The Fine Print

for Remote Client Consultations

These terms are subject to change at any time.


Dr. Zelfand is not your physician and therefore 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.

Remote consultations are 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, you hereby agree that Dr. Zelfand is not your physician, 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.

Although Dr. Zelfand is a licensed healthcare provider, online/phone sessions are not medicine or health care. This work is not being done under Dr. Zelfand’s license as a practitioner, and as such, the same rights, privileges, and restrictions are not extended to this work and it is not covered by malpractice insurance; you are expected to take responsibility for yourself and the risks you take by engaging in these appointments.

We reserve the right to refuse business to any person or any entity for any reason, and are under no obligation to state said reason(s). Dr. Zelfand likewise reserves the right to terminate the consultant/client relationship at any time for any reason. Any flirtatious advances or sexually suggestive comments will be deflected and the professional relationship terminated, with no refund.


Remote consults involve electronic communication of your/your child’s personal medical information to a person who may be located in another state or country. We take precautions to ensure your privacy, but cannot make any guarantees regarding the encryption of the technology used, nor does this unlicensed work fall under the obligations of HIPAA. We are therefore not obligated to keep records of appointment or furnish any of notes upon request. However, it is our intention and commitment to you to protect your personal information and confidentiality to the best of our ability, always. We will always act to maximize your privacy.

Likewise, we expect you to respect confidentiality: unless agreed upon in writing prior to each appointment, recording of sessions is strictly prohibited. (Recording somebody without their permission is also creepy, and illegal in many states.)


Dr. Zelfand cannot and will not provide information on where or how to obtain illicit substances. She likewise does not refer clients to practitioners working “underground” administering illegal or not-yet-legal therapies or who might work with clients should they “coincidentally” arrive to sessions under the effects of illicit substances. She may, however, share what she knows about clinical trials for which you may be eligible to apply to enroll, if she is aware of any. She does not guarantee that you will be included in the trial or that it would benefit you to do so. She may also share information she knows about services available in countries with different laws, though safety and legality are not guaranteed.


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 remote (phone or web) sessions will not be provided, nor will any CPT codes or ICD codes appear on your receipts. Payments will be processed through the online scheduling system.

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 sessions 60 minutes or longer and $50 for sessions shorter than that (or the full cost of the visit, whichever is lesser). Scheduling is in Pacific Standard Time (PST).


Dr. Zelfand is not available for phone calls or e-mails outside of scheduled visits. If you need to speak with her, you may send a message to her or her administrative assistant through the secure client portal (you’ll get an invitation after your first appointment). You may also schedule a “quick question” appointment through the online scheduler.

PLEASE DO NOT CALL, TEXT, OR E-MAIL THE OFFICE WITH QUESTIONS ABOUT YOUR CARE. The ONLY place to ask questions about your care plan is online via the client portal messenger (you will get a free link to join after your first session) or during an appointment with Dr. Zelfand. The office phone and e-mail are for backup scheduling purposes only.



Full terms of service for this site are available here. Online lab terms of use are here.

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