Medical, Telehealth and Telemedicine Services
By accessing this part of the Site, you are accessing medical services which will be provided via audio, video or live chat capabilities remotely or in your residence (the “Medical Services”) by a licensed health care practitioner (the “Provider”) employed by, and/or under contract with, one or more professional corporations and/or professional limited liability companies incorporated, formed or authorized in one or more states and for which KBS, Inc. provides administrative services (collectively, the “Professional Entities”).
YOU UNDERSTAND THAT YOU MUST BE PHYSICALLY LOCATED IN A STATE WHERE THE PROFESSIONAL ENTITIES CURRENTLY PROVIDES TELEHEALTH VISITS AND YOU REPRESENT, WARRANT AND COVENANT THAT YOU ARE PHYSICALLY LOCATED IN A STATE WHERE THE PROFESSIONAL ENTITIES CURRENTLY PROVIDES TELEHEALTH VISITS. YOU UNDERSTAND, COVENANT AND AGREE THAT IF YOU ARE NOT PHYSICALLY LOCATED IN A STATE WHERE TELEHEALTH VISITS ARE CURRENTLY PROVIDED BY THE PROFESSIONAL ENTITIES, THE PROVIDER MAY DECLINE TO TREAT YOU IN THE TELEHEALTH VISIT.
Telehealth and Telemedicine Risks
In connection with accessing the Medical Services and Telehealth Visits, you acknowledge, understand, consent and agree to the following:
- Telehealth Visits involve the use of electronic communications to enable the Providers at different locations to share individual patient medical information for the purpose of providing the Medical Services and improving patient care.
- A Telehealth Visit is not the same as an in-person direct patient/healthcare provider visit, because you will not be in the same room as the Provider providing the Medical Services.
- You understand that parts of your care and treatment that require physical tests or examinations may be conducted by providers other than the Provider.
- The communications systems used during the Telehealth Visits will incorporate reasonable security protocols to protect the confidentiality of patient information and will include reasonable measures to safeguard the data and to ensure its integrity against intentional or unintentional corruption.
- Nevertheless, you understand that there are potential risks to the use of this technology during the Telehealth Visits, including but not limited to:
1KBS Medical, P.A., a Florida professional service corporation, RJB Medical, P.C., a New York professional service corporation and KBS Medical California, P.C., a California professional corporation.
2The The Professional Entities currently provide Telehealth Visits in the following states: California, Florida, New York, Oregon and Washington.
a. Delays in medical evaluation and consultation or treatment may occur due to deficiencies or failures of the equipment or network interruption;
b. Security protocols could fail, causing a breach of privacy of personal health information;
c. Lack of access to complete medical records may result in adverse drug interactions or allergic reactions or other negative outcomes; and
d. Interruptions, unauthorized access by third parties, and technical difficulties.
6. You are aware that either the Provider or you can discontinue the Telehealth Visit if either believes that the videoconferencing connections are not adequate for the situation.
7.You understand that the Telehealth Visit will not be audio or video recorded at any time, and you agree not to audio or video record the Telehealth Visit.
8.You agree that the Professional Entities may use and disclose your Protected Health Information (as that term is define under HIPAA) in accordance with applicable law and the Notice of Privacy Practices provided to you.
9.You acknowledge that you have the right to request termination of the Medical Services at any time.
10.You agree that you are entering into an agreement with the Professional Entities which shall be a provider of the Medical Services to you, which means, among other things, you are entering into a practitioner-patient relationship with the Provider associated with the Professional Entities that personally performs the Medical Services.
11.You understand and agree that KBS, Inc. is the provider of certain administrative services to the Professional Entities and does not provide professional medical services itself.
12.In connection with the Medical Services and the provision of Telehealth Visits, you consent and agree to the release of your medical records which other treating providers may have.
With respect to Telehealth Visits, a feature of the Medical Services provided by the Professional Entities is that the Provider may prescribe to you the use of Ketamine independently or in connection with mental health therapy and treatment. It is solely within the Provider’s own professional medical judgment whether prescribing you Ketamine is medically appropriate. Initiation of a Telehealth Visit DOES NOT GUARANTEE you will be prescribed Ketamine.
The Professional Entities do not endorse any specific medication, pharmacy, or pharmacologic product. There is no guarantee a prescription will be written by using the Medical Services. If a Provider prescribes a medication such as ketamine, the Provider will limit supply based upon applicable regulations and will only prescribe a medication as determined in the Provider’s own discretion and professional judgment. Providers may also deny care for actual or suspected misuse of the Medical Services for prescriptions.
RISKS AND SIDE EFFECTS OF KETAMINE.
- Ketamine is approved by the U.S. Food and Drug Administration (“FDA”) for anesthesia and for sedation during medical procedures.
- The use of Ketamine for the treatment of depression, anxiety, post-traumatic stress disorder (“PTSD”), obsessive compulsive disorder (“OCD”), or drug or alcohol abuse HAS NOT BEEN EVALUATED AND APPROVED BY THE FDA. When Ketamine is used for these “off-label” purposes listed, Ketamine is typically not the first line therapy and must be carefully considered as compared to other conventional therapies and medications, including, without limitation, selective serotonin reuptake inhibitors (“SSRIs”) and cognitive behavioral therapy.
