Patient Consent to Telehealth Assessment & Treatment

Please read the information below carefully before providing consent.

Telehealth Care

Your consultation will be conducted via secure telehealth (video, phone or messaging).

Telehealth has limitations and may not replace in-person assessment. I understand that telehealth has limitations, including the inability to perform a physical examination, and this may affect diagnostic accuracy. I may be advised to seek in-person care where clinically necessary.

Telehealth is not suitable for emergencies. If urgent care is required you should call 000 or attend your nearest emergency department.

I confirm that I am physically located in Australia at the time of consultation and understand that this service is provided under Australian regulatory jurisdiction. I agree to provide my current physical location if requested for safety purposes.

Medical Assessment & Treatment

A medical practitioner will review your medical history, symptoms and investigations and may recommend treatment where clinically appropriate.

Medical care involves uncertainty and outcomes cannot be guaranteed. Treatment may be delayed, changed or ceased if monitoring requirements are not followed.

Some medications may be prescribed off-label where clinically appropriate. Off-label prescribing means the medication is used in a manner different from that described in the approved product information.

Investigations & Monitoring

You may be required to complete blood tests or other investigations before or during treatment. Ongoing monitoring and follow-up are essential for safe care.

Failure to complete recommended monitoring may result in treatment being paused or discontinued.

I understand that I am responsible for completing requested investigations within recommended timeframes and for ensuring results are available for review.

I agree to comply with monitoring requirements and understand that failure to do so may result in treatment being withheld or discontinued.

Medications

Any medication prescribed may have risks and side effects. Medications must only be used as prescribed and you should seek medical care if concerning symptoms occur.

I agree to follow prescribed dosing instructions. I understand that requesting supraphysiological dosing, misusing medication, or failing to comply with monitoring requirements may result in treatment being discontinued.

Testosterone Therapy (if prescribed)

Testosterone therapy may:

  • Reduce fertility and sperm production
  • Increase red blood cell count (polycythaemia)
  • Require regular blood testing and ongoing monitoring
  • Affect prostate health and require PSA monitoring
  • Cause acne, mood changes, or exacerbate sleep apnoea
  • Carry potential cardiovascular risks, which will be discussed
  • Be ceased if safety thresholds are exceeded
  • Be ceased if risks outweigh benefits or if no clinical benefit is achieved


I understand that ongoing monitoring is mandatory and that testosterone therapy may be stopped if clinically indicated.

Prior Hormone or Steroid Use

If I have previously used anabolic steroids or non-prescribed testosterone, I understand that subjective benefit from prior use does not automatically qualify me for medical testosterone therapy. Clinical and biochemical evidence of hypogonadism is required.

Privacy & Information Sharing

Your information will be securely stored and handled in accordance with Australian privacy laws.

Information may be shared with pathology providers, pharmacies and your usual GP where appropriate for your care.

I understand that communication with my usual GP supports safe care. If I decline GP involvement, I accept that this may limit coordination of care.

Communication

You may receive email, SMS or phone communication relating to appointments, reminders, results and care.

Patient Consent

Please confirm the following:

Patient Declaration

I confirm that:
Patient Name:(Required)
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FREE HEALTH & TREATMENT OPTIONS CONSULT

Book a free 15-minute introductory call with Tom, Director of Foundation Men’s Health, to discuss symptoms, treatment pathways and what to expect during the clinical assessment process.