Telehealth Consent

Effective Date: April 1, 2026

This Informed Consent for Telehealth Services ("Consent") explains the nature, benefits, risks, and limitations of receiving healthcare services through electronic communications from FOREVERHER, INC ("ForeverHer," "we," "us," or "our"). By using our telehealth services, you acknowledge that you have read, understood, and agree to the terms set forth in this document.

ForeverHer provides telehealth consultations to connect you with licensed healthcare providers who can evaluate your health needs and, when clinically appropriate, prescribe personalized treatment protocols including compounded medications and related products.

1. Nature of Telehealth Services

Telehealth involves the delivery of healthcare services using electronic communications, information technology, or other means between a healthcare provider and a patient who are not in the same physical location. ForeverHer's telehealth services may include:

• Asynchronous consultations through secure health questionnaires and intake forms submitted online
• Synchronous (real-time) video or audio consultations with licensed healthcare providers
• Secure messaging between you and your assigned provider for follow-up questions and treatment adjustments
• Review of your medical history, symptoms, photographs, and laboratory results by a licensed provider
• Clinical evaluation, diagnosis, and prescribing of treatments including compounded medications
• Ongoing monitoring and management of your treatment protocol

Telehealth consultations through ForeverHer are not intended to replace your primary care physician. We encourage you to maintain a relationship with your existing healthcare providers and to inform them of any treatments prescribed through our platform.

2. Benefits of Telehealth

Telehealth services may offer the following potential benefits:

• Convenient access to licensed healthcare providers from the privacy of your home
• Reduced travel time and associated costs for in-person visits
• Timely access to specialized providers experienced in anti-aging medicine and women's wellness
• Flexible scheduling that accommodates your lifestyle
• Secure, private consultations through encrypted communication channels
• Streamlined prescription fulfillment and delivery of treatments directly to your door
• Easy access to your medical records and treatment history through our platform

3. Risks and Limitations of Telehealth

As with any form of healthcare, telehealth involves certain risks and limitations that you should be aware of:

• Limited Physical Examination: Your provider cannot perform a hands-on physical examination. This may limit the ability to diagnose certain conditions that require in-person evaluation.
• Technology Failures: Electronic communications may be disrupted by technical failures, including loss of internet connectivity, hardware malfunctions, or software errors, which could delay or interrupt your consultation.
• Information Limitations: Despite best efforts, the information available to your provider through telehealth may not be as complete as during an in-person visit, potentially affecting the quality of the clinical assessment.
• Security Risks: While we employ industry-standard encryption and security measures, electronic communications carry an inherent risk of unauthorized access or interception.
• Delayed Response: For asynchronous consultations, there may be a delay between your submission and your provider's response.
• Not Suitable for Emergencies: Telehealth services are not appropriate for medical emergencies. If you are experiencing a medical emergency, call 911 or go to your nearest emergency room immediately.
• Treatment Limitations: Your provider may determine that your condition is not appropriate for telehealth treatment and may refer you to an in-person healthcare provider.

4. Alternatives to Telehealth

You are not required to use telehealth services. Alternatives include:

• In-person consultation with a primary care physician or specialist in your area
• In-person visit to a clinic that offers anti-aging and wellness treatments
• Consultation with your existing healthcare provider regarding the treatments available through ForeverHer

You may discuss the relative benefits and risks of these alternatives with your ForeverHer provider during your consultation.

5. Your Right to Withdraw Consent

Your participation in telehealth services is entirely voluntary. You have the right to:

• Withdraw your consent and discontinue telehealth services at any time without penalty or loss of other benefits to which you are entitled
• Refuse any specific treatment or medication recommended by your provider
• Request an in-person referral at any point during your care
• Pause or end a consultation at any time if you feel uncomfortable
• Request a different provider if you are not satisfied with your assigned provider

Withdrawal of consent will not affect your ability to receive future healthcare services, whether through ForeverHer or other providers. To withdraw consent, contact us through our website.

6. Technology Requirements

To participate in ForeverHer's telehealth services, you will need:

• A device with internet access (computer, tablet, or smartphone)
• A modern web browser (Chrome, Safari, Firefox, or Edge) updated to the latest version
• For video consultations: a functioning camera and microphone
• A stable internet connection (minimum broadband speed recommended for video consultations)
• A private location where you can communicate openly with your provider without being overheard

You are responsible for ensuring your technology meets these requirements. ForeverHer is not responsible for disruptions in service caused by your equipment or internet connection. If technical difficulties arise during a consultation, your provider will attempt to reconnect or reschedule the appointment at no additional charge.

