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CONSENT TO TELEHEALTH


LEMONAID CONSENT TO TELEHEALTH

Last updated: August 1st, 2022

Make sure you read all the important information below because we cover:

 * How our medical team consists of doctors and nurse practitioners.

 * How many states require you to do a video consultation or have a telephone
   call with one of our doctors or nurse practitioners.

 * When our duty of care begins.

 * The benefits and risks of using our service.

 * The importance of reading all the information we provide.

 * The importance of answering all questions fully and truthfully.

 * The risks of accepting our treatment plan.

 * The risks to electronic health information.

 * Important information about COVID-19 antibody testing.

Only use our service if you've read this information and subsequently made an
informed decision that our service is right for you. If you have any questions,
please send us a message through the App or Website or call us at 888-536-2267.

BACKGROUND INFORMATION

Lemonaid Health is an online doctor's office. We have four medical groups. All
four medical groups do business as 'Lemonaid Health'. In all states other than
Kansas, New Jersey and Texas, this service is provided by LMND Medical Group,
Inc., registered in California. If you are in Kansas this service is provided by
LMND Medical Group, A Professional Association, registered in Kansas. If you are
in New Jersey this service is proved by LMND Medical Group Professional
Corporation. If you are in Texas this service is provided by LMND Medical Group,
A Professional Association, registered in Texas.

Our medical team is made up of doctors and nurse practitioners. Whenever we use
the term 'doctor' we mean both our doctors and nurse practitioners.

Some states require you to do a video consultation or to have a telephone call
with our medical team. For some services we always do a video consultation or
telephone call because we think that's required for us to provide you with good
medical care.

We are an online doctor's office and not a pharmacy. If you request that your
medicines be delivered to you in the mail, we'll arrange for Lemonaid Pharmacy
LLC or an independent pharmacy to mail your medicines. If you do want us to send
your prescription to a local pharmacy in your area, please message or call us
and we will do so at no extra charge. We do not send prescriptions to pharmacies
based outside the US.

NOT FOR EMERGENCIES

I understand that I should never use Lemonaid in a medical or psychiatric
emergency. I understand that in an emergency, I should dial 911 or go to an
emergency department.

WHEN OUR DUTY OF CARE BEGINS

I understand that the doctor or nurse practitioner will take responsibility for
my care only after I have created an account, answered all the required health
questions and provided a photo and/or have had a video visit and made payment,
and the doctor or nurse practitioner has subsequently reviewed my request for
treatment and the health questions that I have completed and any photos and/or
information received from a video visit, reviewed all my information, and then
subsequently determined that I am a good candidate for the telehealth services.
I understand that the duty of care does not begin at the point of me answering
questions or making payment or starting a video visit but at the point at which
the doctor or nurse practitioner accepts the duty of care.

In the case of lab tests, the duty of care is restricted exclusively to the act
of ordering and interpreting specific lab tests and only occurs when the doctor
or nurse practitioner has ordered the lab test. The duty of care does not extend
to your wider health, even if you have told the doctor or nurse practitioner
information about your health as part of our intake questionnaire.

I understand that the doctor or nurse practitioner has the right to refuse to
take responsibility for my care if the doctor or nurse practitioner makes a
professional judgment that I am not a good candidate for this service. I
understand that making a request for treatment (by completing a visit in the App
or Website and making payment or by starting a video visit) or requesting a lab
test or sending a message through the app does not in and of itself create a
duty of care or create a doctor-patient relationship.

I understand that there may be a delay of a number of days before a doctor or
nurse practitioner reviews my request for treatment or a lab test and any
messages I send.

I understand that the only content in the App or Website that constitutes
professional medical advice is the personalized messages the doctor or nurse
practitioner sends me (once I have completed the health questions and made
payment, and the doctor or nurse practitioner has subsequently taken
responsibility for my care) and any content that the doctor or nurse
practitioner links to in such messages and advice that a doctor or nurse
practitioner provides in a video or telephone consultation. No other content in
the App or Website constitutes professional medical advice. Specifically the
information provided in our health questions about who we can and cannot treat
does not constitute professional medical advice.

I understand that all other content in the App or Website does not constitute
professional medical advice and is instead for information purposes only. Never
disregard professional medical advice or delay in seeking it because of
something you have read on our App or Website.

BENEFITS AND RISKS OF USING OUR SERVICE

I understand that by using the service I'm seeking care that's convenient and
affordable.

I understand that important differences exist between Lemonaid's model of care
and traditional healthcare. Specifically by using Lemonaid I accept a greater
responsibility to read and understand information throughout the App and Website
about the limitations of Lemonaid's model of care, the risks of seeking care
this way, and the risks and benefits of a proposed treatment plan.

I understand that I must read and understand the Consent to Telehealth, the
Terms of Use, the Privacy Policy, the FAQs, the information provided about a
service before I answer health questions, the information provided in the health
questions themselves, messages I receive from Lemonaid, and, very importantly,
content provided via links in the message that the doctor or nurse practitioner
sends me after the doctor or nurse practitioner has reviewed all my information
and recommended a treatment plan and, when appropriate, prescribed a medicine.

I understand that to read important information I may need to both click on
links and various titles to expand the information that's visible below, and
that without clicking on links and titles I will not be able to read important
information that enables me to give my informed consent to a treatment.

I understand that by using Lemonaid I accept the responsibility to provide full
and truthful answers to all questions and, when requested, to provide unaltered
photos of me that are taken at the time of using our service.

I understand that the doctor or nurse practitioner is unable independently to
verify the information and photos I provide and that the doctor or nurse
practitioner will make a professional judgment based on the information and
photos I provide.

