PATIENT INFORMATION
Patient Terms of Service & Telemedicine Informed Consent
Lakeshore Medical & Wellness Clinic
Version: 1.0
Last updated: October 21, 2026
Introduction
These Patient Terms of Service & Telemedicine Informed Consent (“Terms”) govern your use of the Lakeshore Clinic website, patient platform, appointment booking services, and telemedicine consultations.
Lakeshore Medical & Wellness Clinic (“Lakeshore Clinic,” “the Clinic,” “we,” “our,” or “us”) is located at 19044 PR 231, Gimli, Manitoba R0C 1B0, Canada.
By creating an account or using our services, you agree to the applicable provisions of these Terms. Before each telemedicine consultation, you must also review and affirmatively accept the consultation-specific consent requirements in Part B.
These Terms operate alongside our Privacy Policy and Cancellation and Refund Policy. Where separate consent is required by law, including for specific uses or disclosures of personal health information, that consent will be obtained separately.
PART A: PATIENT TERMS OF SERVICE
1. Services Provided
Lakeshore Clinic provides access to healthcare-related services that may include:
- In-person and walk-in appointments, where available.
- Virtual consultations and telemedicine appointments.
- Online appointment booking and management.
- Patient communications and administrative support.
- Payment processing and receipts, where applicable.
- Access to healthcare professionals and related services offered through the Clinic.
Service availability may depend on your location, the nature of your health concern, provider availability, professional licensing requirements, and applicable law.
We may modify, suspend, or discontinue website features where reasonably necessary for operational, technical, security, clinical, or legal reasons.
2. Eligibility and Patient Accounts
You must provide accurate, complete, and current information when registering for an account or booking an appointment.
You are responsible for updating your contact details and other relevant information when they change.
You must not impersonate another person, provide false information, or create an account on behalf of another individual without appropriate authorization.
You are responsible for taking reasonable steps to protect your account credentials and for notifying the Clinic if you suspect unauthorized access.
We may restrict or suspend account access where reasonably necessary to address suspected fraud, security risks, unlawful activity, or misuse of the platform.
3. Appointments and Scheduling
Appointments may be booked through our website or other booking channels made available by the Clinic.
The applicable appointment fee, provider availability, and booking conditions will be communicated during the booking process.
An appointment is confirmed when the relevant confirmation is provided.
Appointments may occasionally need to be rescheduled or cancelled because of provider availability, technical problems, clinical priorities, or circumstances beyond our reasonable control. Where practical, we will notify you of material changes and explain the available options.
Booking an appointment does not guarantee a particular diagnosis, treatment, prescription, referral, or clinical outcome.
4. Healthcare Professionals and Clinical Responsibility
Healthcare services are provided by healthcare professionals acting within their professional scope and applicable legal requirements.
The identity and professional credentials of the consulting healthcare professional will be displayed or communicated through the relevant booking or consultation process, as applicable.
Where a healthcare professional operates independently of the Clinic, the nature of that relationship will be communicated appropriately.
The healthcare professional is responsible for exercising appropriate clinical judgment. Nothing in these Terms excludes or limits any legal or professional duty that the Clinic or healthcare professional may owe to a patient.
5. Fees and Payment
The applicable consultation fee will be displayed before you confirm a paid booking.
Unless otherwise stated, fees are charged in Canadian dollars (CAD).
Payments may be processed through third-party payment service providers, including Stripe where used by the Clinic. By completing a transaction, you authorize payment of the amount disclosed during checkout.
You are responsible for checking whether your consultation is covered by a provincial or territorial health plan, private insurance, or another reimbursement arrangement. Unless expressly confirmed otherwise, the Clinic does not guarantee direct billing or reimbursement.
Where applicable, receipts or invoices may be provided to support reimbursement requests.
If you believe that you have been charged incorrectly or more than once, please contact the Clinic with the relevant transaction details.
6. Cancellations, Rescheduling, and Refunds
Appointments are subject to the Clinic's separate Cancellation and Refund Policy, which must be made available before a paid booking is completed.
That policy explains the applicable rules for:
- Patient cancellations and rescheduling.
