Telemedicine involves the use of electronic communications for the purpose of diagnosis, therapy, follow-up and/or education, and may include any of the following:

• Patient medical records

• Medical images

• Live two-way audio and video

• Output data from medical devices and sound and video files

Electronic systems used will incorporate network and software security protocols to protect the confidentiality of patient identification and imaging data and will include measures to safeguard the data and to ensure its integrity against intentional or unintentional corruption.

Expected Benefits:

• Improved access to medical care by enabling a patient to remain at home or at remote site

• More efficient medical evaluation and management.

• Obtaining expertise of a distant specialist.

Possible Risks:

As with any medical procedure, there are potential risks associated with the use of telemedicine. These risks include, but may not be limited to:

• In rare cases, information transmitted may not be sufficient (e.g. poor resolution of images) to allow for appropriate medical decision making by the physician and consultant(s);

• Delays in medical evaluation and treatment could occur due to deficiencies or failures of the equipment;

• In very rare instances, security protocols could fail, causing a breach of privacy of personal medical information;

• In rare cases, a lack of access to complete medical records may result in adverse drug interactions or allergic reactions or other judgment errors;

By clicking on Yes to option “Will You be participating in telemedicine”, I understand the following:

I. I understand that the laws that protect privacy and the confidentiality of medical information also apply to telemedicine, and that no information obtained in the use of telemedicine which identifies me will be disclosed to researchers or other entities without my consent.

I understand that I have the right to withhold or withdraw my consent to the use of telemedicine in the course of my care at any time, without affecting my right to future care or treatment.
I understand that I have the right to inspect all information obtained and recorded in the course of a telemedicine interaction, and may receive copies of this information for a reasonable fee.
I understand that a variety of alternative methods of medical care may be available to me, and that I may choose one or more of these at any time. My psychiatrist has explained the alternatives to my satisfaction.
I understand that telemedicine may involve electronic communication of my personal medical information to other medical practitioners who may be located in other areas, including out of state.
I understand that it is my duty to inform my psychiatrist of electronic interactions regarding my care that I may have with other healthcare providers.
I understand that I may expect the anticipated benefits from the use of telemedicine in my care, but that no results can be guaranteed or assured.

Patient Consent To The Use of Telemedieine

I have read and understand the information provided above regarding telemedicine, have discussed it with my physician or such assistants as may be designated, and all of my questions have been answered to my satisfaction. I hereby give my informed consent for the use of telemedicine in my medical care.

I hereby authorize my physician to use telemedicine in the course of my diagnosis and treatment.

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Your Privacy

Your privacy is important to us. Please read the Terms of Use (the "Terms") as it describes the types of data we collect from you and your devices ("Data"), how we use your Data, and the legal bases we have to process your Data. The Privacy Statement also describes how we use your content, which is your communications with others; postings submitted by you to this website or share through the Services ("Your Content"). Where processing is based on consent and to the extent permitted by law, by agreeing to these Terms, you consent to website collection, use and disclosure of Your Content and Data as described in the Privacy Statement. In some cases, we will provide separate notice and request your consent as referenced in the Privacy Statement.

Your Content

Many of our Services allow you to store or share Your Content or receive material from others. We don’t claim ownership of Your Content. Your Content remains Your Content and you are responsible for it.

• When you share Your Content with other people, including your physician, you understand that they may be able to use, save, record, reproduce, transmit, share, and delete Your Content as outlined in HIPAA regulations and your physician office rules. If you do not want others to have that ability, do not use the Services to share Your Content. You represent and warrant that for the duration of these Terms, you have (and will have) all the rights necessary for Your Content that is uploaded, stored, or shared on or through the Services and that the collection, use, and retention of Your Content will not violate any law or rights of others. This website and services associated with cannot be held responsible for Your Content or the material others upload, store or share using the Services.

• To the extent necessary to provide the Services to you and others, to protect you and the Services, and to improve our products and services, you grant to all rights and permissions to make copies of, retain, transmit, reformat, display, and distribute via communication tools Your Content on the Services. If you publish Your Content in areas of the Service where it is available broadly online without restrictions, Your

Content may appear in demonstrations or materials that promote the Service. We do not use what you say in email, chat, video calls or voice mail, or your documents, photos or other personal files, to target advertising to you.

Code of Conduct

By agreeing to these Terms, you’re agreeing that, when using the Services, you will follow these rules:

• Don’t do anything illegal.

• Don’t engage in any activity that exploits, harms, or threatens to harm children.

• Don’t send spam. Spam is unwanted or unsolicited bulk email, postings, contact requests, SMS (text messages), or instant messages.

• Don’t publicly display or use the Services to share inappropriate content or material (involving, for example, nudity, bestiality, pornography, offensive language, graphic violence, or criminal activity).