I understand that I won't receive any other medical services that go beyond the
diagnosis and treatment of acne, birth control, the diagnosis and treatment of a
possible UTI, the diagnosis and treatment of male pattern baldness, the
diagnosis and treatment of erectile dysfunction, the diagnosis and treatment of
acute bacterial sinus infection, the diagnosis and treatment of acid reflux and
the diagnosis and treatment of flu, the diagnosis and treatment of high
cholesterol, the diagnosis and treatment of recurrent cold sores, the diagnosis
of chlamydia and gonorrhea and the treatment of chlamydia, the diagnosis and
treatment of hypothyroidism, the diagnosis and treatment of depression, the
diagnosis and treatment of anxiety, the diagnosis and treatment of recurrent
genital herpes, A1C blood sugar testing and blood type testing, treatment of
migraines, stop smoking treatments, lab testing for COVID-19 antibodies, and
other treatments and advice that the doctor or nurse practitioner thinks is
appropriate to give online.

I understand that by using the service for a telemedical consultation, I won't
have an in person consultation and in person physical exam that might identify a
medical condition that needs further investigation or immediate treatment.

I understand that by using the service I won't necessarily speak or message with
a doctor or nurse practitioner in real time.

I understand that I must check the App or Website for messages because this is
the way that the doctor or nurse practitioner will communicate important
information to me. I understand that if I don't check the App or Website
regularly, then my care may be delayed.

I understand that if I have any questions relating to my care that aren't
urgent, I can message the doctor or nurse practitioner through the App or
Website. I understand that the doctor or nurse practitioner may not review and
respond to my messages until the next business day.

IMPORTANCE OF READING ALL THE INFORMATION WE PROVIDE

I understand that Lemonaid will provide detailed information in the App and
Website to help me make an informed decision about whether to accept a proposed
treatment plan. The most important information about a treatment plan is in the
link that the doctor or nurse practitioner will send me when the doctor or nurse
practitioner prescribes a treatment. This information includes detailed
information to help me decide if the benefits of the treatment plan outweigh the
risks, given the alternative options available to me, which includes the option
of not taking any treatment.

I understand the importance of reading the information the doctor or nurse
practitioner provides about adverse events, including the signs and symptoms of
serious side effects and common side effects from taking a medicine, as this
will ensure that I seek appropriate medical attention in a timely manner.

I understand that Lemonaid will provide detailed information about COVID-19
antibody testing to help me make an informed decision about whether the test is
right for me.

IMPORTANCE OF ANSWERING ALL QUESTIONS FULLY AND TRUTHFULLY

I understand that by using Lemonaid I seek to enter into a relationship where
the doctor or nurse practitioner relies exclusively upon information and photos
that I provide to decide whether or not treatment is safe and appropriate.

I understand that the doctor or nurse practitioner has no way of verifying the
information and photos that I provide and that the doctor or nurse practitioner
will consider information to be accurate, true and complete, including my age,
gender and all my answers to health questions, and the photos to be of me, taken
at the time of me using the service, and unaltered.

I understand that if I provide information that isn't true and complete, then
I'll be at greater risk of adverse events from any treatment that the doctor or
nurse practitioner prescribes and I may take a treatment that isn't necessary,
appropriate, or safe.

I understand that if I provide photos that are altered, not of me or not taken
at the time of me using the service, then I'll be at greater risk of adverse
events from any treatment that the doctor or nurse practitioner prescribes and I
may take a treatment that isn't necessary, appropriate, or safe.

I understand that even if I provide information that is true and complete, I'm
still at risk of adverse events from any treatment that the doctor or nurse
practitioner prescribes.

I understand that even if I provide photos that are unaltered, of me and taken
at the time of using the service, I'm still at risk of adverse events from my
treatment that the doctor or nurse practitioner prescribes.

I understand that it is important that I don't create more than one account.
Creating more than one account makes it impossible for the doctor or nurse
practitioner to see the full history of care that I've received from Lemonaid.
This increases the chances that the doctor or nurse practitioner will not have
access to important information and photos in my medical record that could
influence the doctor or nurse practitioner's clinical decision.

I understand that by using Lemonaid I'm giving my explicit consent for the
doctor or nurse practitioner to access medication history, where it's available,
from records provided by pharmacy databases via the services of Surescripts
and/or DoseSpot. I understand that, if appropriate, the doctor or nurse
practitioner may take this information into account when making a treatment and
prescribing decision but this doesn't change how important it is that I provide
full, true and complete information during the Lemonaid visit.

RISKS OF ACCEPTING OUR TREATMENT PLAN

I understand that all the medicines that the doctor or nurse practitioner may
prescribe or recommend, including over-the-counter medicines and
‘behind-the-counter' medicines, can cause serious side effects and adverse
events that include severe allergic reaction, permanent disability, and death.

I understand that it is my responsibility to make an informed decision whether
to accept a treatment plan that the doctor or nurse practitioner proposes after
weighing the risks and benefits of the medicine being prescribed, alternative
treatment options and the risks and benefits of such alternatives, and the
option of not seeking any treatment.

I understand the importance of reading the manufacturer's leaflet that comes
with a medicine, including an over-the-counter or behind-the-counter medicine,
before I take a medicine because this leaflet includes important information
about risks and warnings.

I understand that adverse events can be caused by a number of things, including
an allergic reaction, side effects, or interactions between a medicine that the
doctor or nurse practitioner prescribes and any medical conditions I may have,
other prescription medicines or other things (e.g., supplements, herbs,
over-the-counter medicines, or recreational drugs) I'm taking, and lifestyle
choices such as smoking tobacco products or drinking alcohol.

A1C Blood Sugar Testing

I understand that the test Lemonaid orders looks at my blood sugar levels only.
A normal test result means my blood sugars are normal. Alone it doesn't provide
a comprehensive view about my overall health.

I understand that it's my responsibility to seek further evaluation from a
doctor or nurse practitioner in person if the test shows that I have higher than
normal blood sugar levels.

I understand that diabetes and prediabetes aren't the only causes of high blood
sugar levels. The test Lemonaid Health orders can't tell me the cause of high
blood sugar levels.

I understand that I can't use insurance to pay for the test that Lemonaid will
order. I understand that if I have insurance, my insurance might pay for an A1C
test if I saw a doctor or nurse practitioner in person.