7. Privacy and Confidentiality

We take the privacy of your health information seriously. Our telehealth platform is designed to comply with the Health Insurance Portability and Accountability Act (HIPAA) and applicable state privacy laws. Specifically:

• All telehealth communications are transmitted using end-to-end encryption
• Your health information is stored on HIPAA-compliant servers with strict access controls
• Only your assigned provider and authorized clinical staff will have access to your consultation records
• We will not share your health information with third parties except as described in our Privacy Policy
• Your provider is bound by professional ethical obligations and state law regarding patient confidentiality

While we implement robust security measures, no electronic communication is completely secure. By consenting to telehealth, you acknowledge this inherent limitation. For full details on how we protect your information, please review our Privacy Policy and Consumer Health Data Privacy Policy.

8. Provider Licensing and Qualifications

All healthcare providers who deliver services through the ForeverHer platform are:

• Licensed physicians (MD or DO) or advanced practice providers (NP or PA) authorized to practice in your state of residence
• Credentialed through our rigorous provider verification process, including license verification, background checks, and clinical competency assessment
• Required to maintain active, unrestricted medical licenses and appropriate malpractice insurance
• Experienced in anti-aging medicine, regenerative wellness, and women's health
• Required to complete ongoing continuing medical education and adhere to evidence-based practice guidelines

Your provider's credentials and state licensure information are available upon request. ForeverHer ensures that all providers comply with the telehealth laws and regulations of the state in which you are located at the time of your consultation.

9. Prescription Policies

Regarding prescriptions issued through ForeverHer's telehealth services:

• Prescriptions are issued only when clinically appropriate based on your provider's professional judgment and your individual health profile
• Your provider may require additional information, lab work, or an in-person examination before prescribing certain treatments
• All compounded medications are prepared by FDA-compliant, state-licensed compounding pharmacies that meet current Good Manufacturing Practice (cGMP) standards
• You are responsible for using prescribed treatments exactly as directed by your provider
• You must inform your provider of all current medications, supplements, and health conditions to avoid potential interactions
• Your provider may modify, adjust, or discontinue your treatment protocol at any time based on clinical assessment
• Refills require periodic clinical review to ensure continued safety and efficacy
• ForeverHer does not prescribe controlled substances through its telehealth platform

10. Emergency Protocols

ForeverHer's telehealth services are designed for non-emergency healthcare needs. Please be aware of the following:

• In case of a medical emergency, call 911 immediately or go to your nearest emergency room. Do not attempt to contact ForeverHer for emergency medical care.
• If you experience an adverse reaction to a prescribed treatment, discontinue use and seek immediate medical attention. Then notify your ForeverHer provider as soon as possible.
• If you experience symptoms such as chest pain, difficulty breathing, severe allergic reaction, signs of stroke, or any other life-threatening condition, call 911 immediately.
• For non-emergency urgent concerns related to your treatment, contact our support team through our website.

11. Recording Policy

Regarding the recording of telehealth consultations:

• ForeverHer does not routinely record video or audio telehealth consultations
• If recording becomes necessary for quality assurance, clinical documentation, or training purposes, you will be notified in advance and your explicit consent will be obtained
• You may not record telehealth consultations without the prior written consent of your healthcare provider
• Your provider will document relevant clinical information from each consultation in your medical record, which you have the right to access
• Any recordings, if made with consent, will be stored securely in compliance with HIPAA and applicable state recording laws

12. Complaints Process

If you have concerns about the quality of care received through ForeverHer's telehealth services, you have several options:

• Contact ForeverHer: Reach our patient advocacy team through our website. We will investigate your concern and respond within five (5) business days.
• State Medical Board: You may file a complaint with the medical board in your state of residence regarding the conduct of your healthcare provider.
• State Attorney General: For concerns about business practices, you may contact your state's Attorney General office.
• HIPAA Complaints: For privacy-related concerns, you may file a complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, at 1-877-696-6775 or online.

ForeverHer will not retaliate against you for filing a complaint or expressing a concern about your care.

13. Acknowledgment and Agreement

By using ForeverHer's telehealth services, you acknowledge and agree that:

• You have read and understand this Informed Consent for Telehealth Services
• You have had the opportunity to ask questions about telehealth and have received satisfactory answers
• You understand the nature, benefits, risks, and limitations of telehealth as described above
• You consent to receive healthcare services through telehealth technology
• You understand that you may withdraw your consent at any time
• You are at least 18 years of age
• You are physically located in a state where your ForeverHer provider is licensed to practice at the time of your consultation
• You will provide accurate and complete health information to your provider