• Don’t engage in activity that is fraudulent, false or misleading (e.g., asking for money under false pretenses, impersonating someone else, manipulating the Services to increase play count, or affect rankings, ratings, or comments).

• Don’t circumvent any restrictions on access to or availability of the Services.

• Don’t engage in activity that is harmful to you, the Services, or others (e.g., transmitting viruses, stalking, posting terrorist content, communicating hate speech, or advocating violence against others).

• Don’t infringe upon the rights of others (e.g., unauthorized sharing of copyrighted music or other copyrighted material, resale or other distribution of Bing maps, or photographs).

• Don’t engage in activity that violates the privacy of others.

• Don’t help others break these rules.

Enforcement

If you violate these Terms, we may stop providing Services to you. We may also block delivery of a communication (like email, file sharing or instant message) to or from the Services in an effort to enforce these Terms or we may remove or refuse to publish Your Content for any reason. When investigating alleged violations of these Terms, we reserve the right to review Your Content in order to resolve the issue. However, we cannot monitor the entire Services and make no attempt to do so. Using the Services

Your account

You’ll need a single use individual access ID to access the Services. Your individual access ID lets you sign in to products, services provided by this website.

• Signing on to the account. You sign on to your account using individual access ID and your personal information online. You agree not to use any false, inaccurate or misleading information when signing up for your account. If you sign on to the account on behalf of an entity, such as your dependent or proxy, you represent that you have the legal authority to bind that entity to these Terms. You cannot transfer your account credentials to another user or entity. To protect your account, keep your account details and individual access ID confidential. You are responsible for all activity that occurs under your account.

• Account Use. Your account with individual access ID is created before your scheduled appointment with requested physician and terminated on the date of the appointment. You must use your account while it is active. After you signing to the account with your individual access ID, use services, and submit the information required, your access ID will be deactivated. To make changes or delete provided information, you must contact office of physician, initiated service request.

• Kids and Accounts. By using the Services, you represent that you have either reached the age of “majority” where you live or have valid parent or legal guardian consent to be bound by these Terms. If you do not know whether you have reached the age of majority where you live, or do not understand this section, please ask your parent or legal guardian for help and consent before you accessing account. If you are the parent or legal guardian of a minor for who the account was created, you and the minor accept and agree to be bound by these Terms and are responsible for all use of the account or Services, including payments, whether the minor’s account is now open or created later. 

Service Notifications

When there’s something we need to tell you about a Service you use, we’ll send you Service notifications. If you gave us your email address or phone number in connection with your account, then we may send Service notifications to you via email or via SMS (text message), including to verify your identity before registering your mobile phone number. We may also send you Service notifications by other means (for example by in-product messages). Data or messaging rates may apply when receiving notifications via SMS.

• Support. Customer support for some Services is available at third parties like banks issuing your credit/debit card or office of your physician. Certain Services may offer separate or additional customer support, subject to the terms available, unless otherwise specified. Support may not be available for preview or beta versions of features or Services.

• Ending your Services. If your Services are canceled (whether by you or us), first your right to access the Services stops. Second, we’ll delete Data or Your Content associated with your Service or will otherwise disassociate it from you and your account (unless we are required by law to keep it, return it, or transfer it to you or a third party identified by you). As a result you may no longer be able to access any of the Services (or Your Content that you’ve stored on those Services). Third, you may lose access to products you’ve acquired. If you have canceled your account and have no other account able to access the Services your Services may be canceled immediately.

Service Availability

• The Services, or material or products offered through the Services may be unavailable from time to time, may be offered for a limited time, or may vary depending on your region or device. If you change the location associated with your account, you may need to re-acquire the material or applications that were available to you and paid for in your previous region.

• We strive to keep the Services up and running; however, all online services suffer occasional disruptions and outages, and we is not liable for any disruption or loss you may suffer as a result. In the event of an outage, you may not be able to retrieve Your Content or Data that you’ve stored. We recommend that you regularly backup Your Content and Data that you store on the Services or store using Third-Party Apps and Services.

Updates to the Services or Software, and Changes to These Terms.

• We may change these Terms at any time, and we’ll tell you when we do. Using the Services after the changes become effective means you agree to the new terms. If you don’t agree to the new terms, you must stop using the Services, close your account and, if you are a parent or guardian, close his or her account.

• Sometimes you’ll need software updates to keep using the Services. We may automatically check your version of the software and download software updates or configuration changes. You may also be required to update the software to continue using the Services. Such updates are subject to these Terms unless other terms accompany the updates, in which case, those other terms apply. We are not obligated to make any updates available and we don’t guarantee that we will support the version of the system or device for which you purchased or licensed the software, apps, content or other products.

