INFORMED CONSENT

 

Winona, Inc. is a website that connects users to medical professionals for medical consultations relating to certain women’s health issues.  Consultations between patients and medical professionals through technology where the patient and the medical professional are not at the same location are known as telehealth.  They can occur in real-time through video consultations, or through asynchronous means such as submission of questionnaires and online communications.  The purpose of this form is to explain some of the benefits and risks of telehealth and obtain your consent to receiving medical services through telehealth.

Consultations between patients and medical professionals through the Winona Website occur primarily through submission of online questionnaires and online communications.   Consultations will not occur in person or by live video.

Your medical professional will determine, through the information that you share and telehealth, what course of treatment is appropriate for you. 

Telehealth with Winona has many benefits, including:

  • You do not have to leave the privacy of your home to receive a medical consultation or to pick up a prescription.  This can save you time and money and can protect your privacy.

  • It is easier and more efficient to access health care providers online when you need them, rather than waiting weeks and possibly months for an appointment.

  • You can easily receive follow-up consultations from your Winona medical professional from the convenience of your PC or phone.


There are possible risks to using telehealth, though.  There can be disruption in communication between you and your medical professional if the online connection is interrupted for some reason, or you or your medical professional experience technical difficulties. 

While our Website includes security features to protect your information, there is a risk that unauthorized access to your information still can occur.   

It may be more difficult for medical professionals to diagnose you without seeing you in person.  For example, it may be more difficult to perform a physical assessment, to check vitals, and to perform diagnostic tests.

Your medical provider will only treat specific conditions, so you will need to access treatment for other medical conditions using a provider outside of the Winona Website.



Your medical provider does not have access to medical records prepared by your other healthcare providers.  As a result, they do not have access to all of your medical information.  They only have access to the information that you provided through the online questionnaire, through direct communication with the Winona provider, or through the Website.  If all of your medical information is not accurately provided, this could lead to, for example, adverse interactions with other medications that you might be taking.

If you decide that receiving medical treatment through telehealth is not the best fit for you, simply deactivate your Winona account.  Florida law authorizes out-of-state health care practitioners to perform telehealth services for patients in Florida.

Michael Green, M.D. is Winona’s Chief Medical Officer and has an ownership interest in Winona, Inc.  You may choose any pharmacy service to fill prescriptions ordered or requested by Dr. Green.

By accepting below, you confirm that:

1.     You have read, understand, and accept this Informed Consent.

2.     You understand the risks and benefits of the telehealth services offered through the Website, and that you have determined that telehealth is a good choice for you.  You also understand that none of the benefits are guaranteed and that the treatment provided will not necessarily improve any of your medical conditions.

3.     It is your responsibility to provide accurate medical information to your medical professional, and that your medical professional may decide that you need to seek treatment for your medical condition from a different provider.

4.     Your treatment and care provided through the Website is limited to specific women’s health services offered through the Website, and treatment for other conditions is not available.

5.     You give your informed consent to telehealth as an acceptable form of delivering healthcare services to you and that this consent will cover any and all of your telehealth services through the Website.

6.     You may withdraw your informed consent by discontinuing Services through the Website and deactivating your account.

7.     Winona, Inc. and its affiliates are third party beneficiaries of this Informed Consent and have the right to enforce it against you.

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