Effective Date: January 01, 2021
Last Updated: February 3, 2021
By clicking next or submitting the consultation form, I certify that:
The terms and conditions are a legal contract between DoctorHelpMySkin.com and you. The terms explain how you are permitted to use the services provided by DoctorHelpMySkin.com, the 'site' (website and mobile applications), its affiliates, and subsidiaries. Unless otherwise specified, all references to DoctorHelpMySkin.com include any software that DoctorHelpMySkin.com provides to you that allows you to access the website form any device including mobile devices. By using this website, you are agreeing to all the terms. If you do not agree with any of these terms, do not access or otherwise use this site or any information contained on the site.
Our 'site' allows 'Medical Providers' (M.D., PA, NP, DO) to communicate with their patients and client to provide health care and medical services online. DoctorHelpMySkin.com is not a medical service provider, a pharmacy, a health insurance provider. Medical advice or prescriptions received on the 'site' are from the 'Medical Providers' alone and not from DoctorHelpMySkin.com. DoctorHelpMySkin.com, its affiliates, and subsidiaries are not liable for any advice, treatment, information obtained from the 'Medical Providers' or the 'site'. The 'Medical Providers', not DoctorHelpMySkin.com, are responsible for following medical guidelines and protocol when they render and deliver medical care to patients. The medical advice or treatment provided by the 'medical providers' on the 'site' is not under the control of DoctorHelpMySkin.com
While the 'site' may provide access to general medical information, and allows 'medical providers' to communicate with patients, DoctorHelpMySkin.com services are not intended to provide medical advice. Patients' communication or interaction with the medical providers on the 'site' is not intended to take the place of the patient's regular medical providers or specialists. To the extent medical advice is provided to you by a 'medical provider' through this 'site', such medical advice is based on your personal health data as provided by you to the 'medical provider' and the standard of care for your presenting symptoms, based on the information you provide.
By using this 'site', you represent, acknowledge and agree that you are at least 18 years of age, or if you are under 18 years of age but are at least 13 years old, that you are using the 'site' with the consent of your parent or legal guardian and have received your parent's or legal guardian's permission to use the site and agree to its Terms. If you are not at least 13 years old, you may not use this site. If you are the parent or legal guardian of a minor, you hereby agree to bind the Minor to these Terms and to fully indemnify and hold DoctorHelpMySkin.com harmless if the Minor breaches any of these Terms.
I understand that telemedicine or telehealth is the use of electronic information and communication technologies by a health care provider to deliver services to an individual when he/she is located at a different site than the provider, and hereby consent to have one of DoctorHelpMySkin.com's healthcare providers provide health care services to me via telemedicine.
I understand that an online medical visit or telemedicine (telehealth) can be a great option for minor medical issues and not ideal for severe or life-threatening illnesses. I understand that treatment offered on DoctorHelpMySkin.com is on the basis of clinical judgment, in the absence of a complete physical examination. I agree to follow up with a doctor for in-person evaluation or seek emergency care if my symptoms worsen or do not improve in a timely manner.
I acknowledge that I have no cognitive impairment and I'm capable of making a sound medical decision.
I understand that I'm engaging in telemedicine (telehealth) consultation and I accept the risk of misdiagnoses.
I hereby consent to and authorize DoctorHelpMySkin.com Medical Providers (which may be a or combination of Medical doctors, Physician Assistants, Nurse Practitioners, and Medical Assistants) to administer and perform medical evaluation and treatment deemed necessary and release DoctorHelpMySkin.com of any legal responsibility. I understand that the Medical Providers that provide advice through DoctorHelpMySkin.com may not be U.S. Board Certified Dermatologists.
I understand that electronic communication technology will be used during online consultation, and such a consultation will not be the same as a direct patient/health care provider visit due to the fact that I will not be in the same room as my health care provider.
I understand there are potential risks to this technology, including interruptions, unauthorized access, and technical difficulties.
I understand that my healthcare information may be shared with DoctorHelpMySkin.com medical team (MDs, PAs, NPs and Medical Assistants) and my pharmacy for the purpose of prescribing appropriate medication. The above-mentioned people will all maintain the confidentiality of the information obtained.
Telemedicine or Telehealth carries the risk of misdiagnosis or delayed diagnosis, which could lead to patients not receiving the proper treatment or even receiving the wrong treatment. I understand these potential risks and willing to proceed with a consultation with DoctorHelpMySkin.com.
Due to the potential risk of misdiagnosis or delayed diagnosis, I understand and agree to seek immediate medical care if my symptoms do not improve within a timely manner (typically within 48 hours).
