What it means to receive care entirely by video and message.

This consent covers the use of telehealth — meaning the use of interactive audio and video, secure messaging, and other electronic communication technology — to deliver clinical services from Mon Élan to you. By beginning intake, you indicate that you have read this consent, understand it, and agree to receive care via telehealth on these terms.

This consent applies to all clinical services Mon Élan provides at launch: physician video visits, peptide therapy, and GLP-1 weight optimization. As additional programs activate, your consent will be re-captured to cover the new clinical scope.

• Initial 45-minute video visit with your prescribing physician within 24–48 hours of enrollment.
• Monthly video check-ins with your physician throughout your membership.
• Unlimited secure messaging with your care team between visits, through your patient portal — never by SMS or unencrypted email.
• Lab review — your physician reviews labs you bring from your PCP or routes an order through a preferred laboratory at your visit.
• Prescription routing — branded GLP-1 medications (Wegovy®, Zepbound®, Mounjaro®) are dispensed by a separately licensed retail/specialty pharmacy partner. 503A compounded peptide protocols are dispensed by a separately licensed 503A compounding pharmacy partner. Mon Élan does not add a markup to medication.
• Patient portal — schedule visits, message your care team, view and upload labs, see your prescription record and protocol.

Video visits use Microsoft Azure Communication Services, a HIPAA-eligible platform under Microsoft's Business Associate Agreement. Connections are encrypted end-to-end with TLS 1.2+ and SRTP for media.

Every Mon Élan provider is a licensed clinician practicing within the scope of their license, in the state in which you reside at the time of consultation. We hold active state licensure for every prescriber-patient encounter — no exceptions.

Your physician's full name, license number, and license state are visible in your patient portal. Texas residents: your provider's Texas Medical Board profile is linked from your portal. If you relocate or travel, notify us before your visit so we can route you to a clinician licensed in your current state of residence.

Mon Élan operates state by state. State availability is checked before any clinical questions in our intake — if we are not yet active in your state, you'll be routed to our waitlist before any clinical data is collected.

• Convenient scheduling — visits from home, around your schedule.
• Continuity of care — the same physician whenever clinically possible, not a rotating panel.
• 45-minute initial visits and unlimited secure messaging — far more provider time per dollar than the typical 15-minute insurance-billed primary-care encounter.
• Documentation continuity — your Unified Patient Record holds your full Mon Élan history and is visible to every clinician on your care team. You don't have to repeat your story.
• No insurance friction — Mon Élan does not bill commercial insurance for clinical services; visits, messaging, and your lab review are all included in your membership.

Telehealth is not a complete substitute for in-person care. By consenting, you acknowledge the following:

• Technical issues. Video sessions may experience audio/video interruptions, connectivity issues, or platform outages. We will reschedule any visit interrupted by technical problems at no additional charge.
• Limited physical examination. A physician cannot physically examine you over video. Some conditions require an in-person exam (or imaging, in-clinic procedures, or specialty testing) for accurate evaluation; in those situations, your physician will refer you to a local provider rather than proceed remotely.
• Information disclosure risk. Despite encryption and access controls, no electronic system is risk-free. Mon Élan implements HIPAA Security Rule technical safeguards (AES-256 at rest, TLS 1.2+ in transit, role-based access controls, audit logging on every PHI access). See our Privacy Notice for the full technical posture.
• Not appropriate for emergencies. Telehealth is not the right setting for medical emergencies, acute psychiatric crises, or conditions requiring rapid in-person intervention.
• Some clinical pictures route to specialty care. If your safety screen indicates active suicidal or homicidal ideation with plan or intent, an attempt in the prior 12 months, active psychosis, or other red-pathway exclusion criteria, outpatient telehealth is not the right setting and Mon Élan completes a warm handoff to 988, an emergency department, or a pre-credentialed specialty partner. We refund any payment in full immediately.
• Patient autonomy and informed refusal. Mon Élan operates a recommend-and-respect model. You retain the right to accept or decline any recommended treatment component (Rx, therapy, dietitian, labs) at any time. When you decline a recommendation, we capture an Informed Refusal acknowledgment; your physician may revisit the conversation when new clinical data warrants.

You always have the right to decline telehealth and seek in-person care from another provider. Alternatives include:

• Your primary-care physician.
• An in-person specialist (endocrinologist, weight-management physician, etc.).
• Local urgent care for acute non-emergency issues.
• The nearest emergency department for emergencies.
• 988 (Suicide & Crisis Lifeline) or 911 for mental health emergencies.

If you choose to leave Mon Élan for in-person care, we provide a full record export at no charge through your patient portal.

Mon Élan does not record video visits by default. Audio/video is transmitted in real time and not stored. The clinical encounter is documented in writing in your Unified Patient Record by your physician.

We may request your separate written authorization to record a specific visit for case review, training, or quality assurance purposes; you can decline without affecting your care. We will never record without your explicit prior consent.

You may not record video visits without your provider's prior written consent. Doing so may compromise the privacy of any information shared by your clinician (their image, voice, etc.) and could violate state recording laws.

Information you share during telehealth visits and through secure messaging becomes part of your protected health information (PHI) and is governed by our Privacy Notice and HIPAA Notice of Privacy Practices. Highlights:

• All PHI is encrypted at rest (AES-256) and in transit (TLS 1.2+).
• Access is role-based via Microsoft Entra ID; clinicians see only their assigned patients; every PHI access is logged.
• We do not sell PHI to advertising or marketing networks. We do not share PHI with advertisers or marketing-attribution services.
• Records are retained for at least 10 years from the date of your last encounter (or longer per state law).

• You have the right to request that a different provider in your state attend any visit. Provider availability constraints may apply.
• You have the right to ask any clinical question of your provider during a visit and to receive the time required to answer it.
• You have the right to refuse any treatment recommendation. We capture Informed Refusal acknowledgments without penalty.
• You have the right to a copy of your record (electronic, within 30 days; 15 business days for Texas residents).
• You have the right to cancel your Mon Élan membership at any time, with no minimum subscription term and no save-call friction.

By beginning Mon Élan intake and proceeding to membership confirmation, you indicate that you have:

• Read and understood this Telehealth Informed Consent.
• Had an opportunity to ask questions about it.
• Are entering into care voluntarily.
• Confirmed your state of residence is one in which Mon Élan is actively practicing.
• Understand that this consent is also captured in writing in your intake record and timestamped, and is re-captured on any material change in your care.

You may withdraw consent for telehealth at any time. To withdraw, send a secure message to your care team, email support@monelan.co, or cancel your membership from the portal. Withdrawal applies prospectively and does not undo any care already delivered.

If you withdraw consent and remain on a clinically active protocol (peptide, GLP-1, etc.), your physician will offer a clinical discontinuation protocol (taper, monitoring, transition-of-care referral) to support a safe handoff. You may decline; we will capture an Informed Refusal acknowledgment with documented risks.