Effective Date: July 1, 2025
Last Updated: July 25, 2025
Agreement to Terms
By accessing or using the TeletonicMD website (www.teletonicmd.com) or receiving our virtual primary care services, you ("Patient," "you," or "your") agree to be bound by these Terms of Service ("Terms"). If you do not agree to these Terms, you may not use our services or website.
About TeletonicMD
TeletonicMD provides virtual direct primary care services and in-home medical consultations in Illinois, with a focus on the Chicagoland area. Our services are provided by Dr. Azka Afzal, a board-certified physician licensed to practice medicine in Illinois.
Practice Information:
- Provider: Dr. Azka Afzal, MD
- Illinois Medical License: 036.150139
- Service Area: Illinois (telehealth), Chicagoland area (in-home visits)
- Practice Type: Direct Primary Care
Services Offered
Virtual Primary Care
- Telehealth consultations via secure video platform
- Initial consultations: $150 flat fee
- Follow-up visits: $100 flat fee
- Income-based payment plans available
- Prescription management and refills
In-Home Visits
- Available exclusively for Chicagoland patients
- Pricing determined on case-by-case basis
- Travel fees may apply based on location
Not Included
Our services do NOT include:
- Emergency medical care
- Specialty care requiring in-person examination
- Surgical procedures
- Hospital admissions
- 24/7 on-call services
Patient Eligibility and Requirements
Geographic Limitations
- Telehealth services: Available to Illinois residents only
- In-home visits: Limited to Chicagoland area
- We cannot provide services to patients located outside Illinois during consultations
Age Requirements
- Services available for patients 18 years and older
- Minors require parent/guardian consent and presence during consultations
Technical Requirements
- Reliable internet connection for video consultations
- Compatible device (computer, tablet, or smartphone)
- Updated web browser or mobile app
- Quiet, private location for consultations
Appointment Booking and Cancellation
Scheduling
- Appointments must be scheduled in advance
- Same-day appointments subject to availability
- Confirmation required 24 hours before appointment
Cancellation Policy
- Patient Cancellations: Must cancel at least 24 hours in advance
- Late Cancellation Fee: $25 for cancellations less than 24 hours notice
- No-Show Fee: $50 for missed appointments without notice
- Provider Cancellations: Full refund if we need to cancel
Rescheduling
- Patients may reschedule up to 24 hours before appointment
- Emergency rescheduling considered on case-by-case basis
Payment Terms
Fee Structure
- Initial Consultation: $150 (flat fee)
- Follow-up Visits: $100 (flat fee)
- Payment Plans: Available based on income verification
- In-Home Visits: Priced individually
Payment Methods
- Credit cards (Visa, MasterCard, American Express)
- Debit cards
- Electronic bank transfers
- Cash (in-home visits only)
Payment Timing
- Payment due at time of service
- Payment plans must be arranged prior to consultation
- Outstanding balances subject to collection procedures
Refund Policy
- Refunds considered for technical failures preventing consultation
- No refunds for completed consultations
- Disputed charges handled within 30 days of service
Telehealth-Specific Terms
Technology Platform
- We use HIPAA-compliant video conferencing platforms
- Technical support available during business hours
- Patient responsible for their device and internet connection
Consultation Environment
- Patient must be in a private, secure location
- Background noise should be minimized
- Adequate lighting required for visual examination
- Family members may participate with patient consent
Limitations of Telehealth
- Not suitable for all medical conditions
- Physical examination capabilities are limited
- Laboratory tests require separate arrangements
- Some conditions require in-person evaluation
Emergency Situations
⚠️ NOT for medical emergencies
- Call 911 for life-threatening situations
- Go to nearest emergency room for urgent care
- We will provide emergency contact information during consultations
Medical Practice Standards
Physician-Patient Relationship
- A physician-patient relationship is established upon first consultation
- Relationship continues through ongoing care
- Either party may terminate relationship with appropriate notice
Standard of Care
- Services provided according to accepted medical standards
- Treatment recommendations based on information provided by patient
- Accuracy of patient information is crucial for proper care
Prescription Policy
- Prescriptions issued only when medically appropriate
- Controlled substances have special restrictions
- Patient responsible for pharmacy coordination
- Prescription refills require consultation
Medical Records
- Complete medical records maintained for all patients
- Records available upon patient request
- Transfer of records facilitated when requested
- Records retained according to Illinois state law
Patient Responsibilities
Information Accuracy
- Provide complete and accurate medical history
- Update information as changes occur
- Inform us of all medications and supplements
- Report any adverse reactions or concerns
Consultation Participation
- Be punctual for scheduled appointments
- Actively participate in consultation
- Follow treatment recommendations
- Ask questions when unclear about instructions
Technology and Privacy
- Ensure secure internet connection
- Use privacy settings on devices
- Do not record consultations without permission
- Report technical issues promptly
Follow-up Care
- Schedule follow-up appointments as recommended
- Monitor symptoms and report changes
- Comply with referrals to other providers when necessary
Disclaimers and Limitations
Medical Disclaimers
- No Guarantee of Results: Medical outcomes cannot be guaranteed
- Individual Variation: Treatment responses vary between patients
- Diagnostic Limitations: Telehealth has inherent diagnostic limitations
- Technology Dependence: Service quality depends on technology reliability
Liability Limitations
- Liability limited to cost of services provided
- Not responsible for technology failures beyond our control
- Not liable for delays in third-party services (labs, pharmacies, etc.)
- Patient assumes risk for following medical advice
Governing Law and Dispute Resolution
Applicable Law
- These Terms governed by Illinois state law
- Federal laws apply where applicable (HIPAA, etc.)
- Disputes resolved in Illinois courts
Dispute Resolution Process
- Direct Communication: Attempt to resolve issues directly with practice
- Mediation: Non-binding mediation if direct resolution fails
- Arbitration: Binding arbitration for unresolved disputes
- Legal Action: Court proceedings as last resort
Modifications and Updates
Changes to Terms
- We reserve the right to modify these Terms at any time
- Material changes will be communicated to patients
- Continued use constitutes acceptance of updated Terms
- Previous version available upon request
Service Changes
- Services may be modified or discontinued with notice
- Fee changes communicated at least 30 days in advance
- New services may have additional terms and conditions
Termination
Patient-Initiated Termination
- Patients may terminate relationship at any time
- Written notice preferred but not required
- Outstanding balances remain due
- Medical records transferred upon request
Provider-Initiated Termination
- We may terminate relationship for cause (non-payment, non-compliance, etc.)
- 30 days written notice provided when possible
- Emergency care information provided during transition
- Medical records available for transfer
Entire Agreement
These Terms, together with our Privacy Policy and HIPAA Notice of Privacy Practices, constitute the entire agreement between you and TeletonicMD regarding the use of our services. Any conflicting terms in other documents are superseded by these Terms.
Acknowledgment and Acceptance
By using our services, scheduling an appointment, or continuing to access our website, you acknowledge that you have read, understood, and agree to be bound by these Terms of Service. If you do not agree with any part of these Terms, please discontinue use of our services immediately.