- Missed appointments and any applicable fees.
- Provider cancellations.
- Technical failures that prevent a consultation.
- Refund eligibility and processing timelines.
Where a consultation cannot proceed because of a provider cancellation or a qualifying platform failure, the Clinic will apply the published refund or rescheduling policy, subject to applicable law.
Nothing in these Terms removes any consumer protection or refund rights that cannot lawfully be excluded.
7. Prescriptions, Referrals, and Follow-Up Care
Prescriptions, referrals, diagnostic requests, and treatment recommendations depend on clinical assessment and applicable legal and professional requirements.
The Clinic does not guarantee that a prescription or referral will be issued.
Where a prescription is issued, it will be handled through an appropriate process and in accordance with applicable prescribing and pharmacy requirements.
You are responsible for following medication instructions, asking questions when you do not understand your treatment, and arranging recommended follow-up care.
If your symptoms worsen or require urgent attention, seek appropriate medical assistance rather than waiting for a response through the platform.
8. Patient Responsibilities
You agree to:
- Provide accurate and complete information relevant to your care.
- Disclose relevant symptoms, medical history, allergies, and medications.
- Treat Clinic staff and healthcare professionals respectfully.
- Attend appointments on time or provide notice when you cannot attend.
- Follow reasonable identity verification and platform security procedures.
- Ask questions if you do not understand clinical instructions.
- Seek appropriate follow-up care when advised.
You must not use the platform for unlawful purposes, impersonate another person, attempt unauthorized access to systems or patient records, interfere with platform security, or harass or threaten staff or healthcare professionals.
Your responsibilities do not remove any independent legal or professional obligations owed to you by the Clinic or your healthcare professional.
9. Privacy and Personal Health Information
We handle personal information and personal health information in accordance with our Privacy Policy and applicable privacy legislation.
Information may be collected, used, disclosed, and retained as necessary to administer accounts, arrange appointments, provide healthcare services, maintain appropriate records, process payments, communicate with patients, protect platform security, and meet legal obligations.
Information may be processed through third-party service providers that support the Clinic's operations, subject to applicable legal requirements and appropriate safeguards.
Please review our Privacy Policy for details about information collection, use, disclosure, security, retention, access requests, correction requests, and privacy complaints.
Privacy Policy: https://thelakeshoreclinic.com/privacy-policy
Acknowledging the Privacy Policy does not automatically constitute consent to every possible use or disclosure of personal health information. Where specific consent is legally required, it will be obtained separately.
10. Website Availability and Technical Requirements
We take reasonable steps to maintain the availability and functionality of our website and online services. However, we do not guarantee uninterrupted or error-free operation.
Services may be temporarily unavailable because of maintenance, connectivity problems, technical failures, security incidents, or third-party service disruptions.
You are responsible for maintaining a compatible device and suitable internet connection.
If a technical problem affects your consultation, contact the Clinic for assistance. If your symptoms require urgent attention, seek appropriate medical care rather than waiting for the platform to become available.
11. Changes and Account Closure
We may update these Terms to reflect changes in our services, operations, or applicable law.
The current version will be published on our website with an updated revision date. Where required by law, we will provide additional notice or obtain consent before implementing changes.
You may stop using the platform or request account closure, subject to applicable procedures and legal record-retention obligations.
Account closure does not automatically result in deletion of medical records that must be retained under applicable law or professional requirements.
PART B: TELEMEDICINE TERMS AND INFORMED CONSENT
This part must be reviewed and accepted before every telemedicine consultation.
Your consultation-specific consent will be recorded with the relevant consultation. Please read the following sections carefully before proceeding.
12. Understanding Telemedicine and Its Limitations
Telemedicine allows me to consult a healthcare professional remotely using electronic communication technology.
I understand that telemedicine has limitations compared with an in-person examination. Depending on my condition, the healthcare professional may not be able to physically examine me, measure my vital signs, listen directly to my heart or lungs, or perform diagnostic tests during the consultation.
I understand that these limitations may affect the healthcare professional's ability to assess my condition fully.
