Consent to Receive Physician Guidance

MD Live Advice™

Consent to Receive Physician Guidance

Please read this document carefully before using MD Live Advice.

This Consent to Receive Physician Guidance ("Consent") explains the nature of the services available through MD Live Advice. By signing below, you acknowledge that you understand and voluntarily agree to participate under the following terms.

Purpose of the Service

MD Live Advice is a physician guidance platform operated by MDZ HR, Inc., an Arizona corporation. The platform connects individuals with licensed physicians who provide medical information, education, and professional guidance to help clients better understand health-related questions and make informed healthcare decisions.

Nature of the Service

I understand and acknowledge that:

• MD Live Advice is not a hospital, medical practice, urgent care center, or emergency medical service.
• The physician conversation is intended to provide medical information and educational guidance based upon the information I voluntarily provide.
• This service is not intended to establish an ongoing physician-patient treatment relationship with MD Live Advice.
• MD Live Advice does not provide emergency medical services.

Limitations of the Service

I understand that during this service:

• No physical examination will be performed.
• No diagnosis is guaranteed or intended.
• No prescriptions will be issued.
• No controlled substances will be prescribed.
• No medical procedures will be performed.
• The physician may recommend that I seek evaluation from my personal physician or another healthcare provider.
• The physician may recommend immediate emergency evaluation if my symptoms suggest a potentially serious medical condition.

Medical Emergencies

I understand that MD Live Advice is not appropriate for medical emergencies.

If I believe I am experiencing a medical emergency—including but not limited to chest pain, severe shortness of breath, stroke symptoms, severe bleeding, loss of consciousness, or thoughts of harming myself or others—I will immediately call 911 or go to the nearest emergency department.

My Responsibilities

I agree that I will:

• Provide accurate and complete information.
• Ask questions whenever I need clarification.
• Inform the physician if my symptoms worsen.
• Continue appropriate care with my personal healthcare provider.
• Make my own healthcare decisions in consultation with my treating healthcare professionals.

Privacy

I understand that my personal information will be collected, used, maintained, and protected as described in the MD Live Advice Privacy Policy and applicable federal and state privacy laws, including HIPAA where applicable.

Recording

I understand that, where permitted by law, MD Live Advice may record conversations for quality assurance, training, documentation, compliance, or security purposes. If recording is used, I will be notified as required by applicable law.

Acknowledgement

By signing below, I acknowledge that:

✓ I have read and understand this Consent.

✓ I have had the opportunity to ask questions.

✓ I understand the nature and limitations of the MD Live Advice service.

✓ I understand that this service provides physician guidance and educational information and is not intended to replace emergency care or ongoing treatment from my personal healthcare provider.

✓ I voluntarily consent to participate in a physician guidance session through MD Live Advice.

Client Information

Printed Name:

Signature:

Date:

If signed electronically, I acknowledge that my electronic signature has the same legal effect as my handwritten signature.

MD Live Advice™, A service of MDZ HR, Inc., 2239 E. 5th Street, Tucson, Arizona 85719