Alloy Health, Inc., and the affiliated healthcare providers delivering services through the telehealth platform, including MD Integrations, Inc. and its provider practices (each, a “Provider”) may provide or arrange for the delivery of healthcare services to you using asynchronous and/or synchronous telehealth technologies (“Telehealth Technology”). If you have questions about use of the Telehealth Technology itself and whether it is appropriate for your condition, the risks associated with using the Telehealth Technology, or the Provider’s credentials and professional background, please ask your Provider. In exchange for your use of the Telehealth Technology to receive care, you acknowledge and agree to the following terms and conditions of this informed consent (this "Telehealth Consent"):

1. Use of Telehealth Technology. You understand and agree that:

   - There are many benefits, but also risks associated with receiving care via Telehealth Technology. Benefits include convenience, increased access, and the ability to receive care in your home. Risks are outlined in Section 2 below.
   - The Provider will decide, in his or her sole discretion, whether it is appropriate to treat your condition using the Telehealth Technology. The Provider may request that you halt receiving care via Telehealth Technology and instead receive in-person care if the Provider deems appropriate.
   - Services provided through Telehealth Technology may include women’s health services, and you expressly agree to receive such services through Telehealth Technology.
   - Services provided through Telehealth Technology may involve electronic communication of your personal medical information to Providers that may be located in other areas, including out of state.
   - Your Provider will protect the privacy and security of any personal medical information transmitted through Telehealth Technology in accordance with federal, state, and other applicable law.
   - You have the right to request copies of your medical records, which may be provided electronically or in hard copy format at reasonable cost of preparation, shipping and delivery.
   - The anticipated response time for electronic communications submitted through the Telehealth Technology varies and you accept any risk associated with the response time, including a delay in obtaining medical care.
   - No warranty or guarantee has been made to you concerning any particular result related to your condition or diagnosis.

2. Risks Associated with Use of Telehealth Technology. You understand that use of the Telehealth Technology has risks associated with it, such as (1) information that you transmit through the Telehealth Technology may be insufficient to allow for appropriate decision-making by the Provider; (2) failures of equipment (e.g., servers, devices) or infrastructure (e.g., communications lines, power supply, software failures) may cause interruptions and delays in the provision of care and treatment, or loss of information; and (3) in rare events, security protocols could fail, causing unauthorized access to your health information. You acknowledge that, although Practice and its telehealth technology vendor strive to prevent unauthorized access to information about you through encryption of information transmitted by the Telehealth Technology and other security measures, Practice and its vendor cannot guarantee that your use of the Telehealth Technology and the information will be private or secure, and you consent to this risk. You understand and consent to the risks associated with your use of the Telehealth Technology.

3. Accuracy of Information Submitted to the Provider. You acknowledge and agree that you are solely responsible for ensuring that the information submitted by you through the Telehealth Technology is accurate, complete and current at all times when you use the Telehealth Technology. You understand that the Provider will rely on this information to provide services to you.

4. Release and Waiver. You acknowledge and agree to limit, disclaim, and release the parties and individuals first named above from liability in connection with the use of Telehealth Technology.

5. Expenses; Financial Agreement. You understand and agree that you are responsible for the cost the professional fees associated with your use of the Telehealth Technology and the cost of any medications or supplies prescribed by the Provider, if applicable. You acknowledge and agree that you accept full financial responsibility for all charges billed and guarantee to pay all such charges. Please note that these services are not billed to your insurance plan and may not be covered by any health plan.

6. Other Legal Terms. This Telehealth Consent cannot be amended by Practice except in writing and with your consent. If any provision is or becomes unenforceable or invalid, the other provisions will continue with the same effect.

7. Right to Revoke. You have the right to withhold or withdraw your consent to the use of Telehealth Technologies in the course of your care at any time, without affecting your right to future care or treatment. You may suspend or terminate access to the services at any time for any reason or for no reason in accordance with this Section 7. You understand that you can revoke this Telehealth Consent by sending written notice using electronic mail to Practice at: support@myalloy.com (“Revocation”). You agree that your Revocation must contain your name and your address. You also understand that your Revocation means that you are not permitted to receive care using Telehealth Technology. Your Revocation will be effective upon Practice’s receipt of your written notice, except that your Revocation will not have any effect on any action taken by the Provider in reliance on this Telehealth Consent before Practice received your written notice of Revocation.

By using the Website, you consent to electronic records, signatures, and communications from Alloy Health, Inc. and its affiliates. Some examples of the types of communications that we may send electronically are included below. We may also use electronic signatures and obtain them from you as part of our transactions with you.

Electronic records may be delivered to you in a variety of ways, including via provision of previously agreed to text within the Website, a retrieval mechanism within the Website, via a mailed paper copy generated for you, and/or as described in any agreements we may have with you from time to time. In some cases, you may be able to choose whether to receive certain communications electronically, or on paper, or both. We will provide you with instructions on how to make those choices when they are available. We may always provide you with any communication in writing via mailed paper copy, even if you have chosen to receive them electronically.

Sometimes the law, or our agreements with you, requires you to give us notices or requests in writing. You must still provide these notices or requests to us on paper, unless we specifically tell you in another communication how you may deliver that notice or request to us electronically.

By law, there are certain communications that we are not permitted to deliver to you electronically, even with your consent, in which case we will continue to deliver those communications to you in writing via mailed paper copy. However, if the law changes in the future and permits any of those communications to be delivered electronically, this consent will automatically cover those communications as well.

**Your option to receive paper copies**. If we provide electronic records to you, and you would like a paper copy, you may contact us to request a paper version. You will find the appropriate contact information in the applicable electronic record. You may have to pay a fee for the paper copy unless charging a fee is prohibited by applicable law.

**Your consent covers all services**. Your consent covers all communications relating to any services. Your consent remains in effect until you provide us with notice that you are withdrawing it.

**You may withdraw your consent at any time; Consequences of withdrawing consent; How to give notice of withdrawal**. You have the right to withdraw your consent at any time. Please be aware, however, that withdrawal of this consent may result in the termination of your access to the services via the Website and your ability to receive services from Alloy. Your withdrawal of consent will become effective after we have had a reasonable opportunity to act upon it. To withdraw this consent, you must contact Alloy at support@myalloy.com.

You must keep your email address current with us. You must promptly notify us of any change in your email address. You may change the email address that we have on record for you by contacting support@myalloy.com or at the user support contact information provided to you in the Website.

**Hardware and software you will need to access Electronic Records**. If electronic records are made available to you, then you must have access to:

- a computer or mobile device with a connection to the Internet;
- the email account associated with your Alloy account; and
- for web-based access, a recent web browser and software to open a PDF document.

You will also need a printer if you wish to print out and retain records on paper, and electronic storage if you wish to retain records in electronic form.

We write really good emails.