Human Paths

Request a Medical Review

What this is

This form starts a process. It does not schedule treatment, request an appointment, or commit you to anything.

What it does is let us begin a conversation and, if you choose to continue, organize your medical information so that an independently licensed physician can review your case and form an opinion.

That physician may conclude that this is not appropriate for you. If so, you will be told.

What happens after you submit

1. We send a short code to your phone to confirm the number is yours.

2. We begin a conversation by text message. You will be interacting with an AI-assisted system that helps organize information for physician review. You choose what to share and how quickly.

3. If you decide to continue, we explain which medical records are needed and help you obtain them.

4. A physician reviews your case.

5. If the physician determines that further discussion is warranted, you speak with them directly.

You can stop at any point. Reply STOP to any message and we will not contact you again.

Before you fill this in

If you have not already, it is worth reading:

There is no advantage to submitting sooner. Nothing here is first-come.

The form

Used to send you a confirmation code and to communicate with you about your request.

By checking this box, you agree to receive text messages from Human Paths LLC regarding your request for information, appointment scheduling, administrative updates, and other communications related to your evaluation process. Message frequency may vary. Message and data rates may apply. Reply STOP at any time to opt out or HELP for assistance. Consent is not a condition of purchasing any goods or services.

Required

By selecting “I Agree” or otherwise providing your information, you authorize Human Paths LLC to collect, organize, process, store, and securely transfer the Consumer Health Data you voluntarily provide for the purpose of responding to your request, coordinating your medical evaluation, communicating with you, and facilitating review by licensed healthcare professionals located in Mexico.

You understand that Human Paths LLC uses automated technologies, including artificial intelligence, to help organize and process information for administrative purposes. Artificial intelligence does not diagnose medical conditions, recommend treatment, or replace licensed healthcare professionals.

You acknowledge that your information may be securely transferred to healthcare providers located in Mexico as part of the medical evaluation process.

You understand that you may exercise applicable privacy rights, including requesting access to or deletion of your Consumer Health Data, subject to applicable law.

Your authorization is voluntary and may be withdrawn where permitted by applicable law.

I represent that I am at least 18 years of age (or the age of majority in my jurisdiction) and that I am legally authorized to use the Human Paths Platform and provide the information submitted through this form.

Required

What we are not asking for

We do not need, and will not ask for, your insurance information, Social Security number, or payment details.

We do not collect payment for healthcare services. Any fees are established and communicated directly by the treating physician, and you pay them directly.

If you are doing this for someone else

The patient needs to give their own permission, so this form should be completed by them or with them present.

If they are unable to do so and you hold legal authority to act on their behalf, submit the form and tell us during the conversation — we will explain what is needed.

Submitting this form does not create a physician-patient relationship, does not constitute a request for treatment, and is not an application that we approve or deny. Human Paths does not provide medical advice or determine whether any treatment is appropriate for you.