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RenuviaRX

Medical Consent

Last Updated: March 2026

IMPORTANT EMERGENCY NOTICE

WE ARE NOT A REPLACEMENT FOR EMERGENCY MEDICAL SERVICES. IF YOU HAVE A MEDICAL EMERGENCY, SEEK EMERGENCY MEDICAL CARE IMMEDIATELY IN-PERSON OR DIAL 911 OR YOUR LOCAL EMERGENCY NUMBER.

These terms may be modified at any time per legal requirements, including additions, removals, or changes based on regulatory, business, or competitive considerations.

Telehealth Informed Consent

What is Telehealth?

Telehealth is the delivery of healthcare services via audio-video technology, including videoconferencing and digital platforms. RenuviaRX provides NAD+ therapy, L-Carnitine injections, Vitamin B12 supplementation, Glutathione therapy, and wellness treatments through telehealth. Telehealth interactions may include:

  • Secure electronic transmission of medical records, images, and personal health information
  • Real-time communication via audio, video, and/or data streams
  • Use of diagnostic data from medical devices, audio recordings, or video files
  • Asynchronous communication through secure messaging platforms

Technology and Security

Our electronic systems incorporate advanced network and software security protocols to protect patient identification and medical data. Multiple safeguards are in place to ensure data integrity in compliance with HIPAA requirements. The technology systems used to provide these Services are equipped with security measures designed to protect the privacy and confidentiality of your health information.

Expected Benefits

Telehealth services through RenuviaRX may provide:

  • Improved geographic access to healthcare regardless of your location
  • Home-based convenience — receive care from the comfort of your home
  • Efficient evaluation and assessment by qualified healthcare providers
  • Access to specialist expertise in NAD+ therapy and wellness treatments
  • Continuity of care with consistent provider communication
  • Personalized treatment planning tailored to your health goals

Potential Risks

You understand and acknowledge that telehealth services carry certain risks, including:

  • Technical limitations may affect image resolution or communication quality
  • Equipment failures or internet connectivity issues may cause delays in care
  • Potential privacy breaches, despite the use of secure systems and HIPAA-compliant technology
  • Incomplete or inaccurate medical records may lead to adverse drug interactions or suboptimal treatment recommendations
  • Limited ability to perform physical examinations, which may limit the provider's understanding of your condition
  • Lack of immediate emergency response capability — telehealth is not a substitute for emergency medical services

Patient Rights and Responsibilities

As a patient using our telehealth services, you have the following rights and responsibilities:

  • All HIPAA privacy protections apply fully to your telehealth interactions, just as they would during an in-person visit
  • You may withdraw your consent to telehealth services at any time without penalty by contacting us at support@renuviarx.com
  • You have access to your medical records and may request copies at any time
  • Alternative care options, including in-person visits with a local provider, are available to you
  • You are expected to communicate openly and honestly with your healthcare provider about your health history, symptoms, and any concerns
  • Results are not guaranteed — treatment outcomes may vary based on individual health factors
  • You must provide accurate, complete, and current medical history information
  • You agree to follow prescribed treatment protocols and report any adverse reactions immediately

HIPAA Privacy Consent

The Health Insurance Portability and Accountability Act (HIPAA) has been in effect since April 14, 2003, establishing Protected Health Information (PHI) safeguards that balance patient privacy with quality care delivery.

Renuvia's Privacy Policies

We are committed to protecting your health information through the following practices:

  • Information confidentiality: All health information is treated as strictly confidential and accessed only by authorized personnel
  • Record management: Medical records are maintained in secure, HIPAA-compliant electronic systems with encryption and access controls
  • Communication preferences: You may opt out of non-essential messages and control how we communicate with you
  • Business associates: All third-party service providers who access your health information are bound by HIPAA-compliant Business Associate Agreements
  • Regulatory compliance: We comply with all applicable federal and state privacy laws and regulations
  • Marketing restrictions: Your health information will never be used for marketing purposes without your explicit written consent

Your Rights Under HIPAA

Under HIPAA, you have the right to:

  • Access and obtain copies of your medical records
  • Request amendments or corrections to your health information
  • File complaints with the U.S. Department of Health and Human Services (HHS) if you believe your privacy rights have been violated
  • Request restrictions on certain uses and disclosures of your health information
  • Receive an accounting of disclosures of your health information
  • Be notified of any changes to our privacy policies and practices
  • Request confidential communications through alternative means or at alternative locations

Financial Consent and Billing Authorization

Payment Terms

By using our Services, you authorize us to charge your payment method on file for:

  • Telehealth consultations and medical assessments
  • Prescribed treatments and medications
  • Shipping and handling fees
  • Any other related services agreed upon during your treatment

Payment is due at the time of service unless otherwise agreed upon in a written arrangement. All fees are non-refundable unless otherwise stated in our refund policy.

Subscription Services

If you enroll in a subscription plan, you understand that your subscription will automatically renew at the end of each billing cycle until you explicitly cancel. You may cancel your subscription at any time through your account settings or by contacting our support team at support@renuviarx.com.

By providing your credit card information, you certify that you are an authorized cardholder. Refund requests are evaluated on a case-by-case basis in accordance with applicable laws and our refund policy.

Prescription and Shipping Authorization

All medications are dispensed in accordance with state and federal law, with licensed pharmacist and healthcare provider approval.

Shipping Terms

By using our Services, you authorize and agree to the following shipping terms:

  • Medications and treatments will be shipped to the verified address on file
  • Delivery is considered complete upon processing for shipment rather than upon physical arrival
  • You accept responsibility for any risks associated with shipping, including delays or damage during transit
  • You agree to receive shipments promptly and to ensure proper storage of medications according to provided instructions
  • Temperature-sensitive medications must be refrigerated upon receipt as directed

All prescriptions are fulfilled by our trusted partner Strive Pharmacy. Address: 1275 E Baseline Rd, Gilbert, AZ 85233, USA | Phone: 480-626-4366 | Email: Info@strivepharmacy.com | Pharmacy License #: 99-9817

Comprehensive Consent Acknowledgment

By continuing to use our Services, you acknowledge that you have:

  • Read and understood all sections of this Medical Consent document
  • Had the opportunity to ask questions and have them answered to your satisfaction
  • Understood your rights and responsibilities as a patient
  • Consented to the use and disclosure of your health information as described herein
  • Understood that you may revoke this consent at any time by providing written notice to support@renuviarx.com
  • Understood that revoking consent does not affect the legality of any actions taken prior to revocation

Contact Information

For questions about this Medical Consent or our Services, please contact:

RenuviaRX Patient Services

Medical Emergencies: Call 911 or visit your nearest emergency room immediately.