Telehealth Informed Consent

Treatment consultations through Filia are not available. Laboratory safety screening for critical values is a separate safety check, not a treatment consultation. The medications section of the site is educational, and nothing there is an offer to prescribe. This page describes the service as it is planned; it becomes a consent you can give only when Filia announces that the service is open and this page loses this notice.

Any medical care arranged through Filia would be provided by licensed clinicians of an independent medical practice (the “Practice”): Architek Health Provider Network P.C. and its affiliated providers. Lead Physician Dr. Alex Jabourian and affiliated providers are licensed to practice medicine in all 50 U.S. states. State-specific licenses include California (20A14278), Massachusetts (1019081), Rhode Island (DOO1323), and Vermont (162.0000226). Filia, operated by Vanguard Performance LLC, is the platform through which you would reach the Practice. Filia does not practise medicine, does not employ the clinicians, does not decide what is prescribed, and does not dispense or compound anything.

Your clinician may be a physician, a nurse practitioner or a physician assistant. Your relationship for that care is with the Practice and the clinician, under the Practice’s own terms, privacy notice and informed consent, which would be shown to you before your first review and which take precedence over this page where they differ.

Telehealth means care delivered at a distance: by a questionnaire and messages reviewed by a clinician when they are next available (asynchronous care), by telephone, or by video. The clinician relies on what you tell them and on results you share, cannot examine you in person, and may need to see you in person or refer you elsewhere. Video and audio can fail or be delayed; information can be lost in transmission; and a clinician may end a visit for technical reasons and arrange another way to continue. In-person care is always an alternative, and the clinician may decline to treat you by telehealth if it is not appropriate.

You must be physically in a state where the clinician is licensed at the time of the review. Not every service is available in every state, and you will be told what is available where you are before you pay.

A review is a clinician’s evaluation of whether a treatment is appropriate for you. It may end in a prescription, a different recommendation, a request for tests or an in-person visit, or a decision not to treat. Paying for a review does not buy a prescription, and a review that ends without one has still been performed.

If a clinician prescribes, the prescription is sent electronically to a pharmacy. You may ask for it to go to any pharmacy you choose; a partner pharmacy, if one is used, is a licensed pharmacy independent of Filia and responsible for what it dispenses. A compounded medication is made for you by a licensed compounding pharmacy; it is not approved by the Food and Drug Administration and is not the same as a branded product, and a separate consent explains that before one is prescribed.

A controlled substance, which includes testosterone, can be prescribed by telehealth only within federal and state law and the Practice’s own policies. Under the federal rules in force at the date of this document that means a live audio-video visit before any such prescription, and those rules are temporary and change; California and other states may require an in-person examination. None of this is decided by Filia, none of it is guaranteed, and where the law requires an in-person evaluation first, the Practice will say so.

Telehealth through Filia would not be for emergencies and no clinician would be monitoring for one. If you think you are having a medical emergency, call 911 or go to the nearest emergency department.

The Practice keeps the medical record of your care under its own Notice of Privacy Practices, and it is a covered entity under HIPAA for that record. Filia is not. To confirm that a review or prescription happened, the Practice may tell Filia your name, the dates of service and the dates of any prescription order, and no more unless you authorize it. Results you ordered through Filia and health history you entered would be shared with the clinician only with your consent at the time of the request.

Care arranged through Filia would be self-pay. Neither Filia nor the Practice would bill your insurance, Medicare or Medicaid for it, and you would be told the price of a review and of any medication before you pay. Refund terms for reviews and medications would be published in the Refund Policy before the service opens.

• You may withdraw this consent at any time, in writing or by telling the clinician, without affecting care you have already received.
• You may decline any treatment offered and ask about alternatives.
• You may ask for a copy of your record from the Practice.
• You must be 18 or older to request a review through Filia.

When this consent is in effect, checking the box on a request would confirm that you have read it and the Practice’s own consent, that you understand telehealth’s limits and that no prescription is guaranteed, that you are in a state where the service is available, that you are 18 or older, and that you know to call 911 in an emergency.