Telehealth Informed Consent

1. What telehealth is

Telehealth is healthcare delivered using digital communication tools instead of an in-person visit. A clinician may evaluate you through intake forms, secure messaging, lab results, photos you provide, and when appropriate, phone or video.

Much of care through Prova is asynchronous. You submit information, then an independent clinician reviews it and responds. Real-time visits may not always be required or available.

2. How care at Prova works

• You complete an intake describing your health, history, medications and goals.
• You have blood drawn, at home or at a partner site, and a certified laboratory runs your panel.
• An independent licensed clinician reviews your intake and results.
• That clinician decides whether treatment is appropriate and may issue prescriptions at their own discretion.
• If treatment starts, follow-up testing may be used to monitor response over time.

Clinicians can only provide care where they are licensed. You must keep your current location and state of residence accurate.

3. Benefits

Telehealth can improve access, reduce travel, and support more frequent check-ins using data from regular biomarker testing.

4. Limitations you should understand

• The clinician cannot perform a full physical exam through telehealth, and some conditions require in-person care.
• The clinician relies on the accuracy and completeness of your information.
• A blood panel, however broad, does not detect everything. Many conditions do not show up in blood at all.
• Telehealth is not appropriate for every condition. The clinician may recommend in-person evaluation.
• Prova does not provide emergency, urgent, surgical, obstetric or inpatient care, and does not manage acute illness.

5. Risks

Telehealth and treatment decisions involve risks. By consenting, you acknowledge:

• Available information may be incomplete, which can lead to delayed or missed diagnosis or suboptimal treatment.
• Delays may occur in evaluation, in results, or in treatment, because of technical problems, laboratory turnaround, or shipping.
• Technology can fail. A connection may drop, a message may not send, or a file may not transmit.
• Despite encryption and safeguards, electronic transmission and storage of health information carries a risk of interception or unauthorised access.
• Laboratory results can be inaccurate, and false positives and false negatives occur.
• Any medication can cause side effects, including rare and serious ones, and can interact with other medications you take.
• In rare cases an adverse reaction could occur when no clinician is physically present to help you.

6. This is not for emergencies

Signs that need emergency care include chest pain, difficulty breathing, heavy or uncontrolled bleeding, fainting, sudden weakness or difficulty speaking, a severe allergic reaction, and thoughts of harming yourself. If you are in crisis, you can also call or text 988 to reach the suicide and crisis lifeline.

7. Prescriptions

No prescription is guaranteed. Membership does not entitle you to treatment. Independent clinicians decide whether to prescribe and what to prescribe.

Prova does not prescribe controlled substances. Some medications may require your existing in-person prescriber depending on clinical and legal requirements.

8. Compounded medications

Some prescribed medications may be compounded by a licensed pharmacy for your individual needs. Compounded medications are not FDA-approved and are not reviewed by the FDA before dispensing for safety, effectiveness, or manufacturing quality.

A clinician may prescribe a compounded medication when they determine it is clinically appropriate. You can ask about alternatives at any time.

9. Consent to blood draws and testing

You consent to blood collection by trained phlebotomy personnel and analysis by certified laboratories, and to sharing those results with you and your treating independent clinician.

A blood draw is a common procedure with minor risks, including discomfort, bruising, bleeding, lightheadedness or fainting, and, rarely, infection or a hematoma at the site.

Testing may reveal unexpected findings, including serious conditions, that may require care outside Prova.

10. Your responsibilities

• Give complete and truthful information, especially about medications, allergies, existing conditions, and whether you are pregnant, trying to conceive or breastfeeding.
• Report side effects and changes in your health promptly.
• Attend your scheduled draws, since monitoring is what makes treatment safe.
• Tell your other healthcare providers what you are taking.
• Keep your contact details current so we can reach you about a result that needs attention.

11. Records and privacy

Consultations, treatment decisions, and prescriptions are documented by the independent clinical providers involved in your care and are subject to their legal and privacy obligations. Prova's Privacy Policy describes how Prova handles platform and membership data.

We do not record video consultations without telling you and obtaining your agreement first.

12. Alternatives to telehealth

You are free to seek in-person care instead, and in some situations that is the better choice. You can see your primary care provider, a specialist, an urgent care clinic or an emergency department. Choosing Prova does not prevent you from doing any of these, and we encourage you to keep a primary care provider.

13. Your right to withdraw consent

You may withdraw this consent at any time by emailing team@startprova.com or through account settings. Withdrawal stops future telehealth care through Prova but does not undo care already provided.

14. State requirements

State laws may require additional telehealth disclosures or consent steps. Where required, you will receive state-specific notices.

You may request your treating clinician's name, license type, and license number at any time.

15. Acknowledgment

By accepting this consent you confirm that:

• You have read and understood it, and have had the chance to ask questions.
• You understand the benefits, the limitations and the risks of care delivered by telehealth.
• You understand that no prescription is guaranteed and that clinical decisions rest with independent licensed clinicians.
• You understand that compounded medications are not FDA approved.
• You understand this is not an emergency service.
• You are at least 18 and are consenting for yourself.
• You consent to evaluation and treatment by telehealth, and to blood draws and laboratory testing.

A record of your acceptance, including the date and time and the version you accepted, is kept in your medical record.