I understand that if I have symptoms of diabetes, a family history of diabetes,
or I'm 40 and over and overweight or obese, or I have diabetes or prediabetes,
then the generally accepted medical opinion is that I can benefit from an A1C
blood sugar test. I understand that if I don't fall into these groups then there
isn't sufficient data to show if the benefits of the test outweigh the potential
harms. Potential harms can include ‘false-positive' results (a result that says
a condition exists when, in fact, it doesn't) and overtreatment (treating an
abnormal blood sugar level that may return to normal on its own and would have
never caused health problems on its own).

Acid Reflux

I understand that adverse events from taking medicines to treat acid reflux
include but aren't limited to severe allergic reaction, permanent disability,
and death.

I understand that if my symptoms keep bothering me then I should have an
endoscopy that looks in my esophagus and stomach. I understand that taking
medicine for acid reflux may delay a diagnosis of and treatment for a different
underlying problem that is the real cause of my symptoms.

Acne & Other Skin Conditions

I understand that adverse events from taking antibiotics prescribed to treat
certain skin conditions include but are not limited to allergic reaction,
permanent disability, and death.

I understand that by using Lemonaid to diagnose and treat acne and other skin
conditions, there's a risk that the doctor or nurse practitioner misdiagnoses
the cause of my skin condition resulting in a delay in diagnosing the true cause
of my problem and that I may take prescription or over-the-counter medicines
unnecessarily and expose myself to the risks of taking those medicines.

I understand that by using Lemonaid to diagnose and treat acne and other skin
conditions, the doctor or nurse practitioner won't be able to do a complete and
thorough skin exam of my whole body and that a doctor or nurse practitioner
in-person may conduct a more thorough skin exam. Because a Lemonaid doctor or
nurse practitioner cannot conduct a full-body skin exam, there is a risk that
they may not identify a medical condition that needs further investigation or
immediate treatment. There is also a risk that the photos of my skin that I send
to Lemonaid are not representative of my condition and that based on the photos
I send, the Lemonaid doctor or nurse practitioner may misdiagnose my condition.

I understand that even if a Lemonaid doctor or nurse practitioner correctly
diagnoses me with acne or other skin conditions and initially prescribes
treatment, it may subsequently be necessary for me to seek additional in-person
care with a doctor or nurse practitioner if the treatment is not effective or
the doctor or nurse practitioner considers my acne or other skin conditions to
be too complicated to manage online.

Asthma

I understand that I must have a previous diagnosis of asthma from another
healthcare professional before using Lemonaid for treatment and control of my
asthma symptoms.

I understand that when using Lemonaid to treat asthma, there's a risk that the
doctor or nurse practitioner may misdiagnose the cause of my symptoms as asthma
instead of another medical cause or condition. If this happens, I understand I
might take prescription medicines unnecessarily, expose myself to the risks of
taking those medicines, and potentially delay diagnosis of a more serious
condition.

I understand that taking prescription medicine to treat asthma may result in
adverse events including, but not limited to, allergic reaction, respiratory
emergencies, permanent disability, and/or death.

I understand that using Lemonaid to treat my asthma will not allow the doctor or
nurse practitioner to perform certain pulmonary function tests like spirometry
and peak flow tests.

I understand that if my symptoms haven't improved after 3 days of taking
treatment, or if my breathing or asthma symptoms worsen, then it's important
that I send Lemonaid doctors or nurse practitioners a message or visit a
healthcare professional in person.

Blood Type Test

I understand that the blood type test isn't sufficient to prove who someone's
mother or father is.

I understand that routine testing for blood type isn't medically necessary.

I understand that I can't use insurance to pay for the test that Lemonaid will
order.

Birth Control Pills, Patch and Ring

I understand that adverse events from using hormonal birth control include but
aren't limited to stroke, heart attack, and death.

I understand that hormonal birth control offered by Lemonaid that contains
estrogen – namely combination birth control pills, the birth control patch, and
the birth control ring - has a higher risk of serious side effects and adverse
events, including blood clots, stroke, permanent disability, and death, than
birth control that does not contain estrogen. Progestin-only pills do not
contain estrogen and therefore present a lower risk of serious side effects.
There are also birth control methods that do not contain hormones, such as
barrier methods.

I understand that if I request a prescription for a combination pill, birth
control patch or birth control ring – all of which contain estrogen - then it's
important that I provide a recent and accurate blood pressure measurement
because it's not appropriate to take birth control that contains estrogen if I
have a history of elevated blood pressure.

I understand that if I take a combination pill, birth control patch or birth
control ring without knowing my blood pressure then I have a significant risk of
blood clots, stroke, permanent disability, and death.

I understand that I can request a prescription for many different types of birth
control pills and that different types of pills have different risks of adverse
events.

I understand that if I request a prescription for a specific birth control, then
I accept any increased risk of adverse events and serious side effects
associated with that particular medicine.

Cholesterol

I understand that Lemonaid can help me manage my high cholesterol and that
managing my cholesterol is only one part of looking after my heart and overall
wellness. I understand it's important to complement Lemonaid with visiting a
traditional doctor's office when I need to.

I understand that Lemonaid only prescribes statin medicines and not other
classes of medicine to treat high cholesterol.

I understand that adverse events from taking statin medicines to treat high
cholesterol include but aren't limited to severe allergic reaction, permanent
disability, and death.

I understand that if Lemonaid orders lab work then it's my responsibility to go
to Quest Diagnostics to get the lab work and if Lemonaid recommends follow-up
actions based on the lab test results then it's my responsibility to take that
action.

I understand that I will not be able to use my insurance to pay for the lab
tests at Quest Diagnostics and that I will need to pay Lemonaid for the lab
work.

I understand that if Lemonaid recommends treatment or increase dosage of statin
medicine and I decline then I accept that I may be at increased risk of
preventable heart attack or stroke.

Cold Sores

I understand that adverse events from taking prescription medicines for cold
sores include but aren't limited to allergic reaction, stroke, heart attack,
permanent disability, and death.

