Telehealth Informed Consent

This document provides important information about telehealth services offered through the TrimDoctor platform, operated by Peak Asset Performance LLC ("TrimDoctor," "we," "us," or "our"). Please read this document carefully and ensure you understand it before consenting to telehealth services.

I. What Is Telehealth?

Telehealth is the delivery of healthcare services using electronic communications technology when the patient and healthcare provider are not in the same physical location. TrimDoctor uses asynchronous (store-and-forward) telehealth as the primary modality and may also use synchronous (real-time video or audio) consultations when clinically appropriate.

II. How TrimDoctor Telehealth Works

The TrimDoctor telehealth process involves the following steps:

• Online Assessment — You complete a comprehensive health questionnaire through our secure platform
• Physician Review — A licensed healthcare provider reviews your assessment within 24–48 hours
• Eligibility Determination — Your provider determines whether GLP-1 therapy is appropriate for you based on your health profile
• Prescription to Pharmacy — If approved, your prescription is sent to a licensed compounding pharmacy for fulfillment
• Ongoing Care — You communicate with your care team through secure portal messaging
• Monthly Check-Ins — Regular check-ins to monitor progress and adjust dosage as needed

III. Benefits of Telehealth

Telehealth services through TrimDoctor offer the following benefits:

• No office visits or waiting rooms required
• Reduced wait times for physician access
• Privacy and comfort of receiving care from home
• 24/7 secure messaging with your care team
• Digital progress tracking through the patient portal

IV. Limitations and Risks

You should be aware of the following limitations and potential risks of telehealth:

• No physical examination — Your provider cannot perform a hands-on physical exam, which may limit their ability to diagnose certain conditions
• Reliance on patient-provided information — The accuracy of your diagnosis and treatment depends on the information you provide
• Technical difficulties — Internet connectivity issues, device malfunctions, or platform outages may interrupt or delay your care
• In-person referral — Your provider may determine that an in-person evaluation with a local healthcare provider is necessary
• Security risks — While we employ end-to-end encryption and HIPAA-compliant infrastructure, electronic communication carries inherent security risks
• Not for emergencies — Telehealth services are not designed for emergency medical situations

V. Emergency Situations

Seek immediate emergency medical attention if you experience any of the following:

• Severe abdominal pain that does not subside
• Difficulty breathing or swallowing
• Severe allergic reaction (hives, swelling of face/throat, difficulty breathing)
• Signs of thyroid tumors (lump or swelling in the neck, difficulty swallowing, hoarseness, shortness of breath)
• Severe dehydration (persistent vomiting, inability to keep fluids down, dizziness)
• Suicidal thoughts or self-harm ideation

VI. Provider Qualifications

All healthcare providers who deliver care through the TrimDoctor platform meet the following qualifications:

• Licensed in the state where you reside
• Board-certified in their specialty (including internal medicine, family medicine, obesity medicine, and/or endocrinology)
• Credentialed through our partner physician network, OpenLoop Health
• Subject to ongoing monitoring and verification through CareValidate

VII. Privacy and Security

TrimDoctor is committed to protecting the privacy and security of your health information during telehealth encounters:

• All communications are HIPAA-compliant
• End-to-end encryption for data in transit
• HIPAA-compliant cloud infrastructure (AWS)
• Role-based access controls
• Comprehensive audit logging of all PHI access
• Business Associate Agreements (BAAs) with all vendors

For complete details, please refer to our Privacy Policy and HIPAA Notice of Privacy Practices.

VIII. State-Specific Information

Telehealth regulations vary by state. By using TrimDoctor, you confirm the following:

• You are located in a state where TrimDoctor services are available
• Your treating provider is licensed in the state where you are physically located at the time of your consultation
• You understand that certain telehealth services may not be available in all states due to regulatory restrictions

IX. Your Consent

By proceeding with TrimDoctor telehealth services, you confirm that:

• You have read and understand this Telehealth Informed Consent document
• You understand the benefits, limitations, and risks of receiving healthcare via telehealth
• You voluntarily consent to receive healthcare services via telehealth through the TrimDoctor platform
• You may withdraw your consent at any time by canceling your subscription
• You understand that telehealth is not a substitute for emergency medical care