• Additionally, there may be times when we need to remove or change features or functionality of the Service or stop providing a Service or access to Third-Party Apps and Services altogether. Except to the extent required by applicable law, we have no obligation to provide a re-download or replacement of any material, Digital Goods or applications previously used. We may release the Services or their features in a preview or beta version, which may not work correctly or in the same way the final version may work.

Software License

Unless accompanied by a separate website license, any software provided by us to you as part of the Services is subject to these Terms below.

• If you comply with these Terms, we grant you the right to install and use one copy of the software per device on a worldwide basis for use by only one person at a time as part of your use of the Services. The software or website that is part of the Services may include third-party code. Any third-party scripts or code, linked to or referenced from the software or website, are licensed to you by the third parties that own such code, not by us. Notices, if any, for the third-party code are included for your information only.

This license does not give you any right to, and you may not:

• circumvent or bypass any technological protection measures in or relating to the software or Services;

• disassemble, decompile, decrypt, hack, emulate, exploit, or reverse engineer any software or other aspect of the Services that is included in or accessible through the Services, except and only to the extent that the applicable copyright law expressly permits doing so;

• separate components of the software or Services for use on different devices;

• publish, copy, rent, lease, sell, export, import, distribute, or lend the software or the Services, unless we expressly authorizes you to do so;

• transfer the software, any software licenses, or any rights to access or use the Services;

• use the Services in any unauthorized way that could interfere with anyone else’s use of them or gain access to any service, data, account, or network;

Payment Terms

If you elect to pay for your upcoming physician office visit, then these payment terms apply to your payment and you agree to them.

• Payment. The payment amount shown on the payment page is to believe to be the most accurate based on the current information available. If you believe you have to pay a different amount, pay that amount and bring to the office explanation of that change. You have option to skip payments at all and pay your dues at the appointment time in your physician’s office.

• Billing. To pay for the upcoming office visit, you will be asked to provide a payment method. We are not storing your payment information for repeated use, so you will need to enter it every time. You agree to provide your account and other information, including your email address and payment method details, so we can complete your transactions and contact you as needed in connection with your transactions. By providing us with a payment method, you represent (i) that you are authorized to use the payment method you provided and that any payment information you provide is true and accurate; (ii) authorize us to charge you for the amount you have approved using your payment method.

• Online Statement and Errors. We will email you to the email address provided by you at the signing to the account with an online billing statement. This is the only billing statement that we provide. If we make an error on your bill, you must tell your physician’s office within 90 days after the error first appears on your bill. We will then promptly investigate the charge. If you do not tell us within that time, you release us from all liability and claims of loss resulting from the error and we won't be required to correct the error or provide a refund. If we have identified a billing error, we will correct that error within 90 days.

• Refund Policy. Unless otherwise provided by law, all payments refunds must be requested to the office of the physician initiating payment request. If you believe that you’ve been charged in error, you must contact office of your physician receiving payment within 90 days of such charge. No refunds will be given for any charges more than 90 days old. We in coordination with office of your physician receiving the payment will issue refunds or credits. If we issue a refund or credit, we are under no obligation to issue the same or similar refund in the future. This refund policy does not affect any statutory rights that may apply.

• Canceling the Services. You may cancel a Service at any time, with or without cause. To cancel a Service and request a refund, if you are entitled to one, contact your physician’s office as following:

Office of Milana Kaplan, MD PA (operating independently)

For Milana Kaplan, MD

7369 Sheridan Street, Suite 203

Hollywood, FL 33024

Office: 954-983-5330

Fax: 954-983-5086

Office of Alexander Pushka, MD PA (operating independently)

For Alexander Pushka, MD, Mohammad Nawaz, APRN, John Cordia, APRN

7369 Sheridan Street, Suite 203

Hollywood, FL 33024

Office: 954-983-5330

Fax: 954-983-5086

Payments to You

If we owe you a payment, then you agree to timely and accurately provide us with any information we need to get that payment to you. You are responsible for any taxes and charges you may incur as a result of this payment to you. You must also comply with any other conditions we place on your right to any payment. If you receive a payment in error, we may reverse or require return of the payment. You agree to cooperate with us in our efforts to do this. We may reduce the payment to you without notice to adjust for any previous overpayment.

