Telehealth Consent

Last updated: September 10, 2026

MSB Holdings, Inc. and its affiliates (“MSB Holdings”) provides an electronic platform, technology and software (collectively “Platform”), including Telehealth Services, to connect users to third party medical groups and health care providers (collectively “HCPs”) to enable those providers to evaluate the individual’s medical information for the purpose of providing care and treatment. “Telehealth Services” may include (i) the capability for conducting remote appointments, prescribing, appointment scheduling, health information sharing, and non-clinical services, such as patient education; (ii) images and asynchronous communications; (iii) live two-way audio and video; (iv) interactive audio with store and forward; and (v) output data from medical devices and sound and video files. The information you provide may be used by the HCPs for diagnosis, treatment, follow-up and/or patient education, and may include PHI.

For further information concerning the HCPs’ use and disclosure of PHI, please see the HCPs’ HIPAA Notice of Privacy Practices. Please note that to the extent that you are connecting with HCPs through the Platform that MSB Holdings, Inc. is not a healthcare provider and that by using the web or Telehealth Services available through rugiet.com, you are not entering into a doctor-patient or other health care provider-patient relationship with MSB Holdings.

Telehealth Services have many benefits, including:

You do not have to leave the privacy of your home to receive a medical consultation. This can save you time and money.
It may be easier and more efficient to access health care providers online when you need them, rather than waiting possibly days, weeks or months for an appointment.
You can easily schedule follow-up consultations with your HCP from the convenience of your PC or phone.

There are possible risks to using Telehealth Services, though, including:

It may be more difficult for HCPs to diagnose you without seeing you in person. For example, it may be more difficult for a HCP to perform a physical assessment, to check vitals, and/or to perform diagnostic tests.
In some instances, your HCP may determine that the transmitted information is of inadequate quality, thus necessitating a rescheduled telehealth consult or a meeting with your local primary care provider.
In some instances, a lack of access by your HCP to your complete medical records may result in adverse drug interactions, allergic reactions, or other judgment errors.
There can be delays in evaluation and treatment in the event of a disruption in communication between you and your HCP if the online connection is interrupted for some reason, or if you or your HCP experience technical difficulties.
While our Platform includes security features to protect your information, there is still a risk that unauthorized access to your information can occur. We cannot guarantee that our reasonable security protocols may never fail, and, therefore, in rare instances, using our Platform may result in a breach of privacy of your personal medical information.
Our Platform cannot control the privacy of the environment at the location where you choose to have your telehealth sessions. If someone at your location overhears your exchange with a HCP, or sees a screen where you are communicating with your HCP, your PHI will be disclosed to that person. It is your responsibility to secure your own privacy in the place where you receive services.

Any "Telehealth Services” are in addition to, and not a replacement for, care you receive or received from a local primary care provider and other health care providers on whom you may rely for medical services. Responsibility for your overall medical care should remain with your local primary care provider, if you have one, and we strongly encourage you to locate one if you do not. You may contact the HCPs with follow-up questions with respect to the Telehealth Services and treatment provided by the HCPs. However, if you are experiencing a medical emergency, you should dial 911 or go to your nearest emergency room or urgent care center immediately.

Provider Credentials. Your HCP's name and professional credentials will be made available to you as part of your telehealth visit. If you have questions about your HCP's credentials, please direct them to your HCP.
Your Rights. You have the right to withhold or withdraw your consent to the use of telehealth at any time, without affecting your right to future care or treatment. Alternatives to telehealth, including in-person care with a local health care provider, are available to you. Some parts of your care, such as laboratory testing, may be performed at a testing facility or other location at the direction of your HCP. If any person other than your HCP is present during a consultation, you will be informed of their presence and may ask any non-medical personnel to leave, decline to discuss sensitive information, or end the consultation at any time. You may request a copy of your medical records from your HCP group, subject to applicable law.
Confidentiality and Its Limits. Your HCP may consult with other licensed clinicians regarding your care. Your HCP group may disclose your information without your authorization where permitted or required by law, including, for example, where there is a threat of serious harm to yourself or others, a reasonable suspicion of abuse or neglect, or in response to a court order or subpoena, as further described in your HCP group's Notice of Privacy Practices.
Eligibility. The Telehealth Services are available only to individuals 18 years of age or older. By using the Telehealth Services, you represent that you are at least 18 years old.
State-Specific Disclosures. Certain states require additional disclosures regarding telehealth, including information about how to file a complaint with a state medical board and how your records may be shared with your primary care provider. These disclosures are available at [LINK] and are incorporated into this Consent. Please review the disclosures for the state in which you are located at the time of your telehealth visit.
Provider Group Relationship and Compensation. Price includes a telehealth consultation provided by an independent licensed physician. The health care providers who furnish Telehealth Services through the Platform are affiliated with one or more provider groups, which may include independent provider groups that contract with MSB Holdings and professional corporations owned by or affiliated with Rugiet. MSB Holdings pays HCPs a fixed fee per consultation, as compensation for the professional medical services the HCPs provide. This fee is paid by MSB Holdings to the applicable provider group and is not based on whether you are prescribed any medication, the type or quantity of any medication prescribed, or the volume or value of any products you purchase. The HCPs exercise their own independent professional medical judgment in evaluating you and determining appropriate care.

