Last Updated: January 28, 2026
This Telehealth Informed Consent and Authorization governs your use of telemedicine services provided by ProHealth PLLC, doing business as Activ8 Health.
By accessing or using Activ8 Health’s telehealth services, you acknowledge that you have read, understand, and agree to the terms outlined below.
Telehealth involves the delivery of healthcare services using electronic communication technologies. These technologies may include secure video conferencing, telephone consultations, electronic messaging platforms, electronic health records, and other digital communication tools.
Telehealth allows licensed healthcare providers to evaluate, diagnose, treat, and manage patient care remotely when clinically appropriate.
Activ8 Health offers direct medical services, including telehealth consultations, clinical evaluations, treatment planning, and prescription services, when clinically appropriate.
Medical services are provided by a licensed healthcare professional authorized to practice in the state where the patient is physically located at the time of care.
Medical decisions are made solely by the treating provider based on the patient’s medical history, clinical evaluation, and applicable standards of care.
Your participation in telehealth services is voluntary. You may withdraw your consent to receive telehealth services at any time by notifying Activ8 Health.
Withdrawal of consent may limit your ability to receive medical services through Activ8 Health.
Potential benefits of telehealth services include increased access to care, convenience, reduced travel time, improved continuity of care, and timely access to licensed medical providers.
You understand and acknowledge that telehealth services may involve limitations and risks, including potential technical failures, interruptions in connectivity, limitations in physical examination, delays in diagnosis or treatment, and security risks inherent in electronic communications.
Telehealth services are not intended for emergency medical conditions.
If you believe you are experiencing a medical emergency, call 911 or seek immediate emergency medical care.
You agree to provide accurate, complete, and truthful medical information, update your information as it changes, follow prescribed treatment plans, use medications only as directed, and comply with all medical instructions.
Failure to provide accurate medical information may result in incorrect diagnosis, inappropriate treatment, or adverse medical outcomes.
All prescriptions are issued solely at the professional discretion of the treating provider following appropriate medical evaluation.
Not all patients will qualify for prescriptions or treatment.
Prescription fulfillment is subject to pharmacy approval and compliance with federal and state regulations.
Activ8 Health does not guarantee any specific treatment outcome.
By using Activ8 Health services, you consent to the use of electronic communications for healthcare delivery, including video consultations, telephone calls, secure messaging, emails, and text messages related to medical care, appointment reminders, treatment updates, and clinical communications.
You understand that electronic communications carry inherent security risks despite reasonable safeguards being in place.
Your medical information is protected in accordance with the Health Insurance Portability and Accountability Act and applicable state privacy laws.
Your use of telehealth services is governed by our Privacy Policy and HIPAA Notice of Privacy Practices, which describe how personal and medical information is collected, used, stored, and protected.
By using our services, you acknowledge and agree to those policies.
Your medical information will be documented and maintained in secure electronic medical record systems.
You may request access to your medical records as permitted by law.
You understand that medical treatments and therapies do not guarantee specific outcomes or results. Individual results may vary.
Medical services are provided only in states where the treating provider holds an active professional license.
You are responsible for confirming your physical location at the time of service and ensuring you are located in a state where services are authorized.
By accessing or using Activ8 Health’s telehealth services, you acknowledge that you have read and understand this Telehealth Informed Consent, have had the opportunity to ask questions, understand the risks and benefits of telehealth, and voluntarily consent to receive telehealth medical services.
Activ8 Health reserves the right to update or modify this Telehealth Informed Consent at any time. Continued use of services constitutes acceptance of any updated terms.
This Telehealth Informed Consent shall be governed by and construed in accordance with the laws of the State of Arizona.
ProHealth PLLC DBA “Activ8 Health”
Email: annika@activ8-health.com
