The Fine Print

for Remote Client Consultations


By law Dr. Zelfand may not be your physician or treat your condition without seeing you in person first. She cannot order tests, prescribe drugs, or diagnose you with any condition. Your primary care physician and/or other doctors should always be regarded as a primary source of information about diagnosis, treatment, prescription drugs, and medical conditions.

Telemedicine is not a substitute for in-person care. All clients are required to work with a primary care physician locally. Delaying medical evaluation or treatment could be detrimental to your health and wellbeing.

By scheduling a consultation with Dr. Zelfand without first establishing care in person, you agree that Dr. Zelfand is not your doctor, but your consultant. Likewise, you are not a patient, but a client. Dr. Zelfand is not responsible for any side effects, negative reactions, injuries, or death that result from her recommendations during consultation sessions. You are always expected to check with your doctor before implementing any changes to your healthcare plan.


Telemedicine involves electronic communication of your/your child’s personal medical information to a practitioner who may be located in another state or country. We take precautions to ensure your privacy, but cannot make any guarantees regarding the HIPAA-compliance of the technology used.

Likewise, we expect you to respect confidentiality: recording of sessions is strictly prohibited. Recording somebody without their permission is not permitted. (It’s also creepy.)


Most insurance plans do not reimburse for remote consultations. Dr. Zelfand does not work with any health insurance companies and will not correspond with them either. Superbills for telemedicine sessions will not be provided. All you will receive is a receipt for your payment.

Please provide at least 24 hours’ notice if you need to cancel or reschedule a session. Failing to do so will result in a fee. Late cancellations and no-shows will incur a $100 for 60-minute sessions and $50 for sessions shorter than that (or the full cost of the visit, whichever is lesser).
Note that scheduling is in Pacific Standard Time (PST).


Dr. Zelfand is NOT available for questions, phone calls, portal messages, or e-mails outside of scheduled visits. If you need to speak with her, please schedule a “quick question” appointment to do so.

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