I understand that the FDA has not specifically approved medicines to be taken on
a daily basis or as-needed basis as Lemonaid doctors or nurse practitioners
prescribe them, and that taking cold sore medicines in this way is 'off-label
use'.

I understand that cold sore medicine does not aim to remove the underlying virus
that causes cold sores.

COVID-19 antibody testing

The antibody tests we order at Quest Diagnostics or ship to you from Scanwell
Health are not approved by the FDA. These tests look for the SARS-CoV-2 IgG
antibody to determine whether you had prior exposure to the SARS-CoV-2 virus
which causes COVID-19. These tests cannot determine if you currently have an
active COVID-19 infection. If you have evidence of prior exposure, it's unclear
at this time if you have immunity from the virus and for how long. IgG
antibodies are typically detectable 10 to 18 days after being exposed to an
illness. If you test within the first 18 days of illness, the result can be a
false negative (i.e. you do not have illness when in fact you do). In this
situation, retesting or alternative testing may be suggested. These tests can
sometimes detect antibodies from other coronaviruses, which can cause a false
positive result if you have been previously diagnosed with or exposed to other
types of coronaviruses. These tests have been made available and have been
authorized by the FDA under an Emergency Use Authorization; these tests have not
been FDA cleared or approved. These tests are only authorized for the duration
of the declaration that circumstances exist justifying the authorization of
emergency use of in vitro diagnostic tests for detection and/or diagnosis of
COVID-19 under Section 564(b)(1) of the Act, 21 U.S.C. § 360bbb-3(b)(1), unless
the authorization is terminated or revoked sooner. The IgG antibody serology
test has not been reviewed by the FDA. By deciding to order this test from
Lemonaid you're choosing not to seek reimbursement for your test. Federal
legislation enacted in March 2020 requires comprehensive private health
insurance plans to cover this test and provides funds for reimbursement to
providers for COVID-19 testing for uninsured patients.

This is what the FDA says about antibody testing for COVID-19: "As important,
those who use an antibody test need to understand its limitations and use test
results as just one piece of data to inform decision making. All tests can
provide at least some false results. Even a high-performing antibody test when
used on individuals in a population that does not have many cases of COVID-19
infection – a population with low prevalence – may produce as many or more false
results as true results because the likelihood of finding someone who has been
infected is very small. This doesn't mean the test is bad, but rather recognizes
the inherent limitations of these kinds of tests. Therefore, it may be necessary
for some individuals to have two serology tests performed to generate reliable
results. That is why antibody tests should only be used as part of a
well-conceived testing plan and why the results should always be interpreted by
appropriate experts."

Dark Spots

I understand that by using Lemonaid to treat dark spots (hyperpigmentation), the
doctor or nurse practitioner won't have the opportunity to conduct a detailed
in-person physical examination. In person a doctor or nurse practitioner may
conduct a more complete examination, including but not limited to a thorough
skin examination.

Because the Lemonaid doctor or nurse practitioner can't do a more detailed
physical examination there is a risk that they may not identify any other
alternative and potentially life-threatening causes of my dark spots (such as
skin cancer) that they would be able to identify and investigate further if I
were to see them in person. This can cause a delay in diagnosing and treating
the true cause of my dark spots and I'll take prescription medicines
unnecessarily and expose myself to the risks of taking those medicines. The
doctor or nurse practitioner will rely on your medical history, symptoms, and
examination of photos to help rule out alternative causes of darks spots.

I understand that I should go for a yearly physical exam with my doctor or nurse
practitioner in person, and tell them about any suspicious skin spots I have. If
I notice spots or marks on my skin that are changing in number, size, or shape
over time, I understand I should also see a dermatologist for a more
comprehensive skin exam.

I also understand that the medicines that the doctor or nurse practitioner will
prescribe will be compounded by the pharmacy and are not manufactured
formulations that the FDA has approved for hyperpigmentation.

Depression and Anxiety

I understand that if I am threat to myself or to other people, I should not use
Lemonaid and should instead call 911 or call the National Suicide Prevention
Hotline 1-800-273-8255.

I understand that the prescription medicine class prescribed, selective
serotonin inhibitors (SSRIs), norepinephrine serotonin reuptake inhibitors
(SNRI) and atypical antidepressant (bupropion) are FDA approved for depression
and/or anxiety and are prescribed in that manner. I understand that taking these
types of medicines may cause sexual dysfunction (problems with orgasm,
ejaculation, and/or erectile dysfunction), and also potentially life-threatening
side effects, the risk of suicidal thoughts and behavior and can cause a severe
allergic reaction that can lead to disability and even death.

I understand that abruptly stopping any of the treatments may cause symptoms
including but not limited to anxiety, irritability, agitation, dizziness, nausea
and sensory disturbances such as the feeling of having an electric shock.

I understand that as part of treatment that Lemonaid doctors and nurse
practitioners will require me to provide an emergency contact person as well as
ensuring any weapons at home are both unloaded and locked. I understand as part
of treatment that Lemonaid doctors and nurse practitioners will require me to
abstain from any alcohol or substance use including but not limited to
marijuana, cocaine, and stimulants (uppers). I understand if I am unable to
abide by these terms of treatments that I may not be an appropriate candidate
for this service.

I understand that there are alternatives to the prescription-only medicines
available from Lemonaid doctors and nurse practitioners, like cognitive
behavioral therapy (CBT) for treatment of depression or anxiety.

Emergency Contraception

I understand that ella® reduces the risk of becoming pregnant only if taken
within 120 hours (5 days) of unprotected sex but will not eliminate all
possibility of becoming pregnant. Most common adverse reactions to ella® are
headache, nausea, abdominal pain, and painful periods.

I understand that ella® should not be used by individuals who are, or think they
might be, pregnant. I understand that ella® is not effective if it is taken
after ovulation.

I understand that ella® should not be used to terminate or end an existing
pregnancy.

I understand that using emergency contraception does not protect me from HIV or
other sexually transmitted infections.

I understand that emergency contraception shouldn’t be used as a regular birth
control.

