I agree to participate in Welll Life telehealth services for medical consultation. I understand there are potential risks to this technology, including interruptions, unauthorized access and technical difficulties. I understand that my health care provider or I can discontinue the telemedicine visit if videoconferencing connections are not adequate to complete the visit. I understand that my healthcare information may be shared with other Well for scheduling and billing purposes. The provider is permitted by federal privacy laws to make uses and disclosures of health information for purposes of treatment, payment, and health care operations. Such information may include documenting symptoms, examination, test results, diagnosis, treatment, and applying for future care or treatment.