Before using this service, it’s important to make sure you understand how using the Brightside Health app, including native and web-based apps (‘the App’) to obtain care differs from visiting a more traditional therapist’s or doctor’s office. In particular, it is important that you understand the risks associated with taking antidepressant medication and participating in therapy, if applicable. If you have any questions, please send us a message at
I understand that I should never use the App in an emergency. I understand that, in an emergency, I should dial 911 or go to an emergency department.
I understand that 24-hour help is available through the Crisis Text Line at 741-741 or the Suicide Prevention Lifeline at 800-273-TALK.
I understand that telehealth involves the delivery of healthcare services using electronic communications, information technology or other means between a healthcare provider and a patient who are not in the same physical location.
I understand that this means that a provider is unable to conduct certain tests or assess vital signs in-person, which may in some cases prevent the provider(s) from providing a diagnosis or treatment or from identifying the need for emergency medical care or treatment for me.
I understand that while the use of telehealth may provide potential benefits to me, as with any health care service, no such benefits or specific results can be guaranteed. My condition may not be cured or improved, and in some cases, may get worse.
I give my informed consent to the use of telehealth by providers affiliated with Brightside Health.
I understand that the provider has the right to refuse to take responsibility for my care if the provider makes a professional judgment that I am not a good candidate for this service. I understand that making a request for treatment (by completing the intake questionnaire, conducting a visit, and/or making payment) does not in and of itself create a duty of care or create a provider-patient relationship.
I understand that the provider will take responsibility for my care only after the provider has reviewed my request for treatment, reviewed all my information, and then subsequently determined that I am a good candidate for the telehealth services.
I understand that, at any time during my care, my provider may determine that telehealth services are no longer appropriate for me, refuse to take further responsibility for my care, and refer me to appropriate in-person care.
I understand that there may be a delay until the next business day, and at times longer, before a provider reviews my request for treatment and any messages I send.
I understand that I need to be responsive to ongoing requests for information from me, including but not limited to completion of ongoing assessments about my symptoms, functioning, and/or side effects during my treatment, in order to remain under the care of this provider. If I am not responsive to these requests for information, I understand that I cannot be considered to be under the care of the provider.
I understand that by using the App and associated third party services I’ll receive care for depression and/or anxiety only. I understand that by using the App and associated third party services I won’t receive any other medical or therapy services that go beyond depression and/or anxiety. I need to seek other sources for my other medical or therapy needs.
I understand that, if I elect to use the App and associated third party services for medical services provided by a licensed doctor, I seek to enter into a relationship where the doctor relies exclusively upon information that I provide to decide whether or not antidepressant medications are safe.
With respect to both therapy and medical services offered through the App and associated third party services, I understand that the provider has no way of verifying the information I provide and that the provider will consider the information I provide to be accurate, true, and complete.
I understand that using telehealth means that the information transmitted to the provider may not be sufficient to allow for appropriate medical or therapy decision making by the provider.
I understand that it’s important to follow the treatment plan specified by my provider, which may include taking medication as prescribed and/or completing therapy sessions and associated follow-through.
I understand that, if I elect to use the App for medical services provided by a licensed doctor, I can request a prescription for different types of antidepressant medication, each of which has different risks of adverse events and different side effects. I understand that all the information I provide when requesting a prescription for antidepressant medication is important in the doctor’s determination as to whether I’m a good candidate for a particular medication and for the service in general. I agree to provide true and complete information and understand that if I provide information that isn’t true and complete, then I’ll be at greater risk of adverse events from taking antidepressant medication.
I understand that adverse events can be caused by a number of things, including other health conditions I may have, allergic reactions, side effects, or interactions between antidepressant medication and other medications, nutritional supplements, or other things I’m taking.
I understand that adverse events from taking antidepressant medication include but aren’t limited to increased risk of suicide, Serotonin Syndrome, gastrointestinal bleeding, mania, birth defects, angle-closure glaucoma, seizures, hyponatremia, and heart, liver, or kidney issues.
I understand that participating in therapy can involve examining and addressing strong emotions that may be upsetting for me.
I understand that by using the App I won’t speak or message with a doctor, therapist, or nurse in real time, except in cases where a live video consultation is explicitly scheduled and confirmed.
I understand that my doctor or therapist will endeavor to respond to messages within 24 hours on weekdays, but that at times this may take longer.
I understand that I must check my email for messages and the App for updates because this is the way that Brightside Health will communicate important information to me. I understand that if I don’t check the App regularly, then my care may be delayed.
I understand that if I have any questions relating to my care that aren’t urgent, I can message Brightside Health at firstname.lastname@example.org. I understand that Brightside Health may not review my messages until the next business day or possibly later.
I understand that by using the App I will receive personalized content on the most appropriate treatment or therapy methods available to me and that I am using this information to make my own decisions about which treatment(s) or therapies I would like to pursue. I understand that it is important that I read the information provided within the App and via links to third-party websites for information about my depression and/or anxiety treatment or therapy choices.
I understand that it is critical that I read and understand all information provided about any antidepressant medication prescribed to me, if applicable. I understand that information about the risks of antidepressant medication is found within the Frequently Asked Questions and the information Brightside Health provides when I am prescribed a specific medication. I also understand that I should discuss the medication with my pharmacist before I begin taking it.
I understand that the electronic nature of the App means that there’s a greater risk to the privacy of my health information compared to visiting a traditional therapist’s or doctor’s office. I understand that although Brightside Health implements a wide range of administrative, physical, and technical safeguards to protect my health information, Brightside Health cannot guarantee the privacy and confidentiality of my health information.
I agree and authorize my healthcare provider to share information regarding the telehealth exam with other individuals for treatment and/or therapy, payment and health care operations purposes.
I agree and authorize my healthcare provider to release information regarding the telehealth exam to Brightside Health and its affiliates.
I agree to this Consent to Telehealth and acknowledge that using the Site constitutes an on-going agreement to this Consent to Telehealth.
If you provide information about your health insurance or health plan, that will be deemed your authorization for us to submit claims for covered Medical Services to your health insurer or health plan. You hereby assign or otherwise authorize payment of medical benefits to us for the medical services provided to you. You authorize the release of any medical or other information necessary to process any claims for the Medical Services provided. You further understand and accept your financial responsibility for any portion of the bill not covered by your health insurer or health plan. SUBMISSION OF CHARGES DOES NOT WAIVE OUR RIGHT TO SEEK PAYMENT DIRECTLY FROM YOU.