Erectile Dysfunction

I understand that adverse events from taking sildenafil (Viagra), tadalafil
(Cialis) or vardenafil (Levitra) include but aren't limited to a painful
erection lasting more than 4 hours, sudden loss of vision in one or both eyes,
sudden decrease or loss of hearing, allergic reaction, permanent disability, and
death.

I understand that if I have a condition where sex is not advised then I should
not take sildenafil (Viagra), tadalafil (Cialis) or vardenafil (Levitra).

I understand that if I am taking nitroglycerin or other medicines that contain
nitrates then I should not take sildenafil (Viagra), tadalafil (Cialis) or
vardenafil (Levitra) as this combination can lower blood pressure unexpectedly
and could be fatal.

I understand that sildenafil (Viagra), tadalafil (Cialis) and vardenafil
(Levitra) are prescription medicines and not recreational drugs.

I understand that generic sildenafil 20mg pills are not licensed by the FDA for
treatment of erectile dysfunction and that Lemonaid doctors and nurse
practitioners will prescribe generic sildenafil 20mg pills 'off-label'. The
medicine sildenafil is the active ingredient in Viagra, the brand name erectile
dysfunction medicine.

I understand that by using Lemonaid to diagnose and treat erectile dysfunction,
the doctor or nurse practitioner won't have the opportunity to conduct a
detailed physical examination that would be possible if I were to see a doctor
or nurse practitioner in person. Because Lemonaid doctors and nurse
practitioners cannot do a detailed physical examination there is a risk that
they may not identify potential physical causes of my condition that they would
be able to identify and investigate further if I were to see them in person.

I understand that erectile dysfunction is often the first symptom of other
health conditions, including cardiovascular disease and diabetes and that it's
important to have a range of investigative laboratory tests to look for the
cause of my condition.

I understand that Lemonaid doctors and nurse practitioners can order a set of
investigative tests, help me understand the tests results and advise me on next
steps. I understand that it's my responsibility to seek follow-up care and
ongoing care from a doctor or nurse practitioner in person and that it's
unlikely that Lemonaid doctors and nurse practitioners will be able to provide
follow-up care and ongoing care for any potential health conditions highlighted
by the tests.

I understand that the investigative tests that Lemonaid doctors and nurse
practitioners will order do not include tests to identify potential hormonal
causes of my erectile dysfunction. I understand that if I don't follow the
advise of Lemonaid doctors and nurse practitioners to order investigative
laboratory tests, then I will not be able to identify potentially serious
underlying health conditions, which left untreated could result in premature
death or permanent disability.

I understand that Minnesota, North Dakota and South Carolina state laws prohibit
Lemonaid from offering our erectile dysfunction service in those states.

Flu

I understand that adverse events from taking antivirals to treat the flu include
but aren't limited to allergic reaction, permanent disability, and death.

I understand that by using Lemonaid to diagnose and treat a flu infection,
there's a risk that the doctor or nurse practitioner misdiagnoses the cause of
my symptoms as the flu and not some other cause. If this happens then I'll take
an antiviral medicine unnecessarily, expose myself to the risks of taking that
medicine, and potentially delay the investigation of a more serious condition.

I understand that if my flu symptoms haven't improved after 3 days of taking the
antiviral medicine, then it's important that I visit a doctor or nurse
practitioner in person.

Genetic Report Consultation Service Consent to Telehealth

I understand that the 23andMe Health Reports (Genetic Health Risk Reports and
Pharmacogenetics Reports) that I am requesting a consultation for is limited in
its diagnostic ability and the report will not, by itself, diagnose the presence
of a specific health condition or disease.

I understand that the presence of certain genetic variants on the report may
increase the risk of developing certain health conditions, however, I understand
that the presence, or lack of presence, for a variant will not guarantee that I
do or do not develop the disease or condition associated with the variant.

I understand the advice and consultation that I am given specific to my 23andMe
Health Reports is not intended to diagnose or provide medical care and advice to
any other individual.

Genital Herpes

I understand that adverse events from taking prescription medicines for genital
herpes include but aren't limited to allergic reaction, stroke, heart attack,
permanent disability, and death.

I understand that the FDA has not specifically approved medicines to be taken on
a daily basis or as-needed basis as Lemonaid doctor and nurse practitioners
prescribe them, that this practice is commonly done in the community, and that
taking genital herpes medicines in this way is 'off-label use'.

I understand that genital herpes medicine does not aim to remove the underlying
virus that causes genital herpes.

Hair Loss

I understand that adverse events from taking finasteride to treat male pattern
baldness include but aren't limited to breast cancer, prolonged sexual
dysfunction, high-grade prostate cancer, allergic reaction, permanent
disability, and death.

I understand that by using Lemonaid to diagnose and treat male pattern baldness,
the doctor or nurse practitioner won't be able to carry out a 'hair-pull' test
that could assist in the diagnosis of male pattern baldness.

Health and Wellness Coaching

I understand that my Health & Wellness Coach is not providing therapy or any
services a doctor, psychiatrist, therapist, or psychologist can provide.

I understand that the general wellness strategies that my Health & Wellness
Coaches provide are not intended to diagnose, treat, or provide therapy for any
disease or condition I may have.

I understand that my Coach doesn’t provide specific medical guidance and can not
recommend changes in any medications I may take from Lemonaid or other
healthcare providers.

I understand that I am responsible for any decisions I make in coaching, and
that my coach is not liable for changes I make as a result of our work.

High Blood Pressure

I understand that I must have a previous diagnosis of high blood pressure from
another healthcare professional before using Lemonaid for treatment of my high
blood pressure.

I understand that I must provide true and accurate blood pressure and heart rate
readings to Lemonaid because inaccurate readings could be risky to my health and
treatment I receive.

I understand that this service is not for emergency blood pressure control and
that if my blood pressure is higher than 180 / 120 mm Hg or If I am experiencing
symptoms of end organ damage including headache, chest pain, problem with
vision, back pain or other symptoms related to high blood pressure, that I
should seek in-person medical care.

I understand that to use and continue with this service that periodic blood work
is necessary to monitor blood electrolytes. If I’m unable to follow-up with
blood work, I should seek in-person medical care.

