Telehealth Consent

Last updated: April 30, 2026

Version: v3 (effective at submission)

What telehealth is at Norm

Norm Health LLC operates a telehealth platform in California. A licensed clinician reviews your intake and may, when clinically appropriate, prescribe medication. Care is asynchronous; live video visits are not part of the default flow. Norm Health LLC is a management services organization. Clinical decisions are made by licensed clinicians employed by or contracted to a separate prescribing professional corporation; Norm Health LLC does not practice medicine.

The clinician-patient relationship via telehealth

By submitting your intake, you are entering a clinician-patient relationship with the prescribing clinician for the purpose of evaluation and, if clinically appropriate, treatment. The relationship is bounded by California telemedicine law and by each clinician’s scope of practice. The clinician may determine that telehealth is not appropriate for your presentation and may decline to establish or continue the relationship.

Limits of telehealth

Telehealth is not appropriate for all conditions, and the information available to your clinician through this platform is more limited than information available during an in-person visit.
Norm cannot perform physical examinations, laboratory draws, imaging, or in-person procedures.
If your clinician determines that in-person care is needed, they will tell you and recommend appropriate next steps.
Norm is not for medical emergencies. If you are experiencing a medical emergency, call 911 or go to the nearest emergency room.
If you are experiencing a mental-health crisis, call or text 988 (Suicide & Crisis Lifeline).

Identity verification and state of practice

You attest that the personal information you provide during intake (including your legal name, date of birth, and address) is accurate. You attest that you are physically located in a state in which Norm operates. Norm currently operates in California only. Misrepresenting your location or identity may result in case denial, revocation of a prior approval, and termination of the clinician-patient relationship, and is your responsibility.

Privacy

Protected health information is encrypted at rest and in transit and is handled in accordance with HIPAA. For full details, see the Privacy Policy and the HIPAA Notice of Privacy Practices.

Algorithmic decisions (consent v3)

Norm uses two automated clinical-workflow paths. Both are bounded by a written clinical protocol authored and maintained by the medical director, and both are subject to clinician override. By consenting to this document, you consent to the use of these automated paths in connection with your care, subject to your right to opt out as described below.

Auto-dose-escalation. After a sufficient weekly check-in pattern has been recorded, your dose may be increased automatically by one protocol-defined step when your check-ins indicate that you are not yet at goal and you have not reported tolerability or safety issues. Any escalation follows the clinical protocol, is bounded within your protocol-defined starting and maximum dose, and requires your acknowledgement on the dashboard before you log your next injection.
Routine-reorder auto-approval. After a clinician has previously approved your case, routine reorders at the same medication and dose may be auto-approved without per-order clinician review, unless your check-in pattern shows attention-level signals (such as new symptoms, missed check-ins, or reported issues), in which case the reorder is routed to a clinician for review.
Periodic clinician review. Even when no flagged signals are present, your prescription is routed to a clinician for review on a fixed cadence — every fourth consecutive auto-approved reorder, and every third consecutive auto-escalation. This periodic review is in addition to clinician oversight that may be triggered by your check-in patterns.
Reversal authority. Your clinician may, at their discretion, revert an automated dose adjustment within a clinically relevant window. If a reversal occurs, you will be notified by email.
Opt-out and override. You may opt out of either automated path at any time by messaging your clinician through the app. Your clinician may also override an automated decision for clinical reasons, and may pause either path at their discretion.

Patient rights

You may revoke this consent at any time. Revocation stops further telehealth treatment by Norm but does not undo care already provided or charges already incurred.
You may request human clinician review of any automated decision, including a dose escalation or a routine-reorder auto-approval.
You may request a copy of your medical record.
You may file a complaint through the Contact page or directly with the medical board in the state where care was provided.
Your clinician may decline to provide care, decline to prescribe, or revoke a prior approval if a safety or appropriateness concern arises.

Compounded medication consent

If a clinician prescribes a compounded medication, you acknowledge the following: Compounded medications, when prescribed, are prepared by licensed pharmacies and are not FDA-approved. They may be prescribed only when clinically appropriate.

Acknowledgement and version-tracking

Submitting your intake constitutes your consent to this Telehealth Consent at the version in effect at the time of submission. Each consent capture is recorded with a cryptographic hash of the rendered consent text together with the date and time of capture, so your specific consent record is auditable. The current effective version of this consent is v3.

This consent text is pending counsel review and finalization. Once finalized, the rendered text on this page will match CONSENT_TEXT v3 in the platform character-for-character; the version indicator at the top of this page reflects the current effective version.

Contact

Questions about this consent? Email support@normwellness.com or visit the Contact page.

What telehealth is at Norm

The clinician-patient relationship via telehealth

Limits of telehealth

Telehealth is not appropriate for all conditions, and the information available to your clinician through this platform is more limited than information available during an in-person visit.

Norm cannot perform physical examinations, laboratory draws, imaging, or in-person procedures.

If your clinician determines that in-person care is needed, they will tell you and recommend appropriate next steps.

Norm is not for medical emergencies. If you are experiencing a medical emergency, call 911 or go to the nearest emergency room.

If you are experiencing a mental-health crisis, call or text 988 (Suicide & Crisis Lifeline).

Identity verification and state of practice

Algorithmic decisions (consent v3)

Auto-dose-escalation. After a sufficient weekly check-in pattern has been recorded, your dose may be increased automatically by one protocol-defined step when your check-ins indicate that you are not yet at goal and you have not reported tolerability or safety issues. Any escalation follows the clinical protocol, is bounded within your protocol-defined starting and maximum dose, and requires your acknowledgement on the dashboard before you log your next injection.

Routine-reorder auto-approval. After a clinician has previously approved your case, routine reorders at the same medication and dose may be auto-approved without per-order clinician review, unless your check-in pattern shows attention-level signals (such as new symptoms, missed check-ins, or reported issues), in which case the reorder is routed to a clinician for review.

Periodic clinician review. Even when no flagged signals are present, your prescription is routed to a clinician for review on a fixed cadence — every fourth consecutive auto-approved reorder, and every third consecutive auto-escalation. This periodic review is in addition to clinician oversight that may be triggered by your check-in patterns.

Reversal authority. Your clinician may, at their discretion, revert an automated dose adjustment within a clinically relevant window. If a reversal occurs, you will be notified by email.

Opt-out and override. You may opt out of either automated path at any time by messaging your clinician through the app. Your clinician may also override an automated decision for clinical reasons, and may pause either path at their discretion.

Patient rights

You may revoke this consent at any time. Revocation stops further telehealth treatment by Norm but does not undo care already provided or charges already incurred.

You may request human clinician review of any automated decision, including a dose escalation or a routine-reorder auto-approval.

You may request a copy of your medical record.

You may file a complaint through the Contact page or directly with the medical board in the state where care was provided.

Your clinician may decline to provide care, decline to prescribe, or revoke a prior approval if a safety or appropriateness concern arises.

Acknowledgement and version-tracking