TEMI

Telehealth Consent

Issued by: Kevin Brandstetter, M.D., A Professional Corporation, d/b/a Temi Medical Group Version: 1.0 Effective Date: February 27, 2026

1. What This Consent Covers

By providing your consent, you agree to receive telehealth services from Temi Medical Group (Kevin Brandstetter, M.D., A Professional Corporation), through the Temi platform operated by Self Systems, Inc.

This consent applies to asynchronous telehealth consultations for prescription refill requests for non-controlled substances, as described below.

2. Who Provides Your Care

Self Systems, Inc. operates the Temi technology platform. Self Systems does not provide clinical care and does not practice medicine.

Temi Medical Group (Kevin Brandstetter, M.D., A Professional Corporation) is an independently owned professional corporation that provides medical services through the Temi platform. Temi Medical Group is not owned or controlled by Self Systems.

Your doctor-patient relationship is with Temi Medical Group and its treating physicians, not with Self Systems.

Each treating physician exercises independent clinical judgment. A physician may decline any prescription request based on their professional assessment of your health information.

3. Nature of Telehealth Services

Temi Medical Group provides asynchronous telemedicine services for prescription refill requests for non-controlled substances only. The process works as follows:

  • You submit a consultation request through the Temi platform, including your health information and the medication you are requesting.
  • A licensed physician reviews your request asynchronously (not in real-time).
  • If the physician determines that a prescription is clinically appropriate, the prescription is transmitted electronically to your pharmacy of choice.
  • If the physician determines that a prescription is not appropriate, your request will be declined and your Consultation Fee will be refunded.

Temi is not a substitute for in-person medical care, emergency services, or ongoing primary care. If you have a condition that requires in-person evaluation, your physician may recommend that you seek in-person care.

4. Risks and Limitations of Telehealth

You should be aware of the following risks and limitations:

  • Limitations of asynchronous care. Telehealth consultations conducted asynchronously have limitations compared to in-person examinations. The physician will make clinical decisions based solely on the information you provide, without the benefit of a physical examination.
  • Incomplete information. If the information you provide is insufficient, the physician may be unable to make a clinical determination and may decline your request.
  • Technology risks. The platform depends on technology that may experience disruptions, including connectivity issues, software errors, or delays in transmission.
  • Privacy risks. Although we use encryption and security measures to protect your information, electronic communications carry inherent privacy risks.
  • Referral to in-person care. The physician may determine that your condition is not appropriate for telehealth and may decline to prescribe, recommending that you seek in-person evaluation instead.

5. Your Rights

  • You may seek in-person care from a provider of your choice at any time.
  • You may withdraw this consent at any time by contacting us at [email protected] or +1 (855) 970-7353. Withdrawal of consent will not affect any services already provided.
  • This consent is voluntary. Providing or withholding consent for telehealth services through Temi is not a condition of receiving in-person care from any other provider.

6. No Controlled Substances

Temi Medical Group does not prescribe controlled substances through the Temi platform. Requests for controlled substances will be declined.

7. No Guarantee of Prescription

Submitting a consultation request does not guarantee that a prescription will be issued. The treating physician may decline your request for any clinical reason. If your request is declined, your Consultation Fee will be refunded.

8. Not for Emergencies

Temi Medical Group does not provide emergency medical care. If you are experiencing a medical emergency, call 911 or go to your nearest emergency room immediately.

9. Patient Acknowledgment

By providing your consent, you acknowledge and agree to the following:

  • I have read and understand this Telehealth Consent.
  • I voluntarily consent to receive telehealth services from Temi Medical Group through the Temi platform.
  • I understand that this consent covers asynchronous prescription refill requests for non-controlled substances only.
  • I understand that submitting a request does not guarantee that a prescription will be issued.
  • I agree to provide accurate and complete health information.
  • I understand that I may withdraw this consent at any time.

Temi Medical Group Kevin Brandstetter, M.D., A Professional Corporation Email: [email protected] Phone: +1 (855) 970-7353