I understand that taking prescription medicine to treat my high blood pressure
may result in adverse events including, but not limited to, allergic reaction,
facial swelling, respiratory emergencies, permanent disability, and/or death.

Hormone Replacement Therapy (HRT)

I understand that the HRT medicines that the doctor or nurse practitioner will
prescribe will be compounded by the pharmacy and are not manufactured
formulations that the FDA has approved for HRT.

I understand that HRT to treat menopausal hot flashes or vaginal symptoms comes
with the risk of serious adverse events, including but not limited to blood
clots in the legs/lungs, breast cancer, cancer of the uterus, heart attack,
stroke, and liver problems.

I understand that by using Lemonaid to treat hot flashes or vaginal
dryness/symptoms related to menopause, the doctor or nurse practitioner won't
have the opportunity to conduct a detailed in-person physical examination. In
person a doctor or nurse practitioner may conduct a more complete examination,
including but not limited to a thorough head/neck, cardiovascular, pelvic, and
vaginal exam. Because the Lemonaid doctor or nurse practitioner can't do a more
detailed physical examination there is a risk that the doctor or nurse
practitioner may not identify an alternative and potentially life-threatening
cause of my symptoms (such as cancer, infection, stroke, thyroid problems, etc)
that they would be able to identify and investigate further if I were to see
them in person. This can cause a delay in diagnosing and treating the true cause
of my hot flashes or vaginal symptoms, and I'll take prescription medicines
unnecessarily and expose myself to the risks of taking those medicines. The
doctor or nurse practitioner will rely on your medical history, symptoms, and
discussion over live video/phone to help rule out alternative causes of my hot
flashes or vaginal symptoms.

I understand that I should not use Lemonaid for my hot flashes or vaginal
dryness/symptoms if I am not menopausal, or have a history of breast cancer,
uterine cancer, endometrial cancer, or undiagnosed abnormal uterine or vaginal
bleeding.

Hypothyroidism

I understand that I should only request levothyroxine from Lemonaid doctors and
nurse practitioners if a medical professional has previously diagnosed me with
low thyroid.

I understand that only levothyroxine is prescribed from Lemonaid doctors and
nurse practitioners for hypothyroidism and will not be prescribed 'off-label'
for other conditions or in combination with other thyroid treatments including
but not limited to desiccated thyroid or triiodothyronine (T3).

I understand that adverse events from taking levothyroxine include but aren't
limited to allergic reaction, stroke, heart attack, permanent disability, and
death.

I understand that by using Lemonaid to diagnose and treat hypothyroidism, the
doctors or nurse practitioners won't have the opportunity to conduct a detailed
physical examination that would be possible if I were to see a doctor or nurse
practitioner in person. Because Lemonaid doctors and nurse practitioners cannot
do a detailed physical examination there is a risk that they may not identify
potential physical causes of my condition that they would be able to identify
and investigate further if I were to see them in person.

Insomnia

I understand that alternative non-prescription treatments for insomnia, such as
cognitive behavioral therapy (CBT), are available instead of the
prescription-only medicines that Lemonaid doctors or nurse practitioners can
prescribe. I also understand that Lemonaid doctors and nurse practitioners don’t
prescribe the more powerful controlled medicines that are available to treat
insomnia.

I understand that the medicines Lemonaid doctors or nurse practitioners
prescribe haven’t been evaluated by the FDA specifically for treatment of
insomnia, and that taking these medicines is 'off-label use'.

I understand that insomnia can be a symptom of other underlying medical
conditions and that Lemonaid doctors and nurse practitioners may advise me to
seek an in-person medical examination.

Migraine

I understand that by using Lemonaid to treat migraine headaches, the doctor or
nurse practitioner won't have the opportunity to conduct a detailed in-person
physical examination. In person a doctor or nurse practitioner may conduct a
more complete examination, including but not limited to a thorough neurologic,
head/neck, and eye exam. Because the Lemonaid doctor or nurse practitioner can't
do a more detailed physical examination there is a risk that they may not
identify an alternative and potentially life-threatening cause of my headache
(such as infection, stroke, brain bleed, tumor, elevated pressure in the brain,
neuralgia, etc) that they would be able to identify and investigate further if I
were to see them in person. This can cause a delay in diagnosing and treating
the true cause of my headache and I'll take prescription migraine medicines
unnecessarily and expose myself to the risks of taking those medicines. The
doctor or nurse practitioner will rely on your medical history, symptoms, and
examination over live video to help rule out alternative headache cases.

Premature Ejaculation ("PE")

I understand that PE medicines are not recreational drugs, and that they come
with the risk of serious adverse events, including but not limited to
gastrointestinal bleeding, seizures, coma, impairment of cognitive or motor
functions, irritability, death and disability.

I understand that if I have a condition where sex is not advised then I should
not take PE medicines.

I understand that Lemonaid doctors and nurse practitioners may prescribe
sertraline, sildenafil (Viagra), tadalafil (Cialis), or vardenafil (Levitra) to
treat PE.

I understand that the FDA has not licensed any medicines to treat PE and that
Lemonaid doctor and nurse practitioners will prescribe PE medicines ‘off-label'.

I understand that sertraline is licensed by the FDA to treat anxiety and
depression, not PE.

I understand that I should not take sertraline for PE if I am taking another
medicine to treat anxiety or depression (such as a selective serotonin reuptake
inhibitor or tri-cyclic antidepressant), or if I have a history of suicidal
thoughts, self-harming, bipolar disorder, or uncontrolled depression. Doing so
may cause potentially life-threatening side effects.

I understand that if I take sertraline, I have the option to take it as needed
before sex, or on a daily basis. Studies have shown that it is more effective
when taken on a daily basis, but I understand that this increases the likelihood
of adverse events, and difficulties when I decide to stop taking it.

I understand that abruptly stopping sertraline can cause symptoms including but
not limited to anxiety, irritability, agitation, dizziness, nausea and sensory
disturbances such as the feeling of having an electric shock.