I understand that the treatment, therapy or recommendations provided by DoctorHelpMySkin.com's medical team is an initial and first-line approach and I agree to follow up with a doctor within the next few weeks for a re-evaluation. I further understand that it is my responsibility to follow all recommendations made by the Medical Providers that provide me advice on the DoctorHelpMySkin.com website.
I understand that the health care provider or I may discontinue the telemedicine (telehealth) consult/visit if it is felt that the electronic communication technology are not adequate for the situation.
I understand that I have the right to withdraw my consent to the use of telemedicine or telehealth at any time in the course of care. As long as the consent is in force, DoctorHelpMySkin.com medical team may provide health care services to me via telemedicine/telehealth without the need to sign another consent form.
I have had the alternatives to a telemedicine or telehealth consultation explained to me, and I'm choosing to participate in a telemedicine or telehealth consultation. I understand that some parts of the exam involving physical tests may be limited due to the fact that I will not be in the same room as my health care provider.
I acknowledge that your healthcare information may be shared with DoctorHelpMySkin.com's staff, its affiliates, and subsidiaries and relevant pharmacy for the purpose of providing appropriate treatment and prescription.
I understand that DoctorHelpMySkin.com. utilizes both synchronized and asynchronized (store and forward) and I have visited www.doctorhelpmyskin.com to familiarize myself with these types of telemedicine practices, and DoctorHelpMySkin.com's scope of practice.
I certify that I am the patient in need of treatment or an adult legal guardian of a minor patient.
I certify that I am the patient in need of treatment or an adult legal guardian of a minor patient.
I understand that the consultation fee paid to DoctorHelpMySkin.com is non-refundable once your prescription is sent to the pharmacy. I understand that my payment to DoctorHelpMySkin.com, consultation fee, does not cover the prescribed medication and I still have to pay the pharmacy for my medications.
I understand that DoctorHelpMySkin.com does not complete prior authorization or any documents required by insurance to cover the medicine.
I certify that the information I have given on the form is complete, accurate and up-to-date to the best of my knowledge. I understand that my failure to provide complete, accurate and truthful information on this form puts me at a harmful risk of misdiagnosis and inappropriate treatment.
I understand that DoctorHelpMySkin.com reserves the right to decline treatment if inaccurate, or incomplete or misleading pieces of information are given.
I hereby acknowledge that providing my personal information to DoctorHelpMySkin.com is voluntary, and is required for administrative use and as a personal identifier for the internal records of this institution.
I understand that DoctorHelpMySkin.com providers may prescribe medications that may not be listed under my insurance drug formulary. I hereby relieve DoctorHelpMySkin.com of the responsibility and limitation of prescribing formulary only drugs.
I understand that most medications aren't acceptable during pregnancy or breastfeeding. I agree to inform DoctorHelpMySkin.com if I am, planning to or suspect that I may be pregnant or breastfeeding.
I understand that I may receive a phone call, email or text communication from DoctorHelpMySkin.com. DoctorHelpMySkin.com does not charge for this service, but standard text messaging rates may apply as provided in your wireless plan (contact your carrier for pricing plans and details).
I hereby acknowledge that there's a risk of adverse reaction associated with taking medication and DoctorHelpMySkin.com is not liable for the side effect, effectiveness or lack thereof of any prescription drug I hereby understand and assume the risk of potential harm if I fail to follow prescription and treatment instructions provided by DoctorHelpMySkin.com's medical team.
I agree to follow DoctorHelpMySkin.com's recommendation to stop any supplements until I know how they interact with medication prescribed by DoctorHelpMySkin.com's medical team.
I understand that meeting DoctorHelpMySkin’s criteria does not confirm a diagnosis of a condition. It only means my symptoms are consistent with the condition and may benefit from an empiric treatment therapy. Only a biopsy, diagnostic test, or imaging can confirm a diagnosis.
Due to the potential risk of misdiagnosis or inadequate treatment associated with online consultation, I understand that the treatment provided by DoctorHelpMySkin.com's medical team is an initial and empiric treatment and I will seek immediate medical attention if my symptoms and condition does not improve or resolve within a timely manner .
Treatment and recommendations received on DoctorHelpMySkin.com by medical providers are not intended to take the place of a regular doctor. To the extent medical treatment is provided to you, such treatment is based on the health data and information provided by you. A follow up with your doctor 2-3 days after this consultation is advised and recommended.
I understand the pharmacy may request my picture ID before dispensing the prescription.
If you are a patient, you acknowledge that your relationship with a medical provider and obtaining health care services is solely at your own risk and you assume full responsibility for all risk associated therewith, to the extent permitted by law. By using the 'site', you agree not to hold DoctorHelpMySkin.com liable in any way for any malpractice or substandard treatment the medical provider may render.