Lab Results & Multi-Provider Access

The Platform connects you with more than one independent medical group and health care provider (“HCP”). By using the Platform, you understand and consent that any laboratory results obtained as part of your care — whether ordered through Rugiet's designated lab partners or reviewed as part of a Subscription Service — may be made available for review to any HCP furnishing Telehealth Services to you through the Platform. This includes HCPs affiliated with third-party independent medical groups that contract with MSB Holdings (including, without limitation, Open Loop and MD Integrations) and HCPs affiliated with Rugiet-owned professional corporations. Sharing your lab results across these groups allows each treating HCP to have the clinical information needed to evaluate your care, coordinate treatment, and make prescribing decisions consistent with applicable standards of care.
Before your results reach the HCPs described above, they may be generated and processed through one or more third-party laboratory arrangements that Rugiet or your assigned HCP group maintains — which may include Junction (Adept Labs, Inc.) and its contracted CLIA-certified laboratories (such as Quest Diagnostics, Labcorp, or Bioreference Laboratories), or a separate laboratory arrangement maintained directly by your HCP group, depending on your order. Under any of these arrangements, physician orders for testing and review of your test results — including follow-up on any abnormal results — may be performed by a third-party physician group under contract with the applicable laboratory partner or HCP group, in addition to the HCPs described above. These laboratory partners and any associated third-party physician groups are independent of MSB Holdings and of each other, and are separately responsible for complying with applicable federal and state health information privacy laws with respect to your records.
Each HCP group remains a separate provider group as described elsewhere in this Consent, and is independently responsible for complying with applicable federal and state health information privacy laws with respect to your records. If you have questions about which HCPs or groups can view your lab results, contact customercare@rugiet.com before proceeding.

In order to proceed, you must confirm that you have read, understand, and agree to this Consent for Telehealth Services.

By proceeding, I confirm that:

I understand the risks and benefits of the Telehealth Services offered through the Platform. I also understand that none of the benefits of the Telehealth Services are guaranteed and that the treatment provided may not necessarily improve any of my medical conditions.
I understand that Telehealth Services do not replace the overall medical care provided by my local primary care provider. I understand that, in the case of a medical emergency, I should dial 911 or go to the nearest emergency room immediately.
I understand that I am responsible for providing the HCPs with complete, truthful, and accurate information, and I acknowledge that the HCP will rely on the information I provide in the delivery of Telehealth Services to me. I understand that the inaccuracy of any information I provide to the HCP may impact the efficacy of the Telehealth Services. I understand that a HCP will determine whether or not my specific needs are appropriate for a telehealth encounter, and may decide I need to seek treatment from a different provider. I confirm that I am at least 18 years old and that I have had the opportunity to review my HCP's credentials.
I understand that there is a risk of technical failures during the Telehealth Services that may be beyond MSB Holdings’s control. I agree to hold MSB Holdings and the HCPs harmless for any delays in evaluation or for information lost due to such technical failures.
I understand there may be side effects from certain medications prescribed, and that my HCP will specifically address these risks when prescribing such medications. I further understand that I should address such risks directly with my HCP, and there is no guarantee that I will be given any prescription for medication.
I understand that federal and state laws require health care providers to protect the privacy and security of health information. I understand that MSB Holdings and the HCPs will take reasonable and appropriate steps to make sure that my health information is not seen by anyone who should not see it. I understand that telehealth may involve electronic communication of my personal medical information to other health practitioners who may be located in other areas, including other states.
I give my informed consent to Telehealth Services as an acceptable form of delivering health care services to me, and I understand that this consent will cover any and all Telehealth Services provided to me by the HCPs through the MSB Holdings Platform.
I understand that either I or the HCP may discontinue any telehealth encounter in its sole discretion, and that I may withdraw my consent to telehealth at any time without affecting my right to future care or treatment.
I understand that the HCPs who provide Telehealth Services are affiliated with one or more provider groups, which may include independent provider groups that contract with MSB Holdings and professional corporations owned by or affiliated with Rugiet, and that MSB Holdings pays the applicable provider group a fixed fee for each consultation. I understand that this fee compensates the provider group for professional services, that it does not depend on whether I receive a prescription or purchase any product, and that the HCPs exercise independent medical judgment in my care.
I understand and consent that my lab results — and the physician order and results review process associated with them — may involve one or more third-party laboratory partners (which may include Junction (Adept Labs, Inc.) and its contracted laboratories, or a separate laboratory arrangement maintained directly by my HCP group) and a third-party physician group under contract with the applicable laboratory partner or HCP group, and that my lab results may also be made available for review to any HCP furnishing Telehealth Services to me through the Platform, including HCPs affiliated with third-party independent medical groups (such as Open Loop and MD Integrations) and Rugiet-owned professional corporations, as described in the Lab Results & Multi-Provider Access section above.