Telemedicine Informed Consent Form

Last updated June 20, 2025

Welcome to GoRocky!

Before proceeding with your order, please read and acknowledge the following informed consent for our telemedicine services. This ensures you understand the nature of our services, associated risks, data handling practices, and the role of our licensed physicians.

1. Nature and Purpose of the Treatment

GoRocky provides telemedicine services to facilitate access to healthcare consultations and prescription medications for health and wellness, including but not limited to treatments for conditions such as erectile dysfunction, hair loss, weight loss, and other wellness needs. Our service connects you with licensed physicians who will evaluate your medical information through an online questionnaire or consultation to determine if a treatment or prescription is appropriate for you. The purpose is to provide convenient, safe, and effective medical care remotely, ensuring you receive professional guidance and access to quality medications.

2. Acknowledgment of Medical Risks or Side Effects

All medical treatments and medications carry potential risks and side effects. During your consultation process, our licensed physicians will assess your suitability for the prescribed treatment based on the information you provide. Possible risks or side effects vary depending on the medication or treatment and may include, but are not limited to, allergic reactions, headaches, nausea, or interactions with other medications. Detailed information about specific risks and side effects will be provided with any prescribed medication. You are encouraged to discuss any concerns with our physicians or contact our support team before starting treatment. By proceeding, you acknowledge that you understand these potential risks and agree to follow the physician’s instructions.

3. Consent for Collection, Processing, and Storage of Personal and Medical Data

To provide telemedicine services, GoRocky collects, processes, and stores your personal and medical information, including but not limited to your name, contact details, medical history, and consultation responses. This data is used to evaluate your health, issue prescriptions, process orders, and improve our services. We comply with the Philippine Data Privacy Act of 2012 and implement robust security measures to protect your information. Your data may be shared with licensed physicians, pharmacies, and trusted third-party service providers solely for the purpose of delivering our services. By agreeing to this consent, you authorize GoRocky to collect, process, and store your data as described in our Privacy Policy.

4. Understanding That a Licensed Physician Will Evaluate Your Information

All medical evaluations and prescriptions provided through GoRocky are conducted by licensed physicians registered in the Philippines. These physicians will review the information you submit during the telemedicine consultation to determine the appropriateness of any treatment or prescription. You understand that providing accurate and complete information is essential for safe and effective care, and you agree to do so. Prescriptions will only be issued if deemed medically appropriate by the physician.

Acknowledgment and Consent

By checking the box and proceeding with your order, you confirm that:

  • You have read and understood the information provided in this Telemedicine Informed Consent Form.
  • You consent to the telemedicine services, including the evaluation by a licensed physician and the potential issuance of a prescription.
  • You acknowledge the potential risks and side effects associated with the treatment.
  • You authorize the collection, processing, and storage of your personal and medical data as described.
  • You agree to provide accurate information and follow the physician’s instructions.