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We listen before we prescribe.
We’ve Been Where You Are
AA Health Solutions, LLC DBA Evolve Your Bod
Effective Date: March 2026
This Hybrid Satellite-Site Facilitation Disclosure (“Disclosure”) is provided to you before your Hybrid care encounter. It explains the three-party care arrangement involved in the Hybrid (Consult + IV) care model and ensures that you understand who is providing your care, where your care is taking place, and how your information flows between the entities involved.
Your Hybrid encounter involves three parties:
– Evolve Your Bod (AA Health Solutions, LLC) — the technology and care coordination platform that coordinated your intake, scheduling, and administrative services. Evolve does not practice medicine and does not directly provide clinical care.
– The Satellite / Facilitating Site — the physical location where you are presenting for your visit. On-site clinical staff (such as a licensed registered nurse) will assist with intake, vitals collection, encounter facilitation, and, if ordered, IV therapy administration.
– The Rendering Medical Group and Remote Physician — the independent Medical Group (and its affiliated licensed physician) that is providing your clinical care. The remote physician will conduct your telehealth consultation from a distant location, evaluate your medical information, make clinical decisions, and issue any treatment orders, including prescriptions and IV therapy orders.
Before your Hybrid encounter begins, you should understand the following:
– You are physically presenting at a satellite or facilitating location, not at the Medical Group’s primary office.
– The on-site nurse or clinical staff member is a facilitator. They are not the treating physician and do not independently diagnose, prescribe, or make treatment decisions.
– The remote physician conducting your telehealth consultation is the rendering clinician. They are responsible for your diagnosis, treatment plan, and any prescriptions or IV therapy orders.
– The remote physician is affiliated with an independent Medical Group that coordinates with Evolve Your Bod. The identity of the Medical Group and physician will be disclosed to you before your consultation begins.
– Your information will be shared among Evolve Your Bod, the satellite site staff, and the rendering Medical Group for the purpose of treatment coordination, as described in your PHI / Data-Sharing Authorization.
– If IV therapy is ordered and administered during your visit, you will also be asked to sign the IV Therapy Treatment Consent.
The on-site clinical staff at the satellite location may perform the following functions under the direction of the remote physician:
– Verify your identity and review your intake information.
– Collect vital signs (blood pressure, heart rate, temperature, weight, oxygen saturation).
– Facilitate the telehealth connection between you and the remote physician.
– Administer IV therapy under a valid physician order, if applicable.
– Monitor you during and after IV administration.
– Follow established emergency escalation protocols if an adverse event occurs.
– Document the encounter and transmit records to the rendering Medical Group and Evolve Your Bod.
The on-site staff operates under the supervision and delegation authority of the remote physician and the rendering Medical Group. They do not independently prescribe medications or make diagnostic decisions.
Hybrid services rendered by the Medical Group or partner clinic may be eligible for insurance coverage. The rendering Medical Group, partner clinic, or Evolve Your Bod acting as a billing agent on their behalf, is responsible for insurance verification, billing, and claims submission. You are responsible for any copays, deductibles, coinsurance, or balances not covered by your insurance plan.
By signing below, electronically accepting this Disclosure through the Evolve Your Bod platform, clicking ‘I Agree,’ checking the associated consent box, or proceeding with your hybrid encounter after being presented with this Disclosure, you affirm:
– I understand that my Hybrid encounter involves three parties: Evolve Your Bod (platform), the satellite site staff (facilitator), and the rendering Medical Group and remote physician (treating clinician).
– I understand that I am physically presenting at a satellite or facilitating location.
– I understand that the on-site nurse is a facilitator and does not independently diagnose or prescribe.
– I understand that the remote physician is the rendering clinician and is responsible for my care.
– I have been informed of the identity of the Medical Group and will be informed of the identity of the remote physician before my consultation.
– I consent to the sharing of my information among Evolve, the satellite site staff, and the Medical Group as described in the PHI / Data-Sharing Authorization.
– I understand that if IV therapy is ordered, I will sign the IV Therapy Treatment Consent.
– I have the right to refuse treatment at any time.
– I have had the opportunity to ask questions and have received satisfactory answers.
Evolve Your Bod (AA Health Solutions, LLC)
5521 Bellaire Drive South, Suite 200, Fort Worth, TX 76109
Email: info@evolveyourbod.com | Phone: 866-301-3141
Patient Signature (or Electronic Acceptance) | Date |
Patient Printed Name |