Understanding Telehealth Services with Vision Art Eye Care

Introduction

Telehealth is the delivery of healthcare services using technology when the healthcare provider and patient are not in the same physical location. Providers may include primary care practitioners, specialists, and/or subspecialists. Electronically transmitted information may be used for diagnosis, therapy, follow-up and/or patient education, and may include any of the following:

  • Patient medical records
  • Medical images
  • Interactive audio, video, and/or data communications
  • Output data from medical devices and sound and video files

The interactive 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.

Potential Benefits

  • Improved access to medical care by enabling a patient to remain in his/her location while the Optometrist obtains test results and consults with healthcare practitioners at distant/other sites
  • Obtaining the expertise of a distant specialist

Potential Risks

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

  • 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)
  • The consulting Optometrist is not able to provide medical treatment to the patient through the use of telehealth equipment nor provide for or arrange for any emergency care that I may require
  • Delays in medical evaluation and treatment could occur due to deficiencies or failures of the equipment
  • Security protocols could fail, causing a breach of privacy of personal medical information
  • A lack of access to complete medical records may result in adverse drug interactions or allergic reactions or other medical judgment errors

By consenting, I understand and agree to the following:

  • The laws that protect the privacy and confidentiality of medical information also apply to telehealth. No information obtained during a telehealth encounter which identifies me will be disclosed to researchers or other entities without my consent
  • I have the right to withhold or withdraw my consent to the use of telehealth during my care at any time. I understand that my withdrawal of consent will not affect any future care or treatment, nor will it subject me to the risk of loss or withdrawal of any health benefits to which I am otherwise entitled.
  • I have the right to inspect all information obtained and recorded during a telehealth interaction and may receive copies of this information for a reasonable fee
  • A variety of alternative methods of medical care may be available to me, and I may choose one or more of these at any time. My doctor has explained the alternative care methods to my satisfaction.
  • Telehealth 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 may expect the anticipated benefits from the use of telehealth in my care, but that no results can be guaranteed or assured. My condition may not be cured or improved, and in some cases, may get worse.
  • I understand that billing will occur by my doctor and, in the case of an electronic consultation, can from an additional doctor
  • Patient Consent to Telehealth

    I have read and understand the information provided above regarding telehealth, have discussed it with my doctor or such assistants as may be designated, and all my questions have been answered to my satisfaction. I hereby consent to and authorize Dr. Paula Mintchell to use telehealth in the course of my diagnosis and treatment and I attest that I have been offered a copy of this consent form for my records.

  • Please type your name as acknowledging our Telehealth Policy
  • Date Format: MM slash DD slash YYYY

Office Hours

  • Monday: 9.00 am to 6.00pm
  • Tuesday: 8.00am to 12.00pm
  • Wednesday: By Appointment
  • Thursday: 10.00am to 7.00pm
  • Friday: 9.00am to 6.00pm
  • Saturday: Open twice monthly by appointment

Office Location

1995 Springbrook Square Drive
Ste. 111
Naperville, IL 60564

Office Contact Information

Tel: 630-961-0300
Fax: 630-961-0301
Email: office@visionarteyecare.com
Web: VisionArtEyeCare.com