12.1 In-Person Assessment and Referral 
I understand that my healthcare professional may recommend an in-person assessment, diagnostic testing, a specialist referral, or another form of care if clinically appropriate.
If telemedicine is not suitable for my condition, the healthcare professional may recommend an alternative care pathway or decline to proceed remotely.
I understand the importance of following appropriate clinical recommendations and seeking further assessment when advised.
12.2 Medical Emergencies 
I understand that Lakeshore Clinic's telemedicine service is not an emergency service.
If I experience chest pain, severe difficulty breathing, symptoms suggestive of a stroke, severe bleeding, loss of consciousness, or another potentially life-threatening condition, I will contact emergency services or attend the nearest emergency department immediately.
I will not delay emergency treatment while waiting for a telemedicine appointment, a response from the Clinic, or technical assistance.
13. The Healthcare Professional and the Doctor-Patient Relationship
The identity and professional details of the healthcare professional conducting my consultation will be displayed or communicated before I proceed.
I understand that the healthcare professional is responsible for assessing my condition and exercising appropriate professional judgment within their scope of practice and applicable legal requirements.
Where the healthcare professional operates independently of the Clinic, the nature of that relationship will be communicated appropriately.
The Clinic may provide technology and administrative services to facilitate the consultation, including appointment scheduling, communications, and payment processing.
I understand that creating a platform account does not guarantee an ongoing relationship with a particular physician or establish access to continuing primary care.
The scope and duration of the professional relationship depend on the consultation, the healthcare professional's obligations, and applicable law.
Nothing in this section removes any legal or professional duty that the Clinic or healthcare professional may owe to me.
14. Patient Identity, Age, and Current Location
Before the consultation begins, I confirm that the information I provide is accurate.
I will provide my actual full name, date of birth, and current physical location when requested.
I understand that the healthcare professional's authority to provide telemedicine services may depend on the province or territory where I am physically located.
If my location is incorrect, I will update it before proceeding. I understand that the consultation may need to be rescheduled or declined if the healthcare professional is not authorized to provide the service in my location.
I confirm that I am at least 18 years old, unless a different age is permitted for the relevant service under applicable law.
If I am acting on behalf of a minor or another individual, I confirm that I have the legal authority required to provide consent on their behalf. I will provide my own identity details and the patient's details when requested.
Additional consent, safeguarding, or age-specific requirements may apply depending on the patient and service.
15. Consultation Fees, Insurance, and Refunds
I understand that the fee applicable to my consultation will be displayed before I confirm payment.
Unless otherwise stated, the fee is charged in Canadian dollars (CAD).
I understand that insurance coverage and reimbursement depend on the applicable health plan, private insurance policy, and nature of the service. A receipt does not guarantee reimbursement.
I acknowledge that the Clinic's published Cancellation and Refund Policy applies to my booking.
Where that policy provides for a refund because of a provider cancellation or a qualifying platform failure, the refund will be processed according to the disclosed policy and applicable law.
I understand that the applicable rules for patient cancellations, missed appointments, consultations that have commenced, and rescheduling will be disclosed before payment.
16. Prescriptions and Pharmacy Authorization
I understand that receiving a prescription is not guaranteed as a result of a telemedicine consultation.
My healthcare professional will determine whether prescribing medication is clinically appropriate and legally permitted.
If a prescription is issued, it will be handled through an appropriate process and in accordance with applicable prescribing and pharmacy requirements.
Where electronic prescription transmission is available, I may be asked to identify or confirm my chosen pharmacy and provide any required authorization.
I understand that I may need to provide identification or additional information to the pharmacy before medication can be dispensed.
17. Privacy and Consultation Records
I acknowledge that personal information and personal health information may be collected, used, disclosed, and retained as necessary to arrange and provide my consultation, maintain appropriate healthcare records, administer the service, process payment, and meet applicable legal obligations.
Information may include my identity and contact details, current location, symptoms, medical history, medications, consultation notes, assessments, diagnoses, prescriptions, referrals, and relevant appointment or billing records.
The Clinic and healthcare professional will handle information in accordance with their respective legal obligations and applicable privacy legislation.
