Informed Consent
Effective Date: August 1, 2025
Last Updated: August 1, 2025
This document outlines your rights, responsibilities, and consent to care provided through Prosper Health Medical Services.
I. Who We Are
Prosper Health Medical Services, P.C. provides behavioral health care through licensed clinicians.
Prosper Health, Inc. provides administrative and technology services (e.g., the website, appointment booking, billing, and support).
II. Description of Services
Prosper Health Medical Services provides therapy and psychological assessment to autistic adults via telehealth.
Prosper Health Providers are licensed, trained professionals.
You are engaging in care voluntarily and may stop at any time.
III. Risks and Benefits
Therapy may help reduce symptoms, improve relationships, and enhance coping.
It may also involve difficult emotional topics or temporary distress. Outcomes are not guaranteed.
IV. Telehealth and Location
You must be physically located in a state where your provider is licensed at the time of each session.If you relocate or travel, notify us immediately so we can verify licensure eligibility.
You agree to:
- Use a secure internet connection
- Join sessions from a private, quiet location
- Inform us if your location or contact info changes
V. Emergency Protocol
Prosper Health is not a crisis provider.
If you are in immediate danger, call 911 or go to your nearest emergency room.
You agree to provide:
- Your physical location
- An emergency contact person
Your provider may contact these parties if there is a serious safety concern.
VI. Financial Responsibility and Insurance Billing
- You are responsible for all out-of-pocket costs, including copays, deductibles, or fees not covered by insurance.
- You agree to keep a valid payment method on file and authorize Prosper Health to charge it for any amounts owed.
- You authorize Prosper Health Medical Services and its providers to release necessary information to your insurance company and to bill them on your behalf.
VII. Messaging and Communication Consent
You consent to receive communications from Prosper Health and your clinical provider by:
- Email
- Phone call
- Text message (SMS)
These communications may relate to:
- Scheduling
- Treatment
- Billing
- Account support
You acknowledge:
- Texts may not be encrypted and could be intercepted.
- You may opt out of marketing or non-essential messages anytime by replying STOP, unsubscribing, or emailing help@prosperhealth.io.
- You are not required to receive promotional communications to get care.
Essential updates (e.g., appointment reminders, billing notices) cannot be opted out of.
VIII. Use of De-Identified Data
We may use de-identified data to improve our services and evaluate outcomes.
No identifying information is included in such analyses.
IX. Consent
By proceeding, you confirm:
- You have read and understand this Informed Consent
- You voluntarily agree to receive telehealth services
- You accept responsibility for payment and billing policies
- You agree to our communication and data policies