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WePrescribe Pets - Pocket Pet

Aloha, I'm Veterinarian, Jenna Wallace! To better understand your pet's symptoms, I have created an easy questionnaire. These next 7 questions are simple and won't take long at all! This will help us to determine the best treatment for your pet.

TELAPETS.COM CONSENT TO TELEHEALTH

Please read all the important information below because we explain:
  • How our team consists of veterinarians.
  • When our duty of care begins.
  • The benefits and risks of using our service.
  • The importance of reading all the information we provide.
  • The importance of answering all questions fully and truthfully.
  • The risks of accepting our treatment plan.
Telapets is a division of WePrescribe Inc. Only use our service if you've read this information and subsequently made an informed decision that our service is right for you. If you have any questions, please send us a message through our contact page. Telemedicine, General Advice & Teletriage For communications between veterinarians and animal owners there are two important categories that are distinguished by whether a Veterinarian-Client-Patient Relationship (VCPR) has been established: telemedicine, which is client-facing, includes the delivery of information specific to a particular patient and is allowable only within the context of an established VCPR; and non-client-facing models that involve delivery of general advice, telemarketing, and advertising. We only provide telemedicine services when a Veterinarian-Client-Patient Relationship has been established. However, we do provide general advice to those wanting a consult without an established relationship. General advice is the provision of any health information, opinion, guidance or recommendation concerning prudent future actions that are not specific to a particular patient's health, illness or injury. This is general advice that is not intended to diagnose, prognose, treat, correct, change, alleviate, or prevent animal disease, illness, pain, deformity, defect, injury, or other physical, dental, or mental conditions.  If you do not have an established VCPR, you may request teletriage. Teletriage is the safe, appropriate, and timely assessment and management (immediate referral to a veterinarian or not) of animal patients via electronic consultation with their owners. In assessing patient condition electronically, the assessor determines urgency and the need for immediate referral to a veterinarian, based on the owner’s (or responsible party’s) report of history and clinical signs, sometimes supplemented by visual (e.g., photographs, video) information. A diagnosis is not rendered. COVID UPDATE A VCPR is not necessary to receive veterinary care.  "The suspension of the following laws, as allowed by federal law, pursuant to section 127A-13(a)(3), Hawaii Revised Statutes (HRS), in order for county and state agencies to engage in emergency management functions as defined in section 127A-2, HRS:....Section 471-10, HRS, refusal to grant and revocation or suspension of license, to the extent necessary to enable veterinarians to engage in telehealth without a previously existing Veterinarian-Client-Patient-Relationship or physical examination of the patient."" https://governor.hawaii.gov/wp-content/uploads/2020/03/2003219-ATG_Executive-Order-No.-20-02-distribution-signed.pdf"       BACKGROUND INFORMATION Many states require you to do a video consultation with our veterinary team. The video consultation allows you to ask any questions and allows our veterinary team to judge your suitability for our online model of care. We are an online veterinary clinic and not a pharmacy. If you request that your medicines be delivered to you in the mail, we'll do our best to arrange for an independent pharmacy to mail your medicines. If you do want us to send your prescription to a local pharmacy in your area, please message or call us and we will do so at no extra charge. We do not send prescriptions to pharmacies based outside the US. NOT FOR EMERGENCIES I understand that I should never use Telapets in an emergency. I understand that in an emergency, I should dial 911 or go to an emergency veterinary clinic. WHEN OUR DUTY OF CARE BEGINS I understand that the veterinarian will take responsibility for my pet’s care only after I have created an account, answered all the required health questions and provided a photo and/or have had a video visit and made payment, and the veterinarian has subsequently reviewed my request for treatment and the health questions that I have completed and any photos and/or information received from a video visit, reviewed all my pet’s information, and then subsequently determined that it is a good candidate for the telehealth services. I understand that the duty of care does not begin at the point of me answering questions or making payment or starting a video visit but at the point at which the veterinarian accepts the duty of care. I understand that the veterinarian has the right to refuse to take responsibility for my pet’s care if the veterinarian makes a professional judgment that my pet is not a good candidate for this service. I understand that making a request for treatment (by completing a visit in the App or Website and making payment or by starting a video visit) or sending a message through the app does not in and of itself create a duty of care or create a veterinarian-patient relationship. I understand that there may be a delay until the next business day before a veterinarian reviews my request for treatment and any messages I send. I understand that the only content in the App or Website that constitutes professional veterinary advice is the personalized messages the veterinarian sends me (once I have completed the health questions and made payment, and the veterinarian has subsequently taken responsibility for my pet's care) and any content that the veterinarian links to in such messages and advice that a veterinarian provides in a video visit. No other content in the App or Website constitutes professional veterinary advice. Specifically the information provided in our health questions about which pets we can and cannot treat does not constitute professional veterinary advice. I understand that all other content in the App or Website does not constitute professional veterinary advice and is instead for information purposes only. Never disregard professional veterinary advice or delay in seeking it because of something you have read on our App or Website. BENEFITS AND RISKS OF USING OUR SERVICE I understand that by using the service I'm seeking care that's convenient and affordable. I understand that important differences exist between WePrescribe's model of care and traditional healthcare. Specifically by using Telapets I accept a greater responsibility to read and understand information throughout the App and Website about the limitations of WePrescribe's model of care, the risks of seeking care this way, and the risks and benefits of a proposed treatment plan. I understand that I must read and understand the Consent to Telehealth, the Terms of Use, the Privacy Policy, the FAQs, the information provided about a service before I answer health questions, the information provided in the health questions themselves, messages I receive from WePrescribe, and, very importantly, content provided via links in the message that the