I understand that my consulting healthcare professional will need access to relevant information to provide care.
Access to my records by other healthcare professionals will be governed by applicable law, professional obligations, the Clinic's privacy practices, and any consent required for the particular access or disclosure.
My records may need to be retained for a legally required period. A request to delete medical records may not always be granted.
For questions or concerns about the Clinic's handling of my information, I may contact:
Email: contact@thelakeshoreclinic.com
Privacy Policy: https://thelakeshoreclinic.com/privacy-policy
17.1 Consultation Recording 
Accepting these Terms does not automatically authorize audio or video recording of my consultation.
If the Clinic proposes to record a consultation, I will receive a separate explanation of the recording's purpose, intended use, access, retention, and any available alternative.
Where consent is required, I will be asked to provide it separately before recording begins.
Declining optional recording will not automatically prevent me from receiving care unless a lawful and clinically justified requirement applies and has been explained to me.
18. My Responsibilities During the Consultation
I agree to provide accurate and complete information relevant to my consultation.
I will make reasonable efforts to disclose relevant symptoms, medical history, allergies, current medications, and other information requested by the healthcare professional.
I understand that inaccurate, incomplete, or withheld information may affect the assessment and recommendations I receive.
I will ask questions when I do not understand clinical instructions and inform the healthcare professional if my symptoms change or I have difficulty following a recommendation.
If I am advised to obtain urgent assessment, diagnostic testing, or in-person care, I understand the importance of acting promptly.
My acknowledgement of these responsibilities does not waive any legal rights or remove any professional obligations owed to me.
19. Technology and Communication
I understand that telemedicine depends on suitable technology and communication services, including a compatible device and a reliable internet connection.
Technical issues may interrupt or prevent a consultation. If a technical problem occurs, I may be asked to reconnect, use an alternative approved communication method, or arrange another appointment.
I understand that ordinary email and other unsecured communication methods may not be suitable for transmitting sensitive health information.
If a technical problem prevents me from obtaining care and my symptoms require urgent attention, I will seek appropriate medical assistance rather than wait for the platform to become available.
20. Consultation-Specific Consent and Electronic Record
20. Consultation-Specific Consent and Electronic Record
Before each telemedicine consultation, the patient must review and affirmatively accept the applicable terms and consent requirements.
By submitting this form, the patient confirms that:
- They understand the limitations of telemedicine and that an in-person assessment or emergency care may be necessary.
- They have reviewed the identity and professional details of the healthcare professional conducting the consultation.
- They have confirmed their current physical location and provided accurate patient information.
- They have reviewed the consultation fee and applicable Cancellation and Refund Policy.
- They have had an opportunity to ask questions about the consultation and consent.
- They voluntarily consent to receiving healthcare through telemedicine, subject to the healthcare professional's assessment and applicable requirements.
This consent applies to the specific consultation identified in the booking or consultation record. Further consent may be required if the nature of the service changes materially or applicable law requires it.
The platform will maintain an appropriate electronic record of the patient's acceptance, including, where applicable, the patient's identity or authorized representative's identity, consultation reference, healthcare professional, document version, date and time of acceptance, and the consent choices submitted.
These records will be retained and handled in accordance with applicable legal requirements and the Clinic's privacy and record-retention practices.
A copy of this document or a record of the patient's consent may be made available through the platform or sent to the patient's registered email address, subject to verification and applicable privacy requirements.
Patient and Consultation Details
Patient full legal name: [Enter patient's full legal name]
Patient date of birth: [Enter date of birth]
Current province or territory: [Select current physical location]
Healthcare professional: [Display verified provider name]
Professional licence number: [Display verified licence number]
Consultation reference: [Automatically generated consultation ID]
Required Acknowledgements Before Starting
The patient must actively select both required checkboxes before proceeding.
- Patient Terms of Service & Telemedicine Consent: I have read and agree to the Patient Terms of Service & Telemedicine Informed Consent, including the limitations of telemedicine, emergency guidance, and my consent to receive care remotely.
- Privacy Policy: I have read the Privacy Policy and understand how my personal information and personal health information may be collected, used, disclosed, and protected.