Provider Network to access, import, and use medical records, prescription histories, and related health information to deliver and coordinate your care, consistent with our Notice of Privacy Practices.
3. You will participate in telehealth visits from a private location free from observation by anyone you have not authorized to be present.
4. Telehealth has technical risks — interruption, dropped connections, data loss, delayed transmission, or unauthorized access despite reasonable safeguards. You accept these risks and agree to hold Halo and your provider harmless from technical failures outside their control.
5. Halo and your provider may use AI-assisted technology for transcription, clinical decision support, quality assurance, and analysis of voice, image, or other information generated during your visit. You may ask your provider whether AI is in use and may request that AI not be used in particular aspects of your care where reasonably feasible.
6. Visits may be recorded (audio or video) for documentation, quality, and training purposes. You will be notified at the start of any recorded visit. You may decline to have the recording retained, in which case the visit will continue without one.
7. Halo or its contracted vendors may use ambient-listening technology to assist with note generation. You may ask for ambient listening to be disabled at any visit.
8. Care may be provided by a physician, nurse practitioner, or physician associate licensed in your state. Provider credentials are listed on your visit summary.
9. Telehealth has limitations compared to in-person care. Some conditions cannot be diagnosed or treated remotely. If your provider determines telehealth is not appropriate for your situation, they may refer you to in-person care or decline to issue a prescription.
10. Halo may use beta or developmental versions of its platform. New features may have bugs or unexpected behavior. You agree to report issues so we can improve the product.
11. The information you provide to Halo and to your provider is true, correct, and complete to the best of your knowledge. You will keep it accurate and up to date.
12. Your provider has sole discretion over whether telehealth is appropriate for any condition. They may decline to evaluate or prescribe based on safety, scope, or appropriateness, with or without disclosing the reason.
13. Receiving a consultation does not guarantee that a prescription will be issued. Whether a treatment is appropriate is the provider’s clinical judgment.
14. You may use the pharmacy or laboratory of your choice if available; Halo’s default pharmacy and laboratory partners are described elsewhere in the Halo experience.
15. You are responsible for paying applicable fees for the Halo membership, medications, lab panels, and any out-of-pocket charges. See our Cancellation and Refund Policy for refund-eligibility rules.
16. Telehealth is not for emergencies. If you are experiencing a medical emergency, call 911 or go to the nearest emergency room.
17. For minor patients (age 13+) where Halo offers care, parental or legal-guardian consent is required for treatment orders and diagnoses; the parent or guardian acknowledges this consent covers ongoing care.
18. You acknowledge there are no third-party beneficiaries of this consent — only you and your provider are parties to the clinical relationship.
19. You consent to disclosure of Protected Health Information to providers, pharmacies, laboratories, and Halo personnel as described in our Notice of Privacy Practices.
20. You may revoke this consent at any time by emailing privacy@tryhalo.co. Revocation does not apply retroactively to disclosures already made or services already rendered.
21. By clicking “I Agree” — or by continuing to use the Halo platform after this consent has been presented to you — you confirm you have read, understood, and accepted these terms.

Compounded medications — additional consent

If your protocol includes compounded medication, you understand:

• Compounded drugs are not FDA-approvedand have not been reviewed for safety or effectiveness in the way branded drugs have. They are produced under section 503A of the Federal Food, Drug, and Cosmetic Act by U.S.-licensed compounding pharmacies pursuant to your provider’s prescription.
• Compounded drugs are not generic equivalents of branded products and may have different formulations, vehicles, strengths, or release characteristics than the branded version of the active ingredient.
• Federal law generally prohibits the return of dispensed prescription medications. Refunds for medications already dispensed are not available except in cases of damage or error, as described in the Cancellation and Refund Policy.

Laboratory products and services

Lab tests have inherent limitations. Results may include false positives, false negatives, or values that fall outside reference ranges for reasons unrelated to your underlying health. Your provider interprets results in the context of your full clinical picture; a single result is not a diagnosis. If your provider recommends repeat testing, additional panels, or in-person evaluation, follow that recommendation.

Authorization to bill insurance

If you elect to use insurance for any covered service, you authorize Halo and the Halo Provider Network to submit claims to your insurer and to receive payment directly. You assign benefits payable for those claims to the appropriate Halo Provider Network entity. You remain financially responsible for any amount not covered by insurance, including copayments, coinsurance, and deductibles.

Email and SMS communications

You consent to receive appointment, refill, and care-related communications by email and (where you have separately opted in) by SMS text message. These messages may include reminders, educational content, and AI-generated summaries. Standard message and data rates may apply. You can opt out of marketing messages by following the unsubscribe instructions in any message; transactional and care-related messages cannot be opted out of while you have an active account. See our SMS Terms for details.

Your rights

• You may ask questions about anything in this consent at any time.
• You may request information on how AI is used in your care.
• You may request that AI not be used in particular aspects of your care, where reasonably feasible.
• You may decline a recording or request that ambient listening be disabled.
• You may decline a prescription, lab test, or service at any time without affecting future care.
• You may revoke this consent in writing to privacy@tryhalo.co; revocation does not apply retroactively.

State-specific disclosures

State law may require additional disclosures or grant additional rights. Halo and the Halo Provider Network comply with the telehealth-specific rules of every state in which they operate. For state-specific complaint procedures and medical board contact information, contact us using the information below and we will direct you to the correct authority for your state of residence.

Acknowledgment

Contact us

Questions about this consent? Contact: