REGIONAL HEALTH CENTER
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Telehealth Consent Agreement

1. I hereby authorize Regional Health Center (RHC) to use the telehealth practice platform for telecommunication for evaluating, testing and diagnosing my medical condition.
2. I understand that technical difficulties may occur before or during the telehealth sessions and my appointment cannot be started or ended as intended.
3. I accept that the professionals can contact interactive sessions with video call; however, I am informed that the sessions can be conducted via regular voice communication if the technical requirements such as internet speed cannot be met.
4. I understand that my current insurance may not cover the additional fees of the telehealth practices and I may be responsible for any fee that my insurance company does not cover.
5. I agree that my medical records on telehealth can be kept for further evaluation, analysis and documentation, and in all of these, my information will be kept private.

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RHC TEAM

RHC Health Team is a group of like-minded, healthy-lifestyle-oriented women consistently striving to better ourselves, and do what we can to help others do the same. We foster and encourage positive energy and action in ourselves and others through education and by example; optimizing how to live spiritually, emotionally, and physically healthy lives."

​Tel. 320/321.0166   Fax 320/321.0167


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Telehealth Consent Form | HIPAA Agreement 
Legal Statement | Privacy Policy
  • HOME
  • BOOK NOW
  • Meal Plans
  • Store
    • Supplements >
      • Fullscript
      • Nutridyn
      • Physica Energetics / Aperture Energetics
      • Pet/Animal Supplements >
        • Pet Health Products
    • Products >
      • ROLLGA
      • RHC Apothecary
    • Tests/Scans >
      • 3X4 Genetics | DNA Testing
      • Bioresonance Scan (Hair & Saliva) >
        • Remedy Scan
        • Awareness Scan
        • Prenatal Scan
        • Dietary Scan
        • Balancing Scan
        • Sensitivity Scan
        • Full Scan for Pets
        • Full System Scan
        • RHC Hair and Saliva Analysis
        • FAQ
  • Education
    • Holistic Initiative
    • Kumdo Training
  • Contact
    • Meet Dr. Jen Lourey
    • Contact Us/Hours
    • Social Media
    • Blog