Medical consultations in Brazil
Your Visit withDr. Elias Tamer
An individualized approach to understanding your health and deciding what comes next.
Your visit starts with your story. I bring together the information that matters and discuss the priorities for your care with you.
This page describes my approach to care in Brazil. Reading it does not establish a doctor–patient relationship.
Understanding your concerns
Your story comes first.
Each person brings a different history, set of questions, and reason for seeking care.
I begin by understanding what brought you to the appointment and gathering the information relevant to your assessment.
We discuss symptoms, medical and family history, medications, daily habits, and tests you have already had. These are considered together, in the context of your circumstances and priorities.
The clinical assessment, including a physical examination when needed, helps guide which questions to investigate and what to do next.
Putting results in context
Tests are one part of the assessment.
I interpret test results alongside your history and clinical findings. The need for additional testing or further evaluation is determined individually.
There is no standard set of tests or treatments for every person.
Making informed decisions
Understanding your options.
I explain what the available information suggests, what remains uncertain, and which next steps may be appropriate.
Decisions take potential benefits, risks, and your preferences into account. When needed, I refer you to another health care professional or specialist.
Continuity of care
What happens after your visit?
Follow-up is based on your clinical needs, not a fixed schedule for everyone.
The need for follow-up depends on the assessment and how your situation develops. When appropriate, further visits allow us to review information, assess changes, and revisit earlier decisions.
We discuss the timing and purpose of any additional appointments during your visit. Follow-up may be with me, with other professionals, or shared, depending on your needs.
My involvement does not replace other health care professionals or services when they are needed. The same Brazil-only requirement applies to follow-up and telemedicine visits.
When follow-up is appropriate, we discuss the next steps during your consultation.
Before your appointment
How to prepare for your visit.
Gathering a few details in advance can help organize the conversation.
You do not need to obtain new tests just to schedule an initial visit. The need for further testing will be assessed during your consultation.
- Your main questionsWhat prompted your visit and what you would like to understand.
- Your current medicationsNames, doses, and any other products you use, if available.
- Existing health recordsPrevious test results, reports, and relevant medical documents.
- Changes you have noticedWhen symptoms or other concerns began and how they have changed.
Please do not send test results or detailed medical information simply to ask about an appointment. The office will explain the appropriate channel for documents when needed.
Before you schedule
Common questions.
Key information about location, follow-up, telemedicine, and communication.
Do you provide medical care outside Brazil?
No. My medical practice is limited to Brazil. I do not provide medical consultations, prescriptions, or personalized review of test results to patients located in the United States or any other country outside Brazil.
This English-language page explains my approach to care in Brazil. It is not an offer of medical services abroad.
Can I have a telemedicine visit while I am outside Brazil?
No. Telemedicine visits are limited to patients who are physically located in Brazil at the time of the appointment. This applies to Brazilian citizens and existing patients as well.
If you are outside Brazil and need medical care, contact a health care professional authorized to practice where you are.
Can I schedule a single appointment?
Yes. You can schedule a single appointment. The need for additional visits is discussed based on your clinical assessment.
Do I need to have a diagnosed medical condition?
Not necessarily. A visit may address symptoms, questions about existing test results, or individualized preventive care. The assessment helps determine whether further evaluation or follow-up is needed.
Is every follow-up visit billed as a new appointment?
No. Under Brazilian medical rules, if test results needed to complete the original consultation were not available at that visit, a return visit to complete the same assessment, within the interval set by the physician, does not incur a new consultation fee.
A change in your condition, a different clinical concern, or a reassessment during ongoing treatment may constitute a new consultation. The physician determines which situation applies.
Brazilian reference: CFM Resolution No. 1,958/2010, Articles 1–4.
How do in-person and telemedicine visits work?
The format depends on your clinical needs and appointment availability. Both are limited to patients physically in Brazil. Telemedicine may be appropriate in some situations, but it does not replace an in-person examination when one is needed.
Brazilian rules require an in-person consultation with the treating physician at intervals of no more than 180 days for chronic conditions or care that requires long-term follow-up. An in-person visit may be needed sooner.
Brazilian reference: CFM Resolution No. 2,314/2022, Articles 4 and 6.
How does communication between visits work?
The initial contact with the office is for appointment information and scheduling. Any communication arrangements during follow-up are explained during your visit, including the appropriate channel and its purpose.
There is no round-the-clock medical availability or guarantee of an immediate response. Messages do not replace a consultation, and a new concern may require a separate assessment.
How can I find out about fees and scheduling?
The office explains consultation fees, payment options, and scheduling requirements before an appointment is confirmed. Cancellation and rescheduling terms should also be clarified in advance.
Tests, medications, and services provided by other professionals are not automatically included in the consultation fee.
Do I need to stop seeing my other doctors?
No. Care may be shared when appropriate, with each professional maintaining responsibility for their part of your care. Records from previous visits can help put the information in context and guide the discussion.
Can I use the educational content if I live outside Brazil?
Yes. The educational articles and resources are intended for readers worldwide. They provide general information, not a diagnosis, prescription, or individualized assessment.
MERHI ONE is a separate health education initiative. It does not provide medical consultations. Discuss personal medical decisions with your own health care professional.
Clinical decisions depend on an individual assessment. A consultation does not guarantee a particular diagnosis or outcome, unlimited visits, or continuous availability.
Appointment information — Brazil only
Ask about a medical visit in Brazil.
The office can explain availability, visit format, fees, and scheduling requirements. Medical appointments are limited to patients physically in Brazil, including telemedicine visits.
Please discuss any language needs with the office before scheduling.