I understand that although the FDA has licensed sildenafil 25mg/50mg/100mg,
tadalafil, and vardenafil to treat erectile dysfunction, the FDA has not
licensed them to treat PE.

I understand that the FDA has not licensed sildenafil 20mg tablets to treat ED.

I understand that adverse events from taking sildenafil (Viagra), tadalafil
(Cialis) or vardenafil (Levitra) include but aren't limited to a painful
erection lasting more than 4 hours, sudden loss of vision in one or both eyes,
sudden decrease or loss of hearing, allergic reaction, permanent disability, and
death.

I understand that if I am taking nitroglycerin or other medicines that contain
nitrates then I should not take sildenafil (Viagra), tadalafil (Cialis) or
vardenafil (Levitra) as this combination can lower blood pressure unexpectedly
and could be fatal.

I understand that by using Lemonaid to diagnose and treat PE, the doctor or
nurse practitioner won't have the opportunity to conduct a detailed in person
physical examination that would be possible if I were to see a doctor or nurse
practitioner in person. Because Lemonaid doctors and nurse practitioners cannot
do a detailed in person physical examination there is a risk that they may not
identify potential physical causes of my condition that they would be able to
identify and investigate further if I were to see them in person.

I understand that Minnesota and South Carolina state laws prohibit Lemonaid from
offering our PE service.

Sinus Infection

I understand that adverse events from taking antibiotics to treat an acute
bacterial sinus infection include but aren't limited to allergic reaction,
permanent disability, and death.

I understand that by using Lemonaid to diagnose and treat a possible acute
bacterial sinus infection, there's a risk that the doctor or nurse practitioner
misdiagnoses the cause of my infection as bacteria and not a virus or an
allergy.

I understand that there's a risk that I'll be misdiagnosed with an acute
bacterial sinus infection when in fact my symptoms are caused by a virus. If
this happens then I'll take an antibiotic unnecessarily and expose myself to the
risks of taking that antibiotic.

I understand that if my symptoms haven't improved after 3 days of taking the
antibiotic treatment, then it's important that I send Lemonaid doctors and nurse
practitioners a message or visit a doctor or nurse practitioner in person.

STD testing and treatment

I understand that the test offered by Lemonaid Health looks for chlamydia and
gonorrhea only, and only in the penis and vagina, and not in the throat or anus.

I understand that the test will probably not find chlamydia or gonorrhea if I
got them in the last two weeks, even if I do actually have them.

I understand that if the Lemonaid test finds chlamydia then Lemonaid can provide
a separate assessment to see if it's safe to provide me with antibiotic
treatment and there is a separate visit fee for this second assessment.
Depending upon my symptoms and health history I may need to see a doctor or
nurse practitioner in person for chlamydia treatment even if the Lemonaid test
found chlamydia. I understand that in those states that require Lemonaid to
conduct a video visit with a patient seeking treatment that I will only be able
to be assessed for treatment Monday to Friday during business hours.

I understand that adverse events from taking antibiotics to treat a chlamydia
infection include but aren't limited to allergic reaction, permanent disability,
and death.

I understand that if the test finds gonorrhea then I will need to go to a
doctor's office in person to have an antibiotic injection/shot.

I understand that Lemonaid may have to notify my county health department if I
test positive for chlamydia or gonorrhea.

Stop Smoking

I understand that there are alternatives to the prescription-only stop smoking
medicines available from Lemonaid doctors and nurse practitioners, and that
over-the-counter alternatives (such as nicotine patches, gum and lozenges) are
less likely to cause serious side effects than the prescription-only
alternatives.

Prescription-only stop smoking medicines can increase the risk of suicidal
thoughts and behavior and can cause a severe allergic reaction that can lead to
disability and even death.

UTI

I understand that adverse events from taking antibiotics to treat a UTI include
but aren't limited to allergic reaction, permanent disability, and death.

I understand that by using Lemonaid to diagnose and treat a possible UTI, the
doctor or nurse practitioner won't be able to conduct a live interview and
physical exam that might identify a medical condition that needs further
investigation or immediate treatment. Also, the doctor or nurse practitioner
won't be able to carry out 3 tests that would help determine if I have a UTI or
whether a different condition is the cause of my symptoms. Specifically, these 3
tests are a urine dipstick test, a urinalysis and a urine culture. Without
carrying out these tests and solely relying on my answers to the questionnaire
in the app, the doctor or nurse practitioner will correctly diagnose
approximately 80% of patients who have a UTI and 80% of patients who don't have
a UTI. 20% of patients who actually have a UTI and 20% of patients who don't
actually have a UTI will be incorrectly diagnosed without these additional
tests.

I understand that in cases where the doctor or nurse practitioner makes an
incorrect diagnosis of a UTI, the doctor or nurse practitioner may prescribe an
antibiotic treatment that isn't appropriate for my specific needs. This means I
may take an antibiotic that I don't need to take.

I understand that if my symptoms haven't disappeared after 3 days of taking the
antibiotic treatment, then it's important that I visit a doctor or nurse
practitioner in person for a physical examination.

PROMO CODE PROGRAMS

I understand that if I received a promo code for Lemonaid's services from a
third party such as my employer, health insurer, or other organization
('Promo-Code-Provider'), I assume all risks associated with my use of the promo
code. I understand and agree to fully release, waive, and forever discharge the
Promo-Code-Provider from any and all losses, rights, liabilities, claims,
demands, legal actions or right of action that I may have now or in the future,
known or unknown, for any damages or personal injury that may occur during my
use of a promo code for Lemonaid. I understand that by consenting to these terms
and using the Lemonaid service, I forfeit any and all right to bring a suit
against the Promo-Code-Provider arising from my use of the coupon. This release
applies even if the injury or damage is caused in whole or in part by the
negligence or fault of the Promo-Code-Provider, however, I understand that the
forgoing release does not apply to gross negligence or willful misconduct by the
Promo-Code-Provider.

