Vea Health, Inc. Telehealth Informed Consent

Effective Date: May 7, 2026 Last Updated: May 7, 2026

Introduction

Telehealth involves the delivery of healthcare services using electronic communications and information technology between a patient and a licensed healthcare provider who are not in the same physical location. By using Vea Health's Services, you acknowledge and agree to the terms outlined in this Telehealth Informed Consent. You should read this consent in full before signing. If anything is unclear, contact us at team@veahealth.co or (424) 283-6790 before signing, and we will explain.

Who Is Treating You

You are receiving medical services from Dr Telx, PLLC (the "Practice"), an independent professional medical corporation that contracts or employs licensed physicians, nurse practitioners, physician assistants, and other qualified clinicians (collectively, "Clinicians"). The Practice is your healthcare provider. The Practice's clinicians are licensed in the state where you are physically located when you receive services.

Vea Health, Inc. is a separate company that operates the website, the patient platform, payment processing, customer support, and the technology that connects you to the Practice. Vea Health is a management services organization. Vea Health is not your healthcare provider, does not practice medicine, and does not make clinical decisions. Your fee for medical services is paid to the Practice; product fees for medications and supplies are paid to the Practice or to the dispensing pharmacy as applicable. This structure is required in many states by laws prohibiting the corporate practice of medicine and exists to protect the independence of clinical decision-making.

Nature of Telehealth Services

Telehealth services provided through Vea Health are delivered asynchronously (also known as store-and-forward telehealth). You complete an intake questionnaire and provide health information through the platform, and a Clinician reviews your submission and replies through the platform. You and the Clinician are not online at the same moment. All medical decisions are made solely by the Clinician using their independent professional judgment.

By signing this consent, you specifically agree to receive care via asynchronous telehealth. Asynchronous care is a recognized and permitted form of telemedicine in your state when delivered consistent with your state's standard of care; it is not appropriate for emergencies or for conditions that require an in-person physical examination. No prior in-person examination is required for the Clinician to evaluate you and, where clinically appropriate, prescribe medication, except where required by federal or state law.

Not for Emergency Use

Telehealth services provided through Vea Health are not intended for emergency situations. If you are experiencing a medical emergency, call 911 or seek immediate in-person medical care.

The Practice does not treat the following through Vea's platform: medical emergencies (including chest pain, severe shortness of breath, signs of stroke, severe bleeding, severe allergic reactions, severe abdominal pain, suicidal ideation with intent or plan, or overdose); conditions that require physical examination; pediatric care for individuals under the age of 18; acute psychiatric crises requiring inpatient or emergency mental-health services; pregnancy-related complications; or active cancer treatment.

Potential Benefits of Telehealth

Telehealth may provide benefits such as improved access to care, convenience, reduced travel time, and timely medical evaluations. However, benefits are not guaranteed and vary by individual.

Potential Risks and Limitations

You understand that telehealth has limitations, including but not limited to:

The inability to perform a physical examination, palpate, auscultate, or directly observe you in person.

Information you provide may be incomplete, ambiguous, or inaccurate, and that may affect the Clinician's ability to make a sound clinical decision.

Technology can fail. Connections may drop. Messages may be delayed.

Asynchronous care does not provide real-time interaction; the Clinician may not see your message for hours or longer.

The Clinician may decide that telehealth is not appropriate for your situation and refer you to in-person care.

The Clinician may decline to prescribe a treatment you request if the Clinician determines it is not medically necessary or not safe given your circumstances.

Outcomes vary; no medical care guarantees a specific result.

You acknowledge that these limitations may impact diagnosis or treatment recommendations.

No Guarantee of Treatment or Prescription

Use of telehealth services does not guarantee that treatment or prescription medication will be provided. Prescriptions are issued only when a licensed Clinician determines medical necessity based on the information provided.

Compounded Medications and FDA Status

Some of the medications the Practice may prescribe are compounded medications - medications prepared by a licensed compounding pharmacy to meet the specific needs of an individual patient. Compounded medications are different from FDA-approved finished drug products.

Compounded medications are not FDA-approved as finished drug products. The FDA does not review or approve the safety, efficacy, manufacturing, or labeling of an individual compounded preparation in the same way it does an FDA-approved drug. Section 503A of the Federal Food, Drug, and Cosmetic Act (21 U.S.C. § 353a) governs how a state-licensed pharmacist may compound for an individually identified patient; the pharmacy compounds the medication after receiving a valid patient-specific prescription from your Clinician.