I understand that I am establishing a Provider-Patient relationship via telemedicine and/or telehealth. That I have read or had this form read and/or had this form explained to me, and I fully agree with the contents. That I fully understand and agree with its contents including the risks and benefits of telemedicine. That I have been given ample opportunity to ask questions and that any questions have been answered to your satisfaction.
YOU EXPRESSLY UNDERSTAND AND AGREE THAT TO THE FULLEST EXTENT PERMITTED BY APPLICABLE LAW, YOUR USE OF THE SERVICES, CONTENT, DOCUMENTATION, AND MATERIALS IS AT YOUR SOLE RISK AND THE SERVICES, CONTENT, DOCUMENTATION, AND MATERIALS ARE PROVIDED ON AN “AS IS” AND “AS AVAILABLE” BASIS, WITH ALL FAULTS. THE DOCTORHELPMYSKIN.COM PARTIES EXPRESSLY DISCLAIM ALL WARRANTIES, REPRESENTATIONS, AND CONDITIONS OF ANY KIND, WHETHER EXPRESS OR IMPLIED, INCLUDING, BUT NOT LIMITED TO, THE IMPLIED WARRANTIES OR CONDITIONS OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, NON-INFRINGEMENT, AND WARRANTIES IMPLIED FROM A COURSE OF PERFORMANCE OR COURSE OF DEALING.
THE DOCTORHELPMYSKIN.COM PARTIES MAKE NO WARRANTY, REPRESENTATION OR CONDITION THAT: (I) THE SERVICES WILL BE UNINTERRUPTED, TIMELY, OR ERROR-FREE; (II) THAT THE APPLICATION WILL BE SECURE, PROVIDED THAT DOCTORHELPMYSKIN.COM USES COMMERCIALLY REASONABLE EFFORTS TO SECURE THE APPLICATION AND MATERIALLY COMPLIES WITH ITS PRIVACY AND SECURITY OBLIGATIONS PURSUANT TO APPLICABLE LAWS, INCLUDING HIPAA; (III) ANY ERRORS IN THE SERVICES WILL BE CORRECTED; OR (IV) THAT YOUR USE OF THE SERVICES, CONTENT, DOCUMENTATION, OR MATERIALS WILL NOT RESULT IN THE LOSS OF, OR DAMAGE TO, YOUR RECORDS, ANY OTHER INFORMATION, YOUR DEVICES, OR ANY OTHER EQUIPMENT YOU USE TO ACCESS THE SERVICES, CONTENT, DOCUMENTATION, OR MATERIALS. THE SERVICES MAY BE SUBJECT TO DELAYS, CANCELLATIONS, AND OTHER DISRUPTIONS. THE DOCTORHELPMYSKIN.COM PARTIES ASSUME NO RESPONSIBILITY FOR THE TIMELINESS, DELETION, MIS-DELIVERY OR FAILURE TO STORE YOUR RECORDS OR OTHER INFORMATION THROUGH THE SERVICES.
While DOCTORHELPMYSKIN.COM intends that the data submitted by the medical devices that you use in connection with the DoctorHelpMySkin.com patient communication platform is accurate, complete, and reliable, you agree and understand that such data is provided by third-parties over which DOCTORHELPMYSKIN.COM has no control. ACCORDINGLY, DOCTORHELPMYSKIN.COM MAKES NO WARRANTIES OR REPRESENTATIONS AS TO THE ACCURACY, TIMELINESS OR COMPLETENESS OF SUCH DATA OR THAT SUCH DATA WILL MEET YOUR REQUIREMENTS OR THAT OF YOUR PARTICIPATING MEDICAL PROVIDER.
YOU AGREE AND UNDERSTAND THAT YOUR USE, ACCESS, DOWNLOAD, OR OTHERWISE OBTAINING INFORMATION OR DATA FROM THE MEDICAL DEVICES IS AT YOUR OWN DISCRETION AND RISK AND THAT YOU WILL LOOK SOLELY TO ANY REPRESENTATION, WARRANTIES, AND COVENANTS MADE BY THE MANUFACTURER OF SUCH MEDICAL DEVICE TO YOU IN THE EVENT SUCH MEDICAL DEVICE MALFUNCTIONS OR OTHERWISE CAUSES ANY DAMAGE TO YOU, YOUR DATA, OR ANY OF YOUR DEVICES. ANY TERMS, CONDITIONS, WARRANTIES, OR REPRESENTATIONS ASSOCIATED WITH SUCH MEDICAL DEVICE ARE SOLELY BETWEEN YOU AND SUCH MEDICAL DEVICE MANUFACTURER.
