Telehealth Informed Consent
Effective date: May 2026
By using Luma Health & Wellness ("Luma") telehealth services, you acknowledge that you have read, understood, and consent to the following. You are asked to affirmatively acknowledge this consent during patient onboarding, before care is provided.
Nature of telehealth
Telehealth is the delivery of healthcare using secure electronic communication — including video, audio, secure messaging, and electronic transmission of records, laboratory results, and prescriptions — between you and a licensed healthcare provider who is not physically present with you. Care at Luma is provided by Shirel Toren, FNP-C, a licensed Nurse Practitioner.
Florida and New York service limitation
Luma currently provides telehealth medical services only to eligible patients physically located in Florida or New York at the time of care. You must be physically located in Florida or New York at the time telehealth medical services are provided.
Benefits
- Access to a licensed provider without travel to an office
- More flexible scheduling and follow-up
- Continuity of care through secure messaging
Limitations of remote examination
- A physical examination cannot be performed remotely, which may limit the information available to your provider.
- Some conditions require in-person evaluation, imaging, procedures, or testing that cannot be completed by telehealth.
- Your provider may determine that telehealth is not appropriate for your condition and may recommend in-person care.
Technical failure
Technology can fail. Connections may drop, audio or video quality may degrade, and electronic transmissions may be delayed or interrupted. If a visit is interrupted, your provider will attempt to reconnect or reschedule.
Privacy and security
Luma uses HIPAA-compliant platforms for clinical communication, and your protected health information is handled as described in our Notice of Privacy Practices. No method of electronic transmission is completely secure. Please participate in visits from a private location and do not share your account credentials.
Prescription limitations
A consultation does not guarantee a diagnosis, prescription, or a specific medication. Prescription medications are provided only when clinically appropriate following a medical evaluation. Certain medications cannot be prescribed by telehealth, and availability may depend on pharmacy sourcing and applicable state and federal requirements. Some treatments may involve compounded medications, which are not FDA-approved and are not reviewed by the FDA for safety, effectiveness, or quality.
Your responsibilities
- Provide complete and accurate information about your health history, current medications, allergies, and symptoms.
- Disclose your current physical location at the time of each telehealth encounter.
- Follow your care plan and report side effects or changes in your condition.
- Keep your contact and pharmacy information current.
Emergencies
Telehealth is not appropriate for medical emergencies. If you believe you are experiencing a medical emergency, call 911 or go to the nearest emergency department.
Your rights
- You may ask questions about your care at any time.
- You may withhold or withdraw consent to telehealth at any time, and may discontinue telehealth without affecting your right to future care.
- You may request a referral for in-person evaluation.
- Records of your telehealth encounters are maintained in your medical record in accordance with applicable state and federal law.
Questions
Contact us at Lumahealthwellness@gmail.com or (786) 518-1905.