Compounded medications may include active ingredients that are also present in FDA-approved finished drug products, but the compounded preparation is not the FDA-approved product. The compounded version may have different excipients, concentration, sterility profile, stability, or bioavailability. The FDA has expressed safety concerns about certain compounded medications. Where the FDA has issued guidance, warnings, or restrictions specific to a compounded medication you are receiving, the Clinician will discuss those concerns with you and document the discussion.

Compounded GLP-1 medications (compounded preparations of semaglutide, tirzepatide, or related glucagon-like peptide-1 receptor agonists) are subject to ongoing FDA scrutiny. By signing this consent, you acknowledge that you have been advised of this regulatory landscape, understand the differences between compounded and FDA-approved versions of these medications, and have considered FDA-approved alternatives.

Section 503A Category 2 substances, including peptides such as BPC-157 and TB-500, are substances that the FDA has identified as potentially presenting significant safety risks. Where the Practice prescribes any such substance, the Clinician will specifically discuss the FDA's posture and the available safety data with you.

The pharmacy that compounds your medication is responsible for the quality of compounding under USP <795> (non-sterile), USP <797> (sterile), and the requirements of its state board of pharmacy. Vea Health contracts only with state-licensed compounding pharmacies that maintain current good compounding practices.

If you do not wish to receive compounded medications, tell the Clinician, and the Clinician will recommend FDA-approved alternatives where they exist and are clinically appropriate.

Off-Label Use

Some prescriptions issued through the Practice may be for off-label use - using a medication for an indication, dose, route, or patient population that is not specifically approved by the FDA. Off-label prescribing is legal and is widely used in modern medicine; the Clinician's professional judgment determines whether off-label use is appropriate for you. The Clinician will explain what is off-label about your prescription and what evidence supports it. You may decline an off-label prescription, and the Clinician will discuss alternatives.

Pharmacy Fulfillment

The Practice partners with state-licensed pharmacies to fulfill your prescriptions, including Foothills Professional Pharmacy, Striker Pharmacy, Emerald Compounding Pharmacy, EPIQ Scripts, and DiRx Health. The Clinician selects the pharmacy based on your prescription, your state's licensing, the pharmacy's capabilities, and clinical considerations.

By signing this consent, you authorize the Practice to share the prescription, your contact and shipping information, and any clinically necessary information with the pharmacy that fulfills your prescription, for the purpose of treatment, payment, and healthcare operations under HIPAA. You authorize the pharmacy to communicate with you about shipping, refills, and questions related to the medication, and to communicate with the Practice as needed for your care. You authorize the Practice to substitute pharmacies where clinically appropriate, provided the substitute pharmacy meets the same licensing and quality standards. The pharmacy maintains its own Notice of Privacy Practices and patient information sheets for each compounded medication; you will receive these materials with your medication.

Patient Responsibilities

You agree to provide accurate, complete, and truthful medical information. Withholding or providing false information may affect your care and may result in denial of treatment. You agree to follow all Clinician instructions and to use prescribed medications only as directed and only for yourself. You agree to update your medical information when it changes, to communicate with the Clinician through the patient portal for clinical matters, to pay charges authorized at the time of service, and to notify the Practice promptly of adverse effects or unexpected outcomes.

Misrepresenting your identity, age, or medical history is grounds for termination of the patient relationship and may be a violation of state and federal law, including healthcare-fraud statutes.

Privacy and Confidentiality

Telehealth services are conducted using secure technologies designed to protect your privacy and confidentiality. Your health information is handled in accordance with applicable privacy laws, including HIPAA. Additional details are available in Vea Health's Privacy Policy, which includes the Practice's Notice of Privacy Practices.

The Practice may communicate with you through the secure patient portal, email, SMS or text messages (transactional only unless you separately consent to marketing), phone, and postal mail. Some channels (especially SMS and standard email) carry inherent risks of interception or unauthorized access; by signing this consent, you accept those risks for the convenience of receiving timely communications. You may at any time request that communications be restricted to the secure patient portal or to another method you specify, by emailing privacy@veahealth.co.

Patient Records

The Practice retains written messages between you and the Clinician, the information you provide at intake, and the prescription record as part of your medical record. The Practice does not record audio or video of your interactions and does not currently offer synchronous video or voice consultations.

Alternatives to Telehealth

You understand that you have the option to seek medical care through in-person visits with healthcare providers outside of Vea Health. Telehealth is voluntary, and you may choose not to participate at any time.

Right to Withdraw Consent

You may withdraw your consent to receive telehealth services at any time by discontinuing use of the Services or by contacting Vea Health support at privacy@veahealth.co. Withdrawal of consent may limit your ability to receive services through the platform but does not affect care already provided or prescriptions already issued. Withdrawal of consent does not waive any obligations you have already incurred and does not require the Practice to refund fees for care already provided.