veterinarian sends me after the veterinarian has reviewed all my pet's information and recommended a treatment plan and, when appropriate, prescribed a medicine. I understand that to read important information I may need to both click on links and various titles to expand the information that's visible below, and that without clicking on links and titles I will not be able to read important information that enables me to give my informed consent to a treatment. I understand that by using WePrescribe, I accept the responsibility to provide full and truthful answers to all questions and, when requested, to provide unaltered photos of me that are taken at the time of using our service. I understand that the veterinarian is unable independently to verify the information and photos I provide and that the veterinarian will make a professional judgment based on the information and photos I provide. I understand that I won’t receive any other veterinary services that go beyond the diagnosis and treatment of acne, birth control, the diagnosis and treatment of a possible UTI, the diagnosis and treatment of male pattern baldness, the diagnosis and treatment of erectile dysfunction, the diagnosis and treatment of acute bacterial sinus infection, the diagnosis and treatment of acid reflux and the diagnosis and treatment of flu, the diagnosis and treatment of high cholesterol, the diagnosis and treatment of recurrent cold sores, the diagnosis and treatment of depression, the diagnosis and treatment of anxiety, the diagnosis and treatment of recurrent genital herpes, and stop smoking treatments. I need to seek other sources of care for my other veterinary needs. I understand that by using the service for a televeterinary consultation, I won't have an in person consultation and physical exam that might identify a veterinary condition that needs further investigation or immediate treatment. I understand that by using the service I won't necessarily speak or message with a veterinarian or nurse in real time. I understand that I must check the App or Website for messages because this is the way that the veterinarian will communicate important information to me. I understand that if I don't check the App or Website regularly, then my pet's care may be delayed. I understand that if I have any questions relating to my pet's care that aren't urgent, I can message the veterinarian through the App or Website. I understand that the veterinarian may not review and respond to my  messages until the next business day. IMPORTANCE OF READING ALL THE INFORMATION WE PROVIDE I understand that Telapets will provide detailed information in the App and Website to help me make an informed decision about whether to accept a proposed treatment plan. The most important information about a treatment plan is in the link that the veterinarian will send me when the veterinarian prescribes a treatment. This information includes detailed information to help me decide if the benefits of the treatment plan outweigh the risks, given the alternative options available to me, which includes the option of not taking any treatment. I understand the importance of reading the information the veterinarian provides about adverse events, including the signs and symptoms of serious side effects and common side effects from taking a medicine, as this will ensure that I seek appropriate veterinary attention in a timely manner. IMPORTANCE OF ANSWERING ALL QUESTIONS FULLY AND TRUTHFULLY I understand that by using Telapets I seek to enter into a relationship where the veterinarian relies exclusively upon information and photos that I provide to decide whether or not treatment is safe and appropriate. I understand that the veterinarian has no way of verifying the information and photos that I provide and that the veterinarian will consider information to be accurate, true and complete, including my pet's age, sex and all my answers to health questions, and the photos to be of me, taken at the time of me using the service, and unaltered. I understand that if I provide information that isn't true and complete, then I'll be at greater risk of adverse events from any treatment that the veterinarian prescribes and I may take a treatment that isn't necessary, appropriate, or safe. I understand that if I provide photos that are altered, not of me or not taken at the time of me using the service, then I'll be at greater risk of adverse events from any treatment that the veterinarian prescribes and I may take a treatment that isn't necessary, appropriate, or safe. I understand that even if I provide information that is true and complete, I'm still at risk of adverse events from any treatment that the veterinarian prescribes. I understand that even if I provide photos that are unaltered, of my pet and taken at the time of using the service, I'm still at risk of adverse events from my pet's treatment that the veterinarian prescribes. I understand that it is important that I don't create more than one account. Creating more than one account makes it impossible for the veterinarian to see the full history of care that my pet has received from Telapets. This increases the chances that the veterinarian will not have access to important information and photos in my pet's veterinary record that could influence the veterinarian's clinical decision. I understand that by using Telapets I'm giving my explicit consent for the veterinarian to access medication history, where it's available, from records provided by pharmacy databases. I understand that, if appropriate, the veterinarian may take this information into account when making a treatment and prescribing decision but this does not change how important it is that I provide full, true and complete information during the Telapets visit. RISKS OF ACCEPTING OUR TREATMENT PLAN I understand that all the medicines that the veterinarian may prescribe or recommend, including over-the-counter medicines and ‘behind-the-counter' medicines, can cause serious side effects and adverse events that include severe allergic reaction, permanent disability, and death. I understand that it is my responsibility to make an informed decision whether to accept a treatment plan that the veterinarian proposes after weighing the risks and benefits of the medicine being prescribed, alternative treatment options and the risks and benefits of such alternatives, and the option of not seeking any treatment. I understand the importance of reading the manufacturer's instructions that come with a medicine, including an over-the-counter or behind-the-counter medicine, before I take a medicine because this includes important information about risks and warnings. I understand that adverse events can be caused by a number of things, including an allergic reaction, side effects, or interactions between a medicine that the veterinarian prescribes and any veterinary conditions my pet may have, other prescription medicines or other things (e.g., supplements, herbs, over-the-counter medicines) my pet is taking.    
Question 1 of 7
What type of pet do you have?
Question 2 of 7
How many of these pets do you have?
Question 3 of 7
Is your pet female or male?
Question 4 of 7
Is your pet spayed or neutered?
Question 5 of 7
Is your pet defecating normally?
Question 6 of 7
Is your pet eating normally?
Question 7 of 7
Is there any further information you would like to provide?
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