ijayMD Mental Health & Wellness Care d/b/a ijayMD.com Effective Date: October 31st, 2025 • Version: 1.0 Contact: 443-371-3181 • support@ijayMD.com

Safety Note: ijayMD provides scheduled telepsychiatry care and is not an emergency service. If you are in crisis, call 911 or 988.

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At‑a‑Glance

• Virtual‑only care for adults and adolescents physically located in Maryland at the time of service.
• Location verification and identity verification occur at every visit.
• Platforms: Zoom, Google Meet, or Whereby (HIPAA‑eligible business services; no recording).
• Scope: evaluation, diagnosis, medication‑focused treatment, brief skills coaching, and care coordination.
• No guarantees of controlled‑substance prescriptions; PDMP checked at each controlled‑substance visit; UDS as indicated; adolescent vitals schedule for stimulants.
• You agree to use a private location, updated device, and reliable internet.
• Deposits, cancellations, and pricing are governed by the Financial Policy.
• You can withdraw consent for telehealth at any time, which may require in‑person alternatives outside ijayMD.

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1) Purpose and Nature of Telepsychiatry

Telepsychiatry uses secure, real‑time audio/video to deliver psychiatric services. Your clinician will evaluate symptoms, discuss diagnoses and treatment options, and—when appropriate—prescribe medications. Some aspects of care (e.g., physical exam elements or vitals) may require measurements obtained at home, at a pharmacy/clinic, or through your primary care provider (PCP).

2) Eligibility; Location & ID Verification

• You must be physically located in Maryland during telehealth visits. We will ask your current address at each session and may use geolocation or other verification tools.
• We may request government‑issued photo ID at or before visits.
• If we cannot verify your location/identity, we may reschedule or decline the visit.

3) Technology Platforms and Security

• Sessions may occur via Zoom, Google Meet, or Whereby using HIPAA‑eligible business plans with Business Associate Agreements (BAAs).
• Recording is not permitted by either party without written consent.
• We strive to use encrypted connections and authenticated meetings. You agree not to share links or allow unauthorized participants.
• If a platform outage occurs, we may switch platforms or reschedule.

4) Risks, Benefits, and Alternatives

Potential Benefits

• Faster access to evaluation and follow‑up; convenience and continuity.
• Reduced travel and time off work/school.

Potential Risks

• Technical failures (poor connectivity, dropped calls, audio/video issues).
• Security/privacy risks inherent to the internet, despite safeguards.
• Limited ability to conduct certain assessments/exams remotely.
• Rare miscommunication due to reduced nonverbal cues.

Alternatives

• In‑person evaluation with a local psychiatrist/PCP; urgent care/ED when appropriate.
• You may request referral options if telehealth is not suitable for your needs.

5) Scope of Care; Controlled‑Substance Policy

• Our care is medication‑focused with brief skills coaching and coordination.
• We do not promise any medication before evaluation. For controlled substances, we maintain conservative stewardship:
  • PDMP check at every controlled‑substance visit.
  • Urine Drug Screening (UDS) as clinically indicated.
  • Single prescriber policy; no early refills for lost/stolen prescriptions except in limited, documented circumstances.
  • Adolescent patients on stimulants: adherence to a vitals schedule (heart rate, blood pressure, weight/height) via home device, PCP, or pharmacy checks.
• We may coordinate with your PCP/therapist/school/OB with your written authorization (ROI) unless otherwise permitted by law.

6) Patient Responsibilities

You agree to:

• Join from a private, quiet location with adequate lighting and minimal interruptions.
• Use a secure, updated device and reliable internet; test audio/video beforehand.
• Not record sessions without written permission.
• Not drive or engage in hazardous activities during sessions.
• Provide accurate medical history, medications, allergies, and current pharmacy.
• Have a backup plan for emergencies (see §8).
• Follow prescription and follow‑up instructions; keep medication safe; request refills with sufficient lead time.
• For minors: a parent/guardian must provide required consents; confidentiality boundaries will be reviewed during intake and aligned with Maryland law.

7) Scheduling, Deposits, and Cancellations

Scheduling, deposits, late‑cancel/no‑show fees, accepted payment methods, and Good Faith Estimate information are covered in the Financial Policy. You acknowledge and agree to those terms as a condition of booking.

8) Crisis, Safety, and Emergencies

• ijayMD is not an emergency provider and offers no on‑call emergency coverage.
• If you are in crisis, call 911 or 988, or go to the nearest emergency department.
• You agree to provide a local emergency contact and your exact location at the start of each visit.
• If a safety concern arises (e.g., risk of harm to self/others), we may contact emergency services and share necessary information consistent with law and our NPP.

9) Electronic Communications for Care

• We use the EMR portal for secure messaging and forms.
• Email/SMS may be used for logistics (reminders/links). We avoid PHI in standard email/SMS unless you request or consent to less secure channels.
• Marketing emails are separate and require a separate opt‑in.

10) Consent to Telepsychiatry and Acknowledgments

By signing electronically, you:

1. Consent to receive psychiatric services via telehealth from ijayMD clinicians while you are located in Maryland.
2. Acknowledge the risks, benefits, and alternatives described above, and that no method is 100% secure.
3. Authorize the use of Zoom/Google Meet/Whereby (HIPAA‑eligible versions) for sessions and understand that recording is prohibited without written consent.
4. Acknowledge our controlled‑substance stewardship policies, including PDMP checks, UDS as indicated, single prescriber policy, refill timing, and lost/stolen prescription rules.
5. Agree to the Financial Policy, Privacy Policy, Notice of Privacy Practices (NPP), Messaging & Communications Policy, and Website Terms of Use.
6. Understand that ijayMD may determine telehealth is not clinically appropriate and may refer or triage your care accordingly.
7. Understand that consent to telehealth may be withdrawn at any time by notifying us in writing; withdrawal does not affect already‑provided services and may require in‑person alternatives outside ijayMD.

11) State‑Specific Disclosures — Maryland

• You must be physically present in Maryland for telehealth services provided by Maryland‑licensed clinicians, unless otherwise allowed by law.
• You may request your preferred pharmacy; electronic prescriptions will be used when possible.
• Maryland law may provide additional protections regarding minors’ consent/confidentiality; we will review these at intake.

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Signatures (electronic)

I have read and understand this Consent, had the opportunity to ask questions, and consent to receive telepsychiatry services from ijayMD.  

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Cross‑References

• Notice of Privacy Practices (NPP)
• Financial Policy & Transparent Pricing
• Messaging & Communications Policy
• Website Terms of Use

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