Telehealth Consent and Open Payments Notice

This is an agreement between you and Thryv Telehealth by Lavin, P.C., the medical practice whose clinicians provide your care. It is not an agreement with Your Era Management, L.L.C., which operates the platform and does not provide medical care.

Please read it before you complete the intake questionnaire. You will be asked to confirm that you agree.

1. How care is provided

Care here is provided by telehealth, which means a licensed clinician evaluates you and makes decisions about your care without you attending in person.

In most cases that evaluation is asynchronous. The clinician reviews your questionnaire, your photographs and any follow up answers, and makes a decision without speaking to you in real time. You will usually not have a live conversation before a decision is made.

A live visit by video or telephone takes place in three situations: where the law of the state you are in requires one, where you ask for one, and where the clinician decides your circumstances call for one. You may ask for a live visit at any time and there is no additional charge for it.

You may exchange messages with your care team at any time through your account.

2. What you are agreeing to

By agreeing, you confirm that you understand and accept the following.

• A licensed clinician will evaluate you using the information you provide, and may do so without speaking to you.
• You are responsible for giving complete and accurate information about your health, your medical history and any medications you take. The clinician relies on it.
• Your information will be shared with the clinicians involved in your care and, if a prescription is issued, with the pharmacy that fills it.
• A prescription may or may not be issued. That decision belongs to the clinician.
• You may withdraw this consent at any time, which will end the relationship going forward but does not undo care already provided.

3. Benefits and limitations

Telehealth can give you access to a clinician without travel and often more quickly than an in person appointment.

It also has limits, and you should understand them before agreeing. A clinician who does not examine you in person cannot assess everything an in person clinician could. Information you provide may be incomplete or inaccurate without your realizing it, and a decision based on it may be affected. Technology can fail or delay a message. In rare cases a condition may be missed or a decision may be different from the one an in person clinician would have made.

If at any point a clinician decides that your circumstances cannot be managed appropriately by telehealth, they will tell you and will recommend that you seek care in person.

4. This service is not for emergencies

Do not use this service for an emergency. If you think you may be having a medical emergency, call 911 or go to the nearest emergency room. We do not monitor messages continuously and we cannot respond to urgent problems in time.

If you are in crisis or thinking about harming yourself, call or text 988 to reach the Suicide and Crisis Lifeline.

5. Prescriptions

A prescription is issued only if a clinician determines it is appropriate for you. Some of what may be prescribed is compounded by a pharmacy for you individually rather than manufactured and approved as a finished product by the Food and Drug Administration. Compounded medications are not reviewed or approved by the Food and Drug Administration for safety or effectiveness, and they are not therapeutically equivalent to any brand name product.

Your clinician will discuss with you what is being prescribed, how to take it, and what to watch for. Ask questions at any time through your account.

6. Your records

A record of your care is created and kept as required by the law of your state. You may request a copy of it at any time by writing to hello@thryv.com. Records are held in a system operated by Your Era Management, L.L.C. on the practice's behalf. They are reachable by the clinicians involved in your care, by the pharmacy that fills your prescription, and by the support staff who help you with your account and your order, including representatives of an outside company engaged for that purpose.

The federal health privacy law commonly known as HIPAA applies to health care providers that conduct certain standard electronic transactions with health plans. The practice is paid directly by its patients and does not conduct those transactions, so that law does not apply to it. Your records remain protected by the law of your state, by the professional and licensing obligations of the clinicians who create them, and by the arrangements described in the YourEra Privacy Policy. A pharmacy that fills your prescription may be subject to HIPAA in its own right, and where it is, it will give you its own notice.

How your information is handled, and the choices available to you, are described in the YourEra Privacy Policy at yourera.com/privacy and, if you live in Washington, Nevada, Maryland or New Jersey, in the Consumer Health Data Privacy Policy at yourera.com/consumerhealthdata.

7. Fees

The amounts you pay, when they are charged and how to cancel are set out in the YourEra Terms and Conditions and shown at checkout before you provide payment details. The practice does not bill insurance and does not submit claims on your behalf.

8. Withdrawing this consent

You may withdraw this consent at any time by writing to hello@thryv.com. Withdrawing it ends the telehealth relationship going forward. It does not affect care already provided, and it does not by itself cancel a subscription, which is cancelled through your account as described in the Terms and Conditions.

9. Open Payments notice

The federal Physician Payments Sunshine Act requires that information about payments and items of value provided by manufacturers of drugs, medical devices and biologics to physicians and teaching hospitals be reported and made available to the public.

You can review that information at the Centers for Medicare and Medicaid Services Open Payments database at openpaymentsdata.cms.gov. For informational purposes, the database allows you to look up an individual physician and see payments reported in relation to them.

10. Contact

Thryv Telehealth by Lavin, P.C., 3557 US-190, Mandeville, Louisiana 70471. Email hello@thryv.com.