Nulevel Wellness Medspa Terms And Conditions For Telehealth
1. Program Description: The Provider offers a comprehensive weight loss program encompassing various components such as medication, dietary advice, exercise plans, and counseling, all aimed at facilitating sustainable weight loss.
2. Client Acknowledgments: By signing this Consent Form, the Client acknowledges and agrees to the following: • The Client understands and accepts that weight loss results may vary, and the Provider does not guarantee specific outcomes. • The Client acknowledges that individual results depend on factors including metabolism, adherence to the program, and lifestyle habits. • The Provider has explained the potential risks and benefits associated with the weight loss program, including any side effects or adverse reactions to medication.
3. Medication Information: If Semaglutide or Tirzepatide is prescribed as part of the weight loss program, the Client acknowledges that these medications may have potential side effects and risks. These may include but are not limited to nausea, vomiting, diarrhea, constipation, abdominal pain, decreased appetite, headache, dizziness, fatigue, and hypoglycemia. The Client understands that the Provider has explained these potential side effects and risks, and any concerns or questions have been addressed to the Client's satisfaction. The Client agrees to notify the Provider promptly of any adverse reactions experienced during the course of medication use.
4. No Guarantee of Results: The Client acknowledges that the Provider does not provide any explicit guarantee of specific weight loss results or outcomes. Individual results may vary, and the Provider does not assume responsibility for variations in outcomes.
5. No Chargeback Policy: The Client acknowledges and agrees that in the event of non-achievement of desired weight loss results, the Client shall not have the entitlement to initiate a chargeback for any fees paid to the Provider for the weight loss program. The Client expressly waives ANY and ALL rights to dispute charges related to the weight loss program for this reason. Furthermore, the Client understands and agrees that NO chargebacks will be permitted for delays in medication delivery caused by external factors such as disrupted courier services due to equipment breakdown or unforeseen weather conditions beyond the control of the Provider.
6. Theft or Loss of Medication: In the unfortunate event of theft or loss of medication subsequent to its delivery to the Client's designated location, the Provider shall not be held liable. The Client assumes full responsibility for any risks associated with the delivery of medication to the designated location. The Client may request a signature only release from the designated delivery company for an upgrade of $7 per package.
7. Indemnification: The Client agrees to indemnify and hold harmless the Provider, its officers, directors, employees, and agents from and against any and all claims, liabilities, damages, losses, costs, and expenses (including reasonable attorney fees) arising out of or related to the Client's participation in the weight loss program.
8. Consent to Treatment: The Client hereby consents to participate in the weight loss program offered by the Provider, including the use of medication if prescribed.
9. Confidentiality: The Provider commits to maintaining the confidentiality of all client information in compliance with applicable laws and regulations.
10. Governing Law: This Consent Form shall be governed by and construed in accordance with the laws of Arizona, without giving effect to any principles of conflicts of law.
11. Entire Agreement: This Consent Form constitutes the entire agreement between the Client and the Provider concerning the subject matter herein and supersedes all prior and contemporaneous agreements and understandings, whether written or oral.
12. Program Duration and Termination: The duration of the weight loss program shall be determined and specified in the agreement between the Provider and the Client. Both parties acknowledge that the program's success may hinge upon the Client's adherence to program guidelines. The Provider reserves the right to terminate the agreement and discontinue services if the Client fails to comply with program requirements. Similarly, the Client retains the right to terminate the agreement with written notice to the Provider, subject to any applicable termination fees or conditions outlined.
13. Health Screening and Medical Clearance: Prior to participation, the Client agrees to undergo a comprehensive health screening and obtain medical clearance as requested from Nulevel Wellness Medspa’s qualified healthcare provider. The Client acknowledges that failure to obtain medical clearance may/will result in the denial of participation in the program.
14. Client Responsibilities: The Client agrees to fulfill responsibilities including strict adherence to program guidelines, attendance at scheduled appointments, accurate reporting of changes in health status, and maintaining open communication with the Provider.
15. Program Modifications: The Provider reserves the right to modify the weight loss program as necessary. The Client acknowledges that such modifications may be crucial for optimizing outcomes and enhancing safety and efficacy.
16. Financial Obligations: The Client agrees to fulfill all financial obligations associated with program participation, including payment of fees and charges. The Provider reserves the right to assess late fees or suspend services for late or missed payments.
17. Privacy and Data Protection: The Provider commits to protecting client information in compliance with applicable laws and regulations.
18. Emergency Procedures: The Client agrees to follow established emergency procedures in the event of a medical emergency during the program.
19. Dispute Resolution: In case of a dispute, both parties agree to attempt resolution through negotiation and mediation before pursuing arbitration.