Telehealth

Telehealth Visits

Telehealth / E-Visits are available for established patients only - your Establishing Care visit is always at our office as an in-person appointment. 

All Primary Care appointments outside of office hours - 9:30 am - 5:30 pm, Monday - Friday - will be Telehealth appointments. 

Our administrative team generally approves telehealth visits as requested. Please note that our administrative staff are not medical professionals, and they are not trained to determine what type of appointment is needed for you specifically based on your medical history and appointment history. 

If you schedule a telehealth appointment for any condition, be prepared to come in person for an additional appointment if your provider determines it is medically necessary. Controlled substances specifically often have specific monitoring requirements.

Please see our Telehealth Informed Consent Policies at the bottom of this page. This is the same policy signed by all patients during the intake process. 

Before your Visit:

💳 Expected Patient Responsibility Payment

Your expected patient responsibility (EPR) will be due at the time of your appointment. Any payment collected will be applied toward your copayment, coinsurance, deductible, or other patient responsibility as determined by your insurance plan.

Patients are responsible for understanding their own insurance benefits (please review our Insurance Policies)

For more information about the EPR, please visit this page on our site: https://www.lavenderspectrumhealth.com/for-patients/resources/2026-billing-updates

🖥️ How to Join Your E-Visit

1. Log In Early
Please log in to the patient portal 20 minutes before your appointment at:
👉 www.YourHealthFile.com

This gives you enough time to complete the required check-in steps before your provider joins.

2. Complete the Check-In Process

• Click on “Appointment Check-In” once logged in.

• Pay your balance or EPR.

• Follow the on-screen prompts and complete any relevant forms.

• Be sure to complete the pre-visit health screenings. 

• Check-in sections can be skipped if they’re not relevant to your visit.

3. Start the Video Call
Once check-in is complete, a video window will appear. This means your telehealth session is ready to begin—your provider will join you shortly.

4. Technical Tips for a Successful Visit

• Use a strong internet connection. Wi-Fi is preferred over cellular data.

• Allow camera and microphone access in your browser when prompted.

• Find a quiet, private location where you can speak freely and without interruption.

📌 Appointment & Clinic Reminders

• Your provider can address up to two health concerns per visit.

• 24-hour notice is required to cancel or reschedule appointments.

• A fee applies for no-shows or late cancellations.

• If you are 10 minutes late or more, the appointment may be marked as a no-show.

• Three no-shows or late cancellations within a year may result in discharge from the practice.

• Unpaid balances over 120 days may result in discharge and referral to collections.

• It is your responsibility to verify that your insurance plan covers telehealth visits.

📎 Helpful Links

• Patient Code of Conduct

Telehealth Informed Consent:

TELEHEALTH INFORMED CONSENT: LAVENDER SPECTRUM HEALTH

Lavender Spectrum Health may use Telehealth in your care and treatment.  Telehealth is the practice of healthcare using electronic communication or other information technology when you and your healthcare provider are in different locations.  Generally, healthcare providers can only treat patients who are physically located in the state where the provider is licensed.  In some cases, healthcare providers can treat patients who are in-state residents, but are temporarily located out-of-state (like on vacation).  Telehealth communications may include e-mail, facsimile, SMS/text/instant messaging, telephone, and video conferencing, and may be used on a variety of telephonic or electronic devices (collectively, “Communications”).  

1. Suitability of Telehealth.

1. Telehealth should never be used in an emergency or urgent care situation.  If you experience a medical or psychiatric emergency, you must immediately call 911 or your local emergency department.  You must seek urgent care when you need it, and you must not rely on Telehealth for urgent health needs.  If you prefer in-person appointments instead of Telehealth, please tell your provider and Lavender Spectrum Health will accommodate your request or refer you to another provider.  Declining to receive Telehealth on a specific occasion will not impact your access to Telehealth in the future.

2. Your provider has absolute discretion, at all times, to determine the suitability of delivering Telehealth.  If your provider determines that a different form of healthcare services is appropriate (like an in-person office visit), then your provider may discontinue Telehealth and will provide instructions and/or referrals for you to receive the recommended care.

