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Spark Me IV, LLC

Telehealth Consent

Effective Date: May 5, 2026

By booking services, you consent to telehealth services where required for medical evaluation and clearance.

1. Telehealth services may include:

• Virtual consultations

• Review of medical history

• Good Faith Exams performed by Qualiphy

2. Qualiphy Disclosure

Spark Me IV LLC partners with Qualiphy for telehealth evaluations, Good Faith Exams, and medical clearance.

3. Consent

By proceeding, you authorize transmission of your medical information to Qualiphy for evaluation and clearance purposes.

4. Complaints

You may file complaints without retaliation.

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