Almost done — submit your intake

I understand that I am receiving care from a licensed healthcare provider via an online (asynchronous) telehealth platform. I understand that: • My provider will review the medical information I submit and may request additional information or decline to prescribe. • Telehealth has limitations — physical exams, labs, and imaging may be required and cannot be performed online. • I am responsible for the accuracy of the information I provide. Withholding or falsifying information may result in serious harm. • I may withdraw this consent at any time by contacting Solved.

I acknowledge receipt of Solved's Notice of Privacy Practices, which describes how my protected health information (PHI) may be used and disclosed for treatment, payment, and healthcare operations. I understand my rights to access, amend, and request restrictions on my PHI.

I have read and agree to Solved's Terms of Service. I understand that if approved, my prescription may be automatically refilled and shipped on a recurring basis, and that I can cancel at any time from my account.