3. Telehealth has certain benefits, but it also has certain limitations and risks.  In some cases, transmitted information may be insufficient to allow for appropriate healthcare decision-making by your provider (like poor image resolution).  If your provider does not have access to information that would be apparent or available in a face-to-face visit, the use of Telehealth may result in medical error or misjudgment.  Delays can result from equipment deficiencies or failures.  No results can be guaranteed, and you are always free to seek a second opinion.  Telehealth never limits your ability to seek in-person care.

4. At each Telehealth session you must be physically located in the state in which your provider is licensed.  If you are temporarily out-of-state, but maintain in-state residency, you must notify your provider before a Telehealth session commences.  You provider may not be able to issue prescriptions, referrals, or other orders if you are out-of-state.  You may need to seek local care for these and other healthcare needs.

5. You will cooperate with your provider at each session to assess the suitability of Telehealth.  This may include verification of your identity, location, and readiness to proceed.  Telehealth requires that you be in a situation conducive to private, undistracted, and uninterrupted Communications.  If you feel your health issue is of a sensitive nature, make sure you can receive Telehealth in a private space so others in your space cannot see, hear, or intercept your session.

6. You can revoke this Telehealth Informed Consent at any time; however, your participation in Telehealth and Communications includes your implied consent.  If you revoke your consent, you must notify Lavender Spectrum Health in writing as soon as possible, and the revocation will not be effective until it has been received and acknowledged by your provider and Lavender Spectrum Health.

2. Communications.

   1. Communications by their nature cannot be guaranteed to be secure or confidential.  Telehealth and Communications involve some risk that unauthorized persons or entities may see, access, copy, or use your personal information.  There is some risk that unencrypted Communications could be intercepted in transmission or redirected to a third-party that is not authorized to receive the information.  If you initiate a conversation in which you disclose protected health information on any Communication platform, then you authorize your provider and Lavender Spectrum Health to communicate with you regarding all protected health information in the same format.  Communications technology and platforms are wholly outside the control of your provider and Lavender Spectrum Health.  Therefore, Lavender Spectrum Health shall not be liable to you, or anyone, for any cost, damage, expense, injury, or other loss relating to Communications, including without limitation, malfunction or delay in response.

   2. Prior to receiving Telehealth, you must understand how Communications work and you need to be comfortable using them.  You must have the devices, tools, and telephone/internet access necessary to receive Telehealth, and you are responsible for the security of these elements.  The risk of a violation of your privacy increases substantially when you enter information on a public access computer, use a computer that is on a shared network, allow a computer to store usernames and passwords, or employ a work computer for personal use.  You fully accept these risks and responsibilities.

   3. If Communications fail during the course of a Telehealth session, you must immediately try to contact your provider using another method of communication.  For example, if a video conference is disrupted by connectivity issues, you should call on the telephone at 360-727-1641.  Your session will then resume, or you and your provider may decide to reschedule.  Under no circumstances should you allow a health need to remain unaddressed because of Communications issues.  

3. Privacy.

   1. Lavender Spectrum Health will adhere to its obligations regarding your privacy rights as identified in the Notice of Patient Privacy Practices.  You attest that you have read, understand, and agree to the Notice of Patient Privacy Practices and that you have been given a copy of the Notice or opted to use a digital copy.

   2. All Telehealth must be documented.  With your permission, Communications may be videotaped or otherwise recorded.  If you permit Telehealth sessions to be recorded, then the resulting data, including audio, image, and video files, may become part of your health record.

   3. The laws that affect your patient privacy are the same for Telehealth as they are for in-person care.  Among other considerations, this may include access that your health insurer will have to your records for quality review and audits.

4. Billing.  Your health insurance or benefit plan may or may not cover Telehealth, and you may need to pay for these services in their entirety at the time services are rendered, or pay your deductible, coinsurance, copayments, or other share of cost.  Lavender Spectrum Health strongly recommends that you consult with your health insurance or benefit plan prior to scheduling Telehealth.