I confirm the information I have provided is true, complete and accurate. I consent to assessment and treatment via telehealth and to contact by phone, SMS and email, and I accept the limitations of remote care described above. I authorise the treating doctor to assess me and, where clinically appropriate, to issue prescriptions, and to exchange my medical records, prescriptions, pathology requests and treatment information electronically with TIDES Health and its partner pharmacy.

I understand my treatment may include compounded medicines, peptides and hormones that are not TGA-registered or individually evaluated for safety, quality or efficacy, and that for some treatments the evidence is limited or emerging; I have had the opportunity to ask questions about this. I understand no prescription or treatment is guaranteed, that all prescribing decisions are at the treating doctor's discretion, and that the consultation is a paid service. I consent voluntarily and may withdraw before treatment commences. I declare I am over 18 and not subject to any sporting or professional code under which these treatments or medicines are prohibited.