Telehealth Consent

1. What telehealth means at SportSlip

SportSlip provides care through an asynchronous telehealth model: you submit a health-history questionnaire, a 30-second video of your child performing musculoskeletal movements, photos of your camp/school's form + your child's immunization card, and (optionally) an ECG cardiac-rhythm recording from a consumer device. A board-certified physician — Adam Z. Kawalek, MD (NPI 1326223306; licensed in 29 U.S. states — see About for the full list) — reviews everything and either issues a signed clearance letter or refers your child for in-person care.

This is not a live video visit. There's no scheduled appointment. You complete the intake at your convenience and Dr. Kawalek reviews within 24 hours (Standard tier), same-day (Rush), or sub-1-hour during business hours (Premium).

2. What you're consenting to

• You are the parent or legal guardian of the child being evaluated.
• You authorize Dr. Kawalek to review the information you provide and to issue a clearance decision based on it.
• You acknowledge that a telehealth evaluation has inherent limits — Dr. Kawalek cannot listen to your child's heart with a stethoscope, perform a hands-on musculoskeletal exam, or measure blood pressure himself. The clearance is based on the screening framework + video observation + your reported data, which together constitute a defensible pre-participation evaluation per AAP and AHA standards but is not equivalent to an in-person physical.
• You authorize Dr. Kawalek to refer your child to in-person care (your pediatrician, a cardiologist, an orthopedist) if anything in the screening warrants it. In that case, no clearance is issued and your payment is refunded.
• You authorize SportSlip to retain the medical record per our retention policy (indefinite for adults, statutory minimum for minors).
• You authorize secure storage + access by Dr. Kawalek and SportSlip workforce members (currently a workforce of one).

3. What this is NOT

• Emergency care. If your child has a medical emergency, call 911. Don't message us through the dashboard.
• An ongoing care relationship. SportSlip is a single-encounter evaluation. We don't manage chronic conditions, prescribe medications, or follow up over time.
• Diagnosis or treatment. The screening is for clearance, not for diagnosing a condition or starting treatment.
• A substitute for a primary care relationship. Your child should still have a regular pediatrician for ongoing care.

4. Risks of telehealth

The risks are the same as any asynchronous medical service:

• A condition that an in-person exam would catch (subtle heart murmur, joint laxity, etc.) might not be apparent from screening + video alone. The screening framework is designed to minimize this risk — when a flag is identified, we refer rather than clear.
• Video or photo quality can affect the physician's ability to evaluate. If a video isn't usable, we'll ask you to re-record.
• Information transmitted electronically — even on encrypted systems — is theoretically at higher risk of unauthorized access than paper records in a locked file. We mitigate this with the safeguards described in our HIPAA Notice §2.
• Asynchronous review means no real-time interaction. You can't ask Dr. Kawalek questions live. For follow-up clarification, use the dashboard message thread (response within 24 hours).

5. Alternatives

If you'd prefer an in-person evaluation, options include:

• Your child's regular pediatrician.
• A sports medicine clinic.
• An urgent care center that offers sports physicals.

We refer to your pediatrician when our screening identifies anything that should be evaluated in person. If we issue a referral, the cost of that visit is your responsibility (typically covered by your insurance).

6. Your right to withdraw consent

You can withdraw consent at any time by emailing adam@sportslip.co. We will stop providing the service and refund any unconsumed fees. Withdrawing consent does not retroactively delete records — we retain them per the Privacy Policy and the medical-records statutes of your state. You can request deletion separately (see Privacy §5).

7. SMS + email consent

When you consent to use SportSlip, you also consent to receive transactional communications:

• Email: approval notifications, message-thread pings, status updates, password reset links. Email is required to use SportSlip; opt-out means closing your account.
• SMS: appointment reminders, urgent status changes. SMS is opt-in via your phone number at intake. We never include clinical detail in SMS. Reply STOP to opt out. Currently SMS is paused pending carrier verification.

8. Acknowledgment

By using SportSlip, you confirm that you have read, understood, and consent to the above. You confirm that you are the parent or legal guardian of the patient and have authority to consent to medical care on their behalf.

9. Contact

Consent questions: adam@sportslip.co. Phone (833) 549-6401.