Warranties. WE, AND OUR AFFILIATES, RESELLERS, DISTRIBUTORS, AND VENDORS, MAKE NO WARRANTIES, EXPRESS OR IMPLIED, GUARANTEES OR CONDITIONS WITH RESPECT TO YOUR USE OF THE SERVICES. YOU UNDERSTAND THAT USE OF THE SERVICES IS AT YOUR OWN RISK AND THAT WE PROVIDE THE SERVICES ON AN "AS IS" BASIS "WITH ALL FAULTS" AND "AS AVAILABLE." YOU BEAR THE ENTIRE RISK OF USING THE SERVICES. WE DO NOT GUARANTEE THE ACCURACY OR TIMELINESS OF THE SERVICES. TO THE EXTENT PERMITTED UNDER YOUR LOCAL LAW, WE EXCLUDE ANY IMPLIED WARRANTIES, INCLUDING FOR MERCHANTABILITY, SATISFACTORY QUALITY, FITNESS FOR A PARTICULAR PURPOSE, WORKMANLIKE EFFORT, AND NON-INFRINGEMENT. YOU MAY HAVE CERTAIN RIGHTS UNDER YOUR LOCAL LAW. NOTHING IN THESE TERMS IS INTENDED TO AFFECT THOSE RIGHTS, IF THEY ARE APPLICABLE. YOU ACKNOWLEDGE THAT COMPUTER AND TELECOMMUNICATIONS SYSTEMS ARE NOT FAULT-FREE AND OCCASIONAL PERIODS OF DOWNTIME OCCUR. WE DO NOT GUARANTEE THE SERVICES WILL BE UNINTERRUPTED, TIMELY, SECURE, OR ERROR-FREE OR THAT CONTENT LOSS WON'T OCCUR, NOR DO WE GUARANTEE ANY CONNECTION TO OR TRANSMISSION FROM THE COMPUTER NETWORKS.

Limitation of Liability. If you have any basis for recovering damages (including breach of these Terms), you agree that your exclusive remedy is to recover, from us or any affiliates, resellers, distributors, Third-Party Apps and Services providers, and vendors, direct damages up to an amount equal to your Services fee for the month during which the loss or breach occurred (or up to $10.00 if the Services are free). You can't recover any other damages or losses, including direct, consequential, lost profits, special, indirect, incidental, or punitive. These limitations and exclusions apply even if this remedy doesn't fully compensate you for any losses or fails of its essential purpose or if we knew or should have known about the possibility of the damages. To the maximum extent permitted by law, these limitations and exclusions apply to anything or any claims related to these Terms, the Services, or the software related to the Services.

Administrator www.needappointment.com

Terms of Use

These Terms of Use (“Terms”) cover the use of this website and services provided by it (the “Services”). You accept these Terms by logging to the website with access ID provided to you, through your use of the Services, or by continuing to use the Services after being notified of a change to these Terms.

Personal data we collect

This website collects data from you, through our interactions with you and through services it provides. You provide some of this data directly, and website gets some of it by collecting data about your interactions, use, and experiences with services provided. The data we collect depends on the context of your interactions with website and the choices you make, including your privacy settings and the information you decide to share with.

This website uses the data collected to provide you with following services:

• Collecting your payments for the upcoming appointment with your physician

• Collecting your responses to the questions your physician may ask you in preparation to the upcoming appointment

You have choices when it comes to the technology you use and the data you share. When we ask you to provide personal data, you can decline. Many of our services require some personal data to provide you with a service. If you choose not to provide data necessary to proceed with selected service, the affected service may become unavailable to you, or we will not be able to provide such service to you. Where providing the data is optional, and you choose not to share personal data, some features like credit card payment or built-in functionality associating you with access ID you logged in, that use such data will not work for you.

How we use personal data:

We use your personal sharing data when it is required to provide the service or carry out the transactions you request. We also use it for:

• Improve and develop our products.

• Personalize our products and make recommendations.

• Analyzing our performance, meeting our legal obligations, developing our workforce, and doing research.

In carrying out these purposes, we combine data we collect from different contexts (for example, from your sign on entry and your use of payment terminal) to give you a more seamless, consistent, and personalized experience, to make informed decisions, and for other legitimate purposes.

Reasons we share personal data :

We share your personal data with your consent or to complete any transaction or provide any service you have requested or authorized. We also share data with your physician’s office, initiated request for service of payment; with vendors working on our behalf; when required by law or to respond to legal process; to protect our customers; to protect lives; to maintain the security of our products. How to access and control your personal data

You can make choices about the collection and use of your data by this website. You can control your personal data that this website has obtained, and exercise your data protection rights, by contacting office of your physician below. In some cases, your ability to access or control your personal data will be limited, as required or permitted by applicable law. How you can access or control your personal data will also depend on which service you use. For example, you can contact bank issuing you credit/debit card with questions about transaction you initiated on this website. You can also contact office of your physician with any questions regarding services, payment requests, and data collected on this website as following:

Office of Milana Kaplan, MD PA (operating independently)

For Milana Kaplan, MD 7369 Sheridan Street, Suite 203

Hollywood, FL 33024

Office: 954-983-5330

Fax: 954-983-5086

Office of Alexander Pushka, MD PA (operating independently)

For Alexander Pushka, MD, Mohammad Nawaz, APRN, John Cordia, APRN

7369 Sheridan Street, Suite 203

Hollywood, FL 33024

Office: 954-983-5330

Fax: 954-983-5086

Administrator www.needappointment.com

Welcome to Appointment Desk

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