Terms and Conditions

These Terms and Conditions (“Terms”) govern your use of telehealth services provided by Pulse Whole Health I, P.C., a Pennsylvania professional corporation doing business as Pulse Whole Health (“the Practice,” “we,” or “us”). By scheduling an appointment, completing intake forms, or participating in telehealth visits, you agree to these Terms. Please read carefully.

By scheduling an appointment, completing intake forms, or participating in telehealth visits with the Practice, you agree to be bound by:

• These Terms and Conditions;
• The Telehealth Informed Consent;
• The Notice of Privacy Practices;
• The Cancellation Policy; and
• Any other policies referenced in these Terms or otherwise communicated to you in writing.

If you do not agree with any part of these Terms or the related documents above, please do not use the services.

The Practice provides the following telehealth-based integrative medicine services:

• Initial consultations and comprehensive health assessments
• Follow-up consultations and ongoing care for chronic conditions
• Integrative and functional medicine recommendations
• Nutrition, lifestyle, and behavioral health counseling
• Laboratory test ordering and interpretation
• Recommendations for supplements and functional medicine protocols
• Weight management and metabolic health, including GLP-1 receptor agonist therapy where clinically appropriate
• Health coaching and wellness support between visits via secure messaging

The following services are NOT provided by the Practice:

• Emergency medical care
• Care for conditions that require physical examination or in-person procedures
• Acute illness requiring immediate in-person care
• Mental health crisis intervention
• Prescription of controlled substances that require an in-person evaluation under federal or Pennsylvania law
• Care for patients located outside the Commonwealth of Pennsylvania at the time of service

Our services complement, but do not replace, primary care. We recommend that you maintain a relationship with a primary care provider for comprehensive medical care.

• Services are available only to patients physically located in the Commonwealth of Pennsylvania at the time of service. You must verify your physical location at the start of each visit.
• You must be 18 years of age or older, or have a parent or legal guardian provide consent on your behalf.
• You must be capable of providing informed consent, or have a legal representative authorized to do so.
• The Practice reserves the right to decline service to any prospective patient whose clinical needs are outside the Practice's scope or that cannot appropriately be addressed through telehealth.

As a patient of the Practice, you agree to:

• Provide complete, accurate, and truthful health information.
• Promptly update the Practice about changes in your health, medications, or supplements.
• Follow the Practice's clinical recommendations or inform the Practice if you choose not to.
• Attend scheduled appointments or cancel with adequate notice in accordance with the Cancellation Policy.
• Verify your physical location and provide an emergency contact at the start of each telehealth visit.
• Seek emergency care from emergency services or a hospital when appropriate — do not rely on telehealth in an emergency.
• Maintain reliable, secure, private technology suitable for telehealth visits.
• Treat the Practice's staff and providers with respect.

The Practice requires advance notice for cancellations and reschedules in accordance with the Cancellation Policy. The current policy provides:

• 48 hours' notice for initial consultations and longer follow-ups
• 24 hours' notice for follow-ups of 30 minutes or less
• $75 fee for late cancellations (less than 48 hours' notice)
• Full appointment fee for no-shows

Please refer to the separate Cancellation Policy for complete details.

Statements regarding nutritional supplements, herbs, and functional medicine approaches recommended by the Practice have not been evaluated by the U.S. Food and Drug Administration. Such products are not intended to diagnose, treat, cure, or prevent any disease. Some recommendations may include approaches that are evidence-informed but not yet conclusively recognized by all conventional medical authorities. You are encouraged to make informed decisions and to maintain open communication with all of your healthcare providers.

The Practice complies with the Health Insurance Portability and Accountability Act (HIPAA) and applicable Pennsylvania law. The Practice’s Notice of Privacy Practices describes how your protected health information may be used and disclosed and your rights regarding your information. The Practice uses encrypted, HIPAA-compliant platforms for all telehealth communications. You are responsible for maintaining the privacy of your patient portal credentials and joining sessions from a private location.

By providing your contact information, you consent to receive the following communications from the Practice:

• Appointment reminders by email, text, or phone
• Treatment recommendations and clinical follow-up
• Billing and payment communications
• General Practice updates and occasional educational content

You may opt out of non-essential communications at any time by notifying the Practice. Appointment reminders and billing communications are necessary for the delivery of services and may continue regardless of opt-out.

To the fullest extent permitted by law, the Practice and its officers, employees, and contractors shall not be liable for any indirect, incidental, special, consequential, or punitive damages arising out of your use of the services. The Practice’s total liability for any claim shall not exceed the amount you paid for the specific service giving rise to the claim. This includes but is not limited to technology failures, delays in response, or outcomes from following recommendations. Nothing in this section limits liability for claims that cannot be limited by law, such as those arising from professional malpractice.

The Practice reserves the right to terminate the patient relationship if:

• You fail to provide accurate information.
• You engage in abusive, threatening, or harassing behavior toward the Practice's staff or providers.
• You repeatedly miss appointments without adequate notice.
• Outstanding balances remain unpaid.
• Your clinical needs are beyond the scope of telehealth or beyond the Practice's services.
• Continuing the relationship would, in the Practice's reasonable clinical judgment, be inconsistent with appropriate care.

You may discontinue services at any time. Upon termination by either party, the Practice will provide reasonable continuity-of-care assistance, including access to your medical records and referrals as appropriate, in accordance with applicable law and ethical standards.

All content provided during consultations, educational materials, treatment protocols, and the Practice’s website content are the proprietary property of the Practice or its licensors. You may use this information for your personal health purposes. You may not reproduce, distribute, or share this content commercially without the Practice’s written permission.

The Practice reserves the right to modify these Terms at any time. Material changes will be communicated to active patients by email or secure message and will be posted in Practice Better and on the Practice’s website with an updated effective date. Your continued use of the services after changes take effect constitutes acceptance of the modified Terms.

If any provision of these Terms is found to be unenforceable or invalid, that provision shall be limited or eliminated to the minimum extent necessary so that the Terms shall otherwise remain in full force and effect.

These Terms, together with the Telehealth Informed Consent, the Notice of Privacy Practices, the Cancellation Policy, and any patient intake forms or authorizations executed by you, constitute the entire agreement between you and the Practice regarding the services.

If you have questions about these Terms, please contact:

By signing below, I acknowledge that I have read, understood, and agree to these Terms and Conditions.