Medical Consent

Last Updated: February 10, 2026 (v 1.0.0)

IMPORTANT NOTICE: We are not a replacement for emergency medical services. If you are experiencing a medical emergency, seek emergency medical care immediately in person or dial 911 or your local emergency number.

I. Changes to This Consent

We may change, add, or remove terms in this Medical Consent from time to time as required by law or in response to legal, business, or operational needs. Any updated version will be posted on the Rodeo Meds platform and will become effective upon posting unless otherwise required by applicable law.

II. Telehealth Consent

Telehealth is the delivery of healthcare services using audio, video, and other electronic communications technologies that allow you to receive care when you and your healthcare provider are not in the same physical location.

Electronic systems used in connection with telehealth services are designed to incorporate network and software security protocols to protect the confidentiality of client identification and imaging data and to safeguard such data against intentional or unintentional corruption.

A. Expected Benefits

Improved access to weight management care by enabling you to receive services across distances and between programs
More efficient weight management care, including medical evaluation and ongoing management
Access to the expertise of a distant specialist when appropriate
The ability to maintain continuity with established providers in other areas when available

B. Possible Risks

As with any medical procedure, there are potential risks associated with the use of telehealth for weight management treatment. These risks may include, but are not limited to:

In rare cases, information transmitted may not be sufficient, such as when image quality or audio quality is poor, to allow for appropriate medical decision-making
Delays in medical evaluation or treatment due to deficiencies or failures of equipment, software, or connectivity
In very rare instances, security protocols could fail, causing a breach of privacy of personal medical information
In rare cases, a lack of access to complete medical records may result in adverse drug interactions, allergic reactions, or other judgment errors

C. Your Acknowledgments

By consenting to telehealth, you understand and agree that:

Laws that protect the privacy and confidentiality of medical information also apply to telehealth, and no information obtained in the use of telehealth that identifies you will be disclosed to researchers or other entities without your consent except as permitted or required by law
You have the right to withhold or withdraw your consent to the use of telehealth during the course of your care at any time, without affecting your right to future care or treatment
You have the right to inspect information obtained and documented in the course of a telehealth interaction and may receive copies of this information as permitted by applicable law
A variety of alternative methods of healthcare may be available to you, and you may choose one or more of those alternatives at any time
It is in your best interest to inform your physician or other clinical staff of any other healthcare providers involved in your medical care
While telehealth may provide anticipated benefits, no particular result can be guaranteed or assured

D. Client Consent to the Use of Telehealth

You acknowledge that you have read and understand the information provided regarding telehealth, have had the opportunity to discuss it with your physician or other designated clinical staff, and that your questions have been answered to your satisfaction. By continuing to use the Rodeo Meds platform and services, you provide informed consent for the use of telehealth in connection with your diagnosis and treatment and acknowledge that you have been offered a copy of this consent for your records.

III. HIPAA Consent

The Health Insurance Portability and Accountability Act of 1996 (HIPAA) provides safeguards to protect your privacy. Additional information is available from the U.S. Department of Health and Human Services at www.hhs.gov .

Specifically, HIPAA includes rules and restrictions regarding who may see or be notified of your Protected Health Information (PHI). These restrictions do not prevent the normal exchange of information necessary to provide you with healthcare services. We balance these legal obligations with our goal of providing you with quality professional services and care.

A. Our Policies

Patient information will be kept confidential except as necessary to provide services or to ensure that all administrative matters related to your care are handled appropriately
This may include sharing information with healthcare providers, laboratories, pharmacies, health insurance payers, and service providers as necessary and appropriate for your care, payment, or healthcare operations
Records may be stored and handled in ordinary clinical and administrative workflows, including areas such as reception or examination rooms, subject to reasonable safeguards and access limitations
We may contact you to remind you of appointments or to communicate policy changes, operational updates, or other information relevant to your care by telephone, email, U.S. mail, SMS, or other convenient means permitted by law or requested by you
We work with vendors in the normal course of business who may have access to PHI, and those vendors are required to protect the confidentiality of PHI in accordance with applicable law
Government agencies, accreditation bodies, or insurance payers may inspect our office and review documents, which may include PHI, in the normal performance of their duties where permitted by law
Your confidential information will not be used for marketing or advertising of products, goods, or services except as otherwise permitted by law or with your authorization
We will provide you with access to your records in accordance with applicable state and federal law
We may change, add, delete, or modify these provisions as needed to better serve the needs of the practice and the patient and to comply with applicable law

B. Your Rights and Acknowledgments

You agree to bring any concerns or complaints regarding privacy to the attention of our privacy or compliance contact using the information below
You have the right to request restrictions in the use of your PHI and to request changes to certain office practices concerning your PHI
We are not obligated to alter internal policies to conform to every such request, except as required by applicable law

Your continued use of the services constitutes your understanding and acceptance of the terms described in this HIPAA Consent and any subsequent policy changes, and this consent remains in force unless revoked where revocation is permitted by law.

IV. Financial Consent

You understand and agree that, in order to render services, a credit card or other valid payment method may be kept on file and that any remaining balances for services rendered shall be paid in full.

You authorize Modern Metabolic Medicine, Inc., together with its affiliated professional entities and service providers involved in your care, to submit information and release medical records or other information as necessary to process your consultation, treatment, prescription coordination, payment, or related administrative services. Fee schedules and receipts for professional services are available upon request.

You authorize Modern Metabolic Medicine, Inc. to make invoice adjustments and debit your account for orders placed, goods received, and services rendered that are not fully covered by third-party vouchers, credits, or other applicable adjustments.

You authorize Modern Metabolic Medicine, Inc. to charge your payment method for any unpaid balances due. To the extent applicable to the program you enroll in, you understand that certain programs may automatically renew and may be automatically charged unless you cancel before the next payment is processed. You certify that you are an authorized user of the payment method provided and that you will not improperly dispute valid charges with your payment provider.

V. Shipping Authorization

Prescription medications are dispensed according to applicable state and federal law with the approval of the pharmacist in charge and in compliance with all laws applicable to the relevant medical boards and state boards of pharmacy.

By requesting shipment, you acknowledge and agree that Modern Metabolic Medicine, Inc., Rodeo Meds, affiliated professional entities, and applicable service providers are not responsible for delays, losses, or carrier errors that occur during the shipping process to the extent permitted by law. Medication is considered dispensed and the applicable order is considered completed when it is released for shipping, not when it arrives at the delivery address.

Your continued use of the services constitutes your understanding and acceptance of the above terms and your authorization for medication to be shipped to the address provided in your intake form or to another address that you provide to us where permitted by law.

VI. Contact Information

If you have questions about this Medical Consent, please contact us:

Modern Metabolic Medicine, Inc.
1811 Silverside Road, Suite 260
Wilmington, New Castle County, Delaware 19180
Phone: (844) 357-3601
Email: howdy@rodeomeds.com