Telehealth Consent
Silhouette MD Telehealth Consent & Open Payments Notice
Last Updated: April 4, 2025
Informed Consent for Telehealth Services
By using Silhouette MD’s platform and clicking “I Agree” or similarly indicating acceptance, you consent to receive healthcare services from licensed healthcare providers (“Providers”) via telehealth technology facilitated by Silhouette MD (a DBA of Elevate Wellness Group LLC).

Telehealth Overview
Telehealth involves healthcare services provided through electronic communications between patients and providers not in the same physical location. It may include diagnosis, treatment, prescription management, patient education, and follow-up care via video conferencing, messaging, and other digital communication methods.

Benefits of Telehealth
Telehealth can improve access to healthcare services, offer convenience, reduce travel, and enable timely medical support.

Potential Risks of Telehealth
Risks include technological disruptions, limitations on physical examination, inaccuracies due to technology limitations, potential delays in care, privacy and data security concerns, and possible necessity for alternative or in-person care.

Emergency Situations
Telehealth is not suitable for emergencies or urgent care. If you experience an emergency or urgent medical condition, immediately call 911 or seek care from your local emergency provider.

Data Privacy & Security
Silhouette MD employs rigorous measures to protect personal and health information consistent with applicable law, including HIPAA. However, no electronic transmission is entirely secure, and risks of data breaches exist. By using telehealth services, you accept these risks.

Limitations and Consent
You acknowledge telehealth services have inherent limitations, and certain conditions may not be suitable for telehealth diagnosis or treatment. Providers retain discretion regarding treatment suitability.
You consent explicitly to electronic communications, including emails, which may contain your health information.

Open Payments Notice
In accordance with the federal Physician Payments Sunshine Act, you may review payments or transfers of value made to providers by pharmaceutical and medical device manufacturers through the federal Open Payments database: https://openpaymentsdata.cms.gov.

Financial and Pharmacy Disclosures
You understand and accept responsibility for all fees associated with telehealth services and medications. Silhouette MD may have financial relationships with certain pharmacies or labs. You are free to choose alternative providers or pharmacies and may request prescription transfers.

Withdrawal of Consent
You may withdraw consent for telehealth at any time by notifying us in writing. However, such withdrawal will not affect actions already taken in reliance on your consent.

Contacting Regulatory Authorities
Concerns regarding medical care may be directed to your state’s medical board.

Acknowledgment
By accepting this consent, you affirm your understanding and agreement to all outlined terms and conditions.

Contact Us
Silhouette MD (Elevate Wellness Group LLC)
Attn: Telehealth Services
By email: support@monostarscope.com.
By Phone
United States & Canada: 855 7920 194