Legal

Terms of Service

These terms outline our commitment to providing exceptional virtual healthcare while protecting your rights and privacy. By choosing TeleTonicMD, you're partnering with Dr. Azka Afzal for comprehensive, personalized primary care that puts your health and well-being first.

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.

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 only to patients physically located in Illinois at the time of each visit
• In-home visits: Limited to the Chicagoland area

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 with 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

• Monthly Membership: $200/month (Direct Primary Care access; consultations billed separately)
• 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

Medicare and Membership

Membership fees are not insurance and are not billed to Medicare. Certain eligible clinical services may be billed to Medicare separately; membership benefits are provided independently of any insurance or Medicare coverage.

Telehealth-Specific Terms

Telehealth Consent

By scheduling or participating in a telehealth visit, you consent to receive care via secure video and messaging technologies, and you acknowledge the limitations of telehealth described in these Terms. You confirm that you are physically located in Illinois at the time of each telehealth visit and agree to disclose your physical location truthfully before each visit. Telehealth may not be appropriate for all conditions, and Dr. Afzal may determine that in-person care is required.

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

Medical Practice Standards

Physician-Patient Relationship

• Creating a patient portal account, submitting a form, or otherwise contacting the practice does not, by itself, establish a physician-patient relationship
• A physician-patient relationship is established at your first consultation
• The relationship continues through ongoing care
• Either party may terminate the 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

1. Direct Communication: Attempt to resolve issues directly with practice
2. Mediation: Non-binding mediation if direct resolution fails
3. Arbitration: Binding arbitration for unresolved disputes
4. 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.