I understand that in the event that Lemonaid, or any of its affiliates
(including business associates and vendors) unintentionally discloses or
disseminates my personal health information, my only recourse is against
Lemonaid and its affiliates, and not against Promo-Code-Provider.

PACKAGING IS NOT CHILD PROOF

The pharmacies we work with may mail your medicine in single use packs. Single
use packs are not child proof. Child proof packaging is available upon request
by messaging us through your Lemonaid account.

RISKS TO ELECTRONIC HEALTH INFORMATION

I understand that although Lemonaid implements a wide range of administrative,
physical, and technical safeguards to protect my health information Lemonaid
cannot guarantee the privacy and confidentiality of my health information.

For more details about how Lemonaid protects and uses your health information
see our Privacy Policy.



Delivery Services

 * Depression & Anxiety
 * Anxiety Treatment
 * Depression Treatment
 * Seasonal Affective Disorder
 * Ella® Morning-After Pill
 * Insomnia
 * Erectile Dysfunction Delivery
 * Birth Control
 * Hair Loss
 * Acne
 * Premature Ejaculation
 * Cold Sore
 * Genital Herpes
 * Acid Reflux
 * High Blood Pressure
 * Hot Flashes Treatment
 * Migraine
 * Dark Spot Treatment
 * Hypothyroidism
 * Stop Smoking
 * Cholesterol
 * Asthma

Treatment Services

 * Primary Care Complete
 * Erectile Dysfunction
 * Sinus Infection
 * UTI

Lab Test

 * STD Testing
 * A1C Blood Test
 * Cholesterol Test
 * Blood Type Test

Medicines

 * Sildenafil
 * Viagra
 * Cialis
 * Cialis Daily
 * Tadalafil
 * Finasteride
 * Yasmin
 * Sprintec
 * Lexapro
 * Zoloft
 * Wellbutrin
 * Prozac
 * Amitriptyline
 * Errin
 * Ortho Tri-cyclen Lo
 * Bupropion
 * Escitalopram
 * Fluoxetine
 * Sertraline

Consent, Privacy, Legal

 * For Regulators
 * Prescription Policy
 * Consent to Telehealth
 * Consent to Sensitive Data Processing
 * Privacy Policy
 * Terms of Useupdated
 * Cookie Policy
 * Cancellation Policynew
 * Refund Policynew

About Us

 * Our Story
 * Careers
 * Healthaid Blog
 * Mapping US Contraception Data
 * Medical Team
 * Meet our Lemons
 * FAQ
 * The Squeeze


DISCLAIMER

*Offer valid for new patients only. Starting from $60 per shipment after the
first treatment. Prescription products require completion of an independent
medical consultation through Lemonaid Health platform. Additional terms and
conditions also apply. See www.lemonaidhealth.com to learn more. Services and
products available in all 50 states and the District of Columbia, subject to
local laws.

*Offer valid for new patients only. $95 after first month of treatment.
Prescription products require completion of an independent medical consultation
through Lemonaid Health platform. Additional terms and conditions also apply.
See www.lemonaidhealth.com to learn more. Services and products available in all
50 states and the District of Columbia, subject to local laws.

If you’re using a screen reader, or having trouble reading this website, please
call Lemonaid Patient Support for help at 888-536-2267.

Lemonaid Health is a national online doctor’s office. Our services are provided
by one of our four medical groups. All four medical groups do business as
'Lemonaid Health'. In all states other than Kansas, New Jersey and Texas,
Lemonaid services are provided by LMND Medical Group, Inc., A Professional
Corporation, doing business as Lemonaid Health. In Kansas, Lemonaid services are
provided by LMND Medical Group, A Professional Association, with registered
office 112 SW 7TH Street, Suite 3C, Topeka, KS 66603. In New Jersey, Lemonaid
services are provided by LMND Medical Group Professional Corporation, with
registered office 820 Bear Tavern Road, West Trenton, NJ 08628. In Texas,
Lemonaid services are provided by LMND Medical Group, A Professional
Association, with registered office 1999 Bryan Street, Suite 900, Dallas, TX
75201. Our team is based at 870 Market Street, Suite 415, San Francisco CA
94102, USA. You can call us on 888-536-2267.

Lemonaid Health Inc provides a variety of administrative and management services
to the four medical groups.

© 2023 Lemonaid Health Inc.


 * Delivery Services

 * Depression & Anxiety
 * Anxiety Treatment
 * Depression Treatment
 * Seasonal Affective Disorder
 * Ella® Morning-After Pill
 * Insomnia
 * Erectile Dysfunction Delivery
 * Birth Control
 * Hair Loss
 * Acne
 * Premature Ejaculation
 * Cold Sore
 * Genital Herpes
 * Acid Reflux
 * High Blood Pressure
 * Hot Flashes Treatment
 * Migraine
 * Dark Spot Treatment
 * Hypothyroidism
 * Stop Smoking
 * Cholesterol
 * Asthma

 * Treatment Services

 * Primary Care Complete
 * Erectile Dysfunction
 * Sinus Infection
 * UTI

 * Lab Test

 * STD Testing
 * A1C Blood Test
 * Cholesterol Test
 * Blood Type Test

 * Medicines

 * Sildenafil
 * Viagra
 * Cialis
 * Cialis Daily
 * Tadalafil
 * Finasteride
 * Yasmin
 * Sprintec
 * Lexapro
 * Zoloft
 * Wellbutrin
 * Prozac
 * Amitriptyline
 * Errin
 * Ortho Tri-cyclen Lo
 * Bupropion
 * Escitalopram
 * Fluoxetine
 * Sertraline

 * Consent, Privacy & Legal

 * For Regulators
 * Prescription Policy
 * Consent to Telehealth
 * Consent to Sensitive Data Processing
 * Privacy Policy
 * Terms of Useupdated
 * Cookie Policy
 * Cancellation Policynew
 * Refund Policynew

 * About Us

 * Our Story
 * Careers
 * Healthaid Blog
 * Mapping US Contraception Data
 * Medical Team
 * Meet our Lemons
 * FAQ
 * The Squeeze