NO ADVICE OR INFORMATION, WHETHER ORAL OR WRITTEN, OBTAINED BY YOU FROM THE DOCTORHELPMYSKIN.COM PARTIES OR THROUGH OR FROM THE SERVICES, CONTENT, DOCUMENTATION, OR MATERIALS WILL CREATE ANY WARRANTY OF ANY KIND. DOCTORHELPMYSKIN.COM DISCLAIMS ANY AND ALL LABILITY FOR THE ACTS, OMISSIONS, AND CONDUCT OF ANY THIRD PARTIES IN CONNECTION WITH OR RELATED TO YOUR USE OF THE SERVICES, CONTENT, DOCUMENTATION, OR MATERIALS.
YOUR SOLE REMEDY AGAINST DOCTORHELPMYSKIN.COM FOR DISSATISFACTION WITH THE SERVICES, CONTENT, DOCUMENTATION, OR MATERIALS IS TO STOP USING THE SERVICES, CONTENT, DOCUMENTATION, AND MATERIALS. THIS LIMITATION OF RELIEF IS A PART OF THE BARGAIN BETWEEN YOU AND DOCTORHELPMYSKIN.COM.
IN CERTAIN JURISDICTIONS, THE LAW MAY NOT PERMIT OR MAY LIMIT THE DISCLAIMER OF WARRANTIES, SO THE ABOVE DISCLAIMER MAY NOT APPLY TO YOU AND MAY BE LIMITED IN ITS APPLICATION. Termination of your access or use will not waive or affect any other right or relief to which DOCTORHELPMYSKIN.COM may be entitled at law or in equity.
EXCEPT WHERE PROHIBITED BY LAW, IN NO EVENT WILL THE DOCTORHELPMYSKIN.COM PARTIES BE LIABLE TO YOU OR TO ANY OF YOUR AGENTS FOR ANY INDIRECT, INCIDENTAL, SPECIAL, EXEMPLARY, CONSEQUENTIAL, PUNITIVE, OR OTHER DAMAGES INCLUDING, WITHOUT LIMITATION, ANY DAMAGES RESULTING FROM LOSS OF USE, DATA, GOODWILL, REPUTATION, FAILURE TO PROVIDE NOTICE OR ALERT, OR OPPORTUNITIES, WHETHER OR NOT THE DOCTORHELPMYSKIN.COM PARTIES HAVE BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES, OR FOR ANY DAMAGES FOR PERSONAL OR BODILY INJURY OR EMOTIONAL DISTRESS ARISING OUT OF OR IN CONNECTION WITH THESE TERMS OR THE SERVICES, ON ANY THEORY OF LIABILITY (WHETHER SUCH LIABILITY IS BASED ON CONTRACT, TORT, NEGLIGENCE OR ANY OTHER CAUSE OF ACTION, INCLUDING THE FAILURE OF ESSENTIAL PURPOSES), RESULTING FROM: (1) THE USE OR INABILITY TO USE THE SERVICES, CONTENT, DOCUMENTATION, OR MATERIALS; (2) ANY OTHER SITE YOU ACCESS THROUGH A LINK ON THE SERVICES, CONTENT, DOCUMENTATION, OR MATERIALS; (3) ANY DEFAMATORY, OFFENSIVE, OR ILLEGAL CONDUCT OF ANY USE OF THE SERVICES.
If, notwithstanding the other provisions of these Terms, DOCTORHELPMYSKIN.COM is found to be liable to you for any damage or loss which arises out of or is in any way connected with your use of the Application or these Terms, DOCTORHELPMYSKIN.COM’S LIABILITY WILL IN NO EVENT EXCEED $10,000. Some jurisdictions do not allow limitations of liability, so the foregoing limitation may not apply to you.
THE LIMITATIONS OF DAMAGES SET FORTH ABOVE ARE FUNDAMENTAL ELEMENTS OF THE BASIS OF THE BARGAIN BETWEEN DOCTORHELPMYSKIN.COM AND YOU.
The communications between you and DOCTORHELPMYSKIN.COM use electronic means. You (a) consent to receive communications from DOCTORHELPMYSKIN.COM in an electronic form; and (b) agree that all terms and conditions, agreements, notices, disclosures, and other communications that DOCTORHELPMYSKIN.COM provides to you electronically satisfy any legal requirement that such communications would satisfy if it were to be in writing. The foregoing does not affect any statutory rights you may have.