- Risks of ketamine vary depending on the dose of the oral ketamine. In addition, the duration and intensity of its effects can vary highly from person to person. Below is a non-exhaustive list of common, uncommon, and rare side effects, which is not intended to be a comprehensive list of all possible side effects.
- Out of body experience;
- Vivid dreams and nightmares;
- Change in motor skills;
- Nausea and vomiting;
- Blurred vision;
- Increased saliva production;
- Increased heart rate and blood pressure;
- RISK OF FALLS IF WALKING UNASSISTED.
- Double vision;
- Increased pressure in the eye;
- Jerky arm movements;
- Cognitive issues, including memory problems and
- Verbal processing.
- Cravings for ketamine;
- Dependency on ketamine;
- Abuse or misuse of ketamine.
EVEN MORE SEVERE SIDE EFFECTS, UP TO AND INCLUDING DEATH, ARE POSSIBLE BUT EXTREMELY RARE, SUCH AS IN THE EVENT OF A FATAL ALLERGIC REACTION TO THE MEDICATIONS.
Patients may experience a state of severe agitation, confusion, or become combative, which may cause threat of severe harm or bodily injury to both themselves and those around them. The risk of such a reaction to the Medical Services and the prescription may be reduced by avoiding loud noises and disturbing external stimuli.
In addition, ketamine can cause various emotional and psychological conditions, including but not limited to flashbacks, hallucinations, feelings of unhappiness, restlessness, anxiety, insomnia and disorientation.
Dosing Error and Drug Interactions and Other Risks
Dosing errors or other unknown drug interaction may require emergent medical intervention or hospitalization. In addition, there exists a risk of other medications interacting with ketamine.
You must abstain from any or all illicit substances for a minimum of 6 weeks prior to your ketamine treatment. Additionally, not adhering to the prescribed dosing may result in injury, illness or death.
SEVERE MEDICATION INTERACTIONS ARE POSSIBLE SO PLEASE TELL THE PROVIDER ALL OF THE MEDICATIONS, SUPPLEMENTS AND SUBSTANCES YOU ARE TAKING OR HAVE RECENTLY TAKEN.
It is possible that ketamine may not help your depression, anxiety, PTSD, OCD, or drug or alcohol abuse.
Upon receipt of your prescribed ketamine product, if medically appropriate, you must secure a safe place to store the product out of reach of anyone other than you, the patient for whom it was prescribed.
SAFETY PRECAUTIONS AND PATIENT RULES
As part of the Medical Services, you agree to abide by the following rules and safety precautions:
You will not eat or drink for at least four hours before any ketamine lozenge (oral) session. You will take all of your usual morning medications with a few sips of water before a ketamine lozenge session, EXCEPT for Lamictal, any benzodiazepines, any stimulants, and any sedating drugs including narcotic pain medication.
You will NOT drive a car, operate hazardous equipment, or engage in hazardous activities during Treatment Duration, and for 24 hours after each treatment, as reflexes may be slow or impaired.
You will NOT attempt to walk without the support of a sitter, especially to the bathroom, during the Treatment Duration due to the risk of fall and subsequent bodily injury as you may have impaired balance and motor coordination.
You will NOT conduct business or make any important decisions during the Treatment Duration and the remainder of the day after the Treatment Duration.
You will NOT engage in any sexual activity during Treatment Duration.
You will refrain from alcohol or other substances prior to the treatment and for 24 hours after the Treatment Duration.
You will tell the Provider about all medications you are taking, especially narcotic pain relievers or barbiturates.
If you experience an unexpected or troublesome side effect, you will contact the Provider using your care team portal. If you cannot reach the Provider promptly, you will call your primary care doctor or call 911. If you experience a life-threatening emergency, you will call 911 to seek emergency treatment.
OTHER IMPORTANT INFORMATION
KETAMINE THERAPY ALONE IS NOT A COMPREHENSIVE TREATMENT FOR DEPRESSION, ANXIETY OR ANY PSYCHIATRIC DISEASE, CONDITION, OR SYMPTOM. Ketamine treatment is meant to augment (add on to, not be used in place of) a comprehensive treatment plan.
For best results, you are advised to continue , or begin, weekly or biweekly individual or group psychotherapy while receiving ketamine treatments, and for the duration of your psychiatric symptoms. In addition, it is recommended that you continue treatment with your mental health professionals from whom you regularly seek care, such as an existing therapist, psychologist, or psychiatrist.
Psychiatric illnesses (especially, depression) and addictions carry the risk of suicidal ideation (thoughts of ending one’s life). If you experience suicidal ideation, and if you cannot obtain immediate treatment from a mental health professional, you should seek prompt emergency medical treatment by calling 911 or visiting a local emergency department.
KETAMINE USE DURING PREGNANCY IS NOT RECOMMENDED
Patient Consent to the Use of Telemedicine
You have read and understand the information provided above, and understand the risks and benefits of telemedicine, and by accepting these TOS and the Terms and Conditions, you hereby give your informed consent to participate in a Telehealth Visit under the terms described herein.
You consent to your de-identified data being used for research purposes, as we periodically participate in clinical and scientific research to improve mental health treatment.
Changes to this Agreement
When we make changes, we will revise the “last modified” date at the bottom of this document. We encourage you to review these TOS periodically. Your continued use of Telehealth Visits constitutes your agreement to the changed TOS.
Effective Date: January 12, 2023