LEGAL

Medical Consent

Last updated: April 2026

Please read this Medical Consent carefully before using REVÍ services. By submitting an intake form, requesting treatment, participating in a consultation, uploading health information or photos, receiving telehealth services, or accepting care recommendations through REVÍ, you acknowledge that you understand and agree to the terms described below.

1. Purpose of This Consent

REVÍ is a digital platform designed to help individuals seeking treatment options for hair loss, hair thinning, scalp health, and related wellness concerns. Healthcare services available through REVÍ may be provided by independent licensed medical professionals.

This consent explains the nature of telehealth care, treatment limitations, potential risks, alternatives, your responsibilities, and how services may be delivered.

2. Telehealth Services

You consent to receive healthcare services through telehealth technologies where permitted by law. Telehealth may include one or more of the following:

• Online medical questionnaires
• Review of health history
• Secure portal messaging
• Photo or image review
• Phone consultation
• Video consultation
• Electronic treatment follow-up
• Digital refill management

You understand that telehealth may be used instead of an in-person visit when clinically appropriate.

3. Expected Benefits

Potential benefits of telehealth may include:

• Improved access to licensed providers
• Convenient care from home
• Faster treatment review
• Ongoing communication regarding treatment progress
• Reduced travel time
• Discreet support for personal health concerns

4. Potential Risks and Limitations

You understand that telehealth has limitations and possible risks, including:

• A provider may not be able to perform a physical examination.
• Photos or video may not fully reflect medical findings.
• Technology failures may interrupt communication.
• Internet or device issues may delay care.
• Security breaches are possible despite safeguards.
• Certain conditions may require in-person care.
• Clinical decisions may be limited by incomplete information.

5. Alternatives to Telehealth

You understand that alternatives include:

• Visiting an in-person physician
• Seeing a dermatologist or hair restoration specialist
• Receiving no treatment at this time
• Seeking emergency care when appropriate

You may choose an in-person provider instead of using telehealth services.

6. Provider Clinical Judgment

Medical decisions are made solely by independent licensed healthcare professionals. REVÍ does not practice medicine and does not control provider judgment.

A provider may determine that:

• You are not eligible for treatment
• Additional information is required
• Lab testing is needed
• An in-person evaluation is recommended
• A prescription is not appropriate
• An alternative treatment plan is preferable

7. No Guarantee of Prescription or Treatment

Submitting payment, completing an intake, or requesting treatment does not guarantee:

• A consultation outcome you prefer
• Approval for prescription medication
• A specific treatment plan
• Eligibility in your state
• Product availability
• Any medical result

8. Prescription Treatments

Some treatment plans may involve prescription medications such as oral or topical therapies for hair loss. All medications may involve risks, side effects, contraindications, or interactions.

You agree to read all medication labels, inserts, warnings, and provider instructions.

9. Possible Side Effects

Depending on treatment type, side effects may include:

• Scalp irritation
• Redness
• Dryness
• Temporary shedding
• Headache
• Dizziness
• Allergic reactions
• Swelling
• Sexual side effects
• Unexpected reactions

If severe symptoms occur, seek immediate medical care.

10. No Guaranteed Results

Hair restoration results vary significantly from person to person. REVÍ does not guarantee:

• Hair regrowth
• Faster growth
• Density improvement
• Hairline restoration
• Prevention of future loss
• Any cosmetic outcome

Results depend on genetics, age, hormones, diagnosis, consistency, health history, and many other factors.

11. Your Responsibilities

You agree to provide complete, accurate, and current information, including:

• Medical conditions
• Medications
• Allergies
• Past treatments
• Pregnancy or breastfeeding status
• Changes in symptoms
• Adverse reactions

You agree to follow provider instructions and not misuse prescribed treatment.

12. Privacy and Electronic Communication

You understand that communication may occur through secure portals, email, SMS, phone, or other approved electronic systems. Although safeguards are used, no electronic system is completely risk-free.

13. Emergency Situations

REVÍ does not provide emergency medical services. If you believe you are experiencing a medical emergency, call 911 or seek immediate emergency treatment.

14. Right to Withdraw Consent

You may withdraw consent for future telehealth services at any time by contacting support. Withdrawal does not affect care already provided or information already shared where permitted by law.

15. Acknowledgement

By using REVÍ services, you acknowledge that:

• You have read and understood this consent.
• You had the opportunity to ask questions.
• You understand telehealth limitations.
• You voluntarily consent to receive services through telehealth where appropriate.
• You understand no results are guaranteed.

16. Contact Information

Questions regarding this Medical Consent may be directed to:

REVÍ Support
Email: support@revihealth.com
Address: [Insert Business Address]
Phone: [Insert Phone Number]