Website Terms of Use

Information on the public website is general education only and is not a diagnosis, treatment plan, prescription, medical record, or emergency service.

A patient-provider relationship is not created by viewing the website, reading educational content, submitting a general website inquiry, or clicking a link. A relationship may be established only when a licensed clinician accepts and evaluates you through the approved clinical workflow.

Do not submit medical details through public website contact forms. Use Elation or another approved clinical channel for clinical information.

Services are available only when legally permitted and clinically appropriate. Sky e-Clinic currently provides care to patients located in 47 states and the District of Columbia. Patients located in New York, Kansas, or Wisconsin, or outside the United States, cannot be served at this time. We hope to expand coverage as our insurance carrier permits.

You must truthfully provide your physical location at the time of each encounter. The clinician must be authorized to treat patients located in that state. Sky e-Clinic verifies your state of physical presence at three points (intake form, government ID, and at the start of the visit).

Some services require video, in-person care, laboratory testing, or referral. Sky e-Clinic may decline, reschedule, convert, or refer any visit when telehealth is not appropriate.

All clinical communication (medical history, symptoms, diagnoses, prescriptions, lab results, care instructions) flows exclusively through Elation Patient Passport, which is HIPAA-compliant. Standard email, the public website contact form, LINE, and SMS are used only for non-clinical inquiries (general questions, scheduling support, marketing). Do not include clinical details in messages sent through non-Patient-Passport channels.

At launch, Sky e-Clinic does not use artificial intelligence (AI) in clinical intake, diagnosis, treatment decision-making, prescribing, refill approval, emergency handling, or patient clinical communication. Sky e-Clinic may consider future AI only for administrative / navigation support or approved language-access workflows, and only to the extent permitted by the then-current Operations Manual. Examples may include registration assistance, appointment booking / rescheduling navigation, general service navigation, routing to Elation Patient Passport, collecting patient-entered information for physician review, and approved language relay or translation workflows. AI may not diagnose, treat, prescribe, approve refills, determine clinical eligibility, decline care, perform emergency decision-making, make mandatory-reporting decisions, interpret labs, communicate final clinical assessments or care instructions, create a physician-patient relationship, or replace physician review. Any information collected through an approved AI agent may be routed administratively by staff and clinically reviewed by the physician. No diagnosis, treatment plan, prescription, referral, refill approval, or clinical decline is final unless reviewed and finalized by the physician. Before any patient-facing AI agent is activated, Sky e-Clinic must complete Privacy Officer review, healthcare counsel review, an executed HIPAA Business Associate Agreement if PHI is handled, vendor security review, data-retention and deletion review, data-use / model-training opt-out review, audit logging review, bias and nondiscrimination review, updated patient-facing disclosures, and Operations Manual update / approval before patient #1 of the AI workflow.

Do not use the website or Elation messages for emergencies. If you have chest pain, trouble breathing, stroke symptoms, severe allergic reaction, loss of consciousness, severe bleeding, suicidal intent, or any emergency, call 911 or go to the nearest emergency room.

Payment of a consultation fee does not guarantee a prescription, referral, lab order, work note, or specific medical outcome. Sky e-Clinic operates on a cash-pay model and does not bill insurance directly. See the Payment Policy for accepted payment methods, refund / cancellation rules, and superbill availability. See the Prescription Policy for the controlled-substance prohibition and refill-class eligibility.

Medication costs, pharmacy charges, laboratory fees, imaging, specialist visits, and urgent/emergency care are separate unless expressly stated. Laboratory testing fees are paid separately at the laboratory; patients may self-pay or use their payor of choice at the lab unless expressly stated otherwise.

Sky e-Clinic does not prescribe controlled substances under any circumstances (Schedule II–V).

You may use the website for personal, lawful purposes. You may not interfere with security, scrape or copy content at scale, impersonate others, submit false information, or use the site for unlawful activity.

All website content, templates, logos, and designs are owned by Sky e-Clinic or its licensors unless otherwise stated. You may not copy, modify, or distribute them without permission.

These Terms are governed by the laws of the State of Hawaii (the home state of Sky e-Clinic, LLC), without regard to conflict-of-law principles. To the extent not preempted by federal law (such as HIPAA or the federal No Surprises Act), disputes relating to the website are resolved in Hawaii. Clinical malpractice claims, where applicable, are governed by the law of the patient's state of physical presence at the time of the relevant clinical encounter.

Contact: Sky e-Clinic — phone (808) 385-8760, email support@skyeclinic.org for general inquiries, billing@skyeclinic.org for billing matters, records@skyeclinic.org for medical-records requests, privacy-officer@skyeclinic.org for privacy / HIPAA matters. For clinical inquiries, please use Patient Passport (Sky's HIPAA-compliant clinical channel). Phone and the email addresses above are for non-clinical inquiries. Mailing address: SKY E-CLINIC LLC, 1164 Bishop St STE 940, Honolulu, HI 96813. Sky e-Clinic is a solo-physician practice at launch; role-based email addresses are forwarded to the practice physician. Sky e-Clinic may update these Terms. The updated version will be posted on the website with the effective date.