Continuity of Care and Refills

If the Clinician determines that you should be evaluated by an in-person provider, the Clinician will tell you, recommend the type of provider you should see, and where reasonably feasible provide a summary of your relevant medical record for that provider on your written request. You are responsible for arranging in-person care; the Practice and Vea Health do not maintain in-person clinics.

Many of the treatments the Practice prescribes involve ongoing therapy. Refills are not automatic; they require Clinician review of your status. Follow-up consultations may be required at intervals specified by the Clinician. Subscription orders are coordinated with the refill review process; if the Clinician declines to authorize a refill, your subscription will be paused or terminated and you will not be charged for shipments that do not occur. You may stop refills by canceling your subscription or messaging the Clinician.

Authorization to Share Information

By signing this consent, you authorize the Practice to share your PHI with Vea Health for the platform-operations and administrative-services purposes described in this consent and the Privacy Policy; to share your PHI with the pharmacies that fulfill your prescriptions; and to share your PHI with other healthcare providers at your direction. You authorize Vea Health to communicate with you about your care, account, payment, and (with your separate consent) marketing.

This authorization is for the purposes described and for the duration of your patient relationship plus any retention period required by HIPAA and state medical-records law.

Electronic Signature and Record Retention

You are signing this consent electronically, consistent with the federal Electronic Signatures in Global and National Commerce Act (15 U.S.C. §§ 7001-7006) and applicable state Uniform Electronic Transactions Act law. By clicking "I agree" or another affirmative-acceptance mechanism, you consent to receive this consent and all related records electronically; confirm that you have the technology needed to receive and retain electronic records; and acknowledge that your electronic signature is legally binding and equivalent to a handwritten signature. You may withdraw consent to electronic delivery at any time by emailing privacy@veahealth.co; withdrawal stops further electronic delivery and may require us to deliver records by another method.

The Practice maintains a record of the version of this consent you signed and the date and time you signed. You may request a copy at any time at no charge.

State-Specific Provisions

The body of this consent is designed to satisfy the union of state telehealth-consent requirements as a baseline. Where you are located in a state with specific additional requirements, the following provisions apply.

If you are located in California (Cal. Bus. & Prof. Code § 2290.5), the Clinician will provide their name, license number, and license type; will obtain verbal or written informed consent before initiating telehealth services (your signature on this Consent constitutes written informed consent); and will document the consent in your medical record. You have the right to receive care in-person rather than via telehealth at any time. California law requires special protections for reproductive healthcare services, gender-affirming care, and mental-health services; the Clinician will explain those protections if they apply.

If you are located in Texas (22 Tex. Admin. Code § 174 and applicable Texas Medical Board telemedicine rules), the Clinician must establish a "valid prescription" only after a "defined physician-patient relationship" - typically achieved through a real-time telehealth encounter (or asynchronous encounter where permitted) plus appropriate medical history and review of records.

If you are located in New York (NY Public Health Law § 2999-cc), the Clinician must verify that the patient has the right to receive care via telehealth and document the verification in the medical record. New York has heightened protections for mental health information.

If you are located in Florida (Fla. Stat. § 456.47), the Clinician treating you will be Florida-licensed or a registered telehealth provider. The Clinician's license type and number are available on request.

If you are located in New Jersey (N.J.S.A. § 45:1-61 et seq.), the Clinician must establish a provider-patient relationship prior to providing services.

For patients in any other U.S. state, the Practice's clinicians comply with that state's specific telehealth and informed-consent requirements as a matter of professional licensure.

Consent Acknowledgment

By using Vea Health's Services and signing this consent (clicking "I agree" or another affirmative-acceptance mechanism), you acknowledge that you have read and understand this Telehealth Informed Consent; that you understand the structure of your care, the risks and benefits of telehealth, and the specific issues that apply to compounded medications and off-label use if any apply to your care; that you consent to receive healthcare services via telehealth from the Practice through the Vea Health platform; that you understand that providers determine treatment eligibility independently; that you provide the authorizations described above; and that you consent to electronic signature and electronic delivery of records.

Contact Information

Questions about this consent: contact the Practice through the patient portal or email team@veahealth.co.

To withdraw consent or request your medical record: email privacy@veahealth.co.

Vea Health, Inc. 1111B S Governors Ave STE 92678 Dover, DE 19904 Email: team@veahealth.co Phone: (424) 283-6790

This Consent is issued by Dr Telx, PLLC, the licensed professional medical corporation that delivers your telehealth medical services. Vea Health, Inc. is the management services organization that operates the platform.