These Terms, and your rights and obligations hereunder, may not be assigned, subcontracted, delegated, or otherwise transferred by you without DOCTORHELPMYSKIN.COM’s prior written consent, which may be withheld at DOCTORHELPMYSKIN.COM’s sole discretion, and any attempted assignment, subcontract, delegation, or transfer in violation of the foregoing will be null and void. DOCTORHELPMYSKIN.COM may assign, subcontract, delegate, or otherwise transfer or sublicense any rights (including license rights) granted to DOCTORHELPMYSKIN.COM hereto.
DOCTORHELPMYSKIN.COM will not be liable for any delay or failure to perform resulting from causes outside its reasonable control, including, but not limited to, acts of God, war, terrorism, riots, embargos, acts of civil or military authorities, fire, floods, accidents, strikes or shortages of transportation facilities, fuel, energy, labor, materials, or changes in regulations.
YOU AND DOCTORHELPMYSKIN.COM AGREE THAT ANY CAUSE OF ACTION ARISING OUT OF OR RELATED TO THESE TERMSMUST COMMENCE WITHIN ONE (1) YEAR AFTER THE CAUSE OF ACTION ACCRUES. OTHERWISE, SUCH CAUSE OF ACTION IS PERMANENTLY BARRED.
The parties hereto are independent contractors and nothing in these Terms is to imply an agency, joint venture, partnership, or fiduciary relationship between such parties.
DOCTORHELPMYSKIN.COM may provide notice to you by e-mail to the most recent e-mail address on file with DOCTORHELPMYSKIN.COM. Where DOCTORHELPMYSKIN.COM requires that you provide an e-mail address, you are responsible for providing DOCTORHELPMYSKIN.COM with your most current e-mail address. In the event that the last e-mail address you provided to DOCTORHELPMYSKIN.COM is not valid, or for any reason is not capable of delivering to you any notices required or permitted by these Terms, DOCTORHELPMYSKIN.COM’s dispatch of the e-mail containing such notice will nonetheless constitute effective notice. You may give notice to DOCTORHELPMYSKIN.COM at the mailing address set forth in Section 1. Such notice will be deemed given when received by DOCTORHELPMYSKIN.COM by letter delivered by a nationally recognized overnight delivery service or first class postage prepaid mail with receipt confirmation.
A printed version of these Terms will be admissible in judicial or administrative proceedings based on or relating to use of the Services or these Terms to the same extent and subject to the same conditions as other business documents and records originally generated and maintained in printed form.
Any waiver or failure to enforce any provision of these Terms on one occasion will not be deemed a waiver of any other provision or of such provision on any other occasion.
If any provision of these Terms is, for any reason, held to be invalid or unenforceable, the other provisions of these Terms will remain enforceable, and the invalid or unenforceable provision will be deemed modified so that it is valid and enforceable to the maximum extent permitted by law.
Termination or expiration of these Terms for any reasons will not release either party hereto from any liabilities or obligations set forth in these Terms which remain to be performed or by their nature would be intended to be applicable following any such termination or expiration.
You may not use, export, import, or transfer the Services, Content, Documentation, or Materials except as authorized by U.S. law, the laws of the jurisdiction in which you obtained the Services, Content, Documentation, or Materials, and any other applicable laws. In particular, but without limitation, the Services, Content, Documentation, and Materials may not be exported or re-exported (a) into any United States embargoed countries; or (b) to anyone on the U.S. Treasury Department’s list of Specially Designated Nationals or the U.S. Department of Commerce’s Denied Person’s List or Entity List. By using the Application, you represent and warrant that (i) you are not located in a country that is subject to a U.S. Government embargo, or that has been designated by the U.S. Government as a “terrorist supporting” country and (ii) you are not listed on any U.S. Government list of prohibited or restricted parties. You also will not use the Application for any purpose prohibited by U.S. law, including the development, design, manufacture or production of missiles, nuclear, chemical or biological weapons. You acknowledge and agree that products, services or technology provided by DOCTORHELPMYSKIN.COM may be subject to the export control laws and regulations of the United States. To the extent applicable, you will comply with these laws and regulations and will not, without prior U.S. government authorization, export, re-export, or transfer DOCTORHELPMYSKIN.COM products, services or technology, either directly or indirectly, to any country in violation of such laws and regulations.
Capitalized terms defined in the singular include the plural and vice versa. The word “any” means “any and all.” The Section headings appearing in these Terms are inserted for convenience only and in no way define, limit, construe, or describe the scope or extent of such Section or in any way affect such Section. The words “herein,” “hereof,” “hereunder,” and other words of similar import refer to these Terms as a whole and not to any particular Section or other subdivision.
You may contact us via email (email@example.com) or phone 18595232735 with questions or concerns.