TERMS AND CONDITIONS FOR USE

OF REVIVE THERAPEUTICS’ WEBSITE AND SERVICES

The use of this site is governed by the policies, terms, and conditions set forth below as well as any contained elsewhere on the Revive Therapeutics website or in a subsequent document or publication provided to you during your time as a Revive Therapeutics client.  Please read them carefully.  Your use of this site and retention of Revive Therapeutics constitutes your acceptance of these terms and conditions.  Your request for services by Revive Therapeutics also constitutes your acceptance of these and any later-provided terms and conditions.  Your payment for services also constitutes acceptance of these terms and conditions.  These terms and conditions supersede any prior terms or conditions included with any request for or purchase of services from Revive Therapeutics, whether or not such terms or conditions are signed (electronically or otherwise) by Revive Therapeutics.  Revive Therapeutics reserves the right to make changes to this site and these terms and conditions at any time.  The Terms and Conditions that are current and in effect at the time you use this site, request services, accept services, or make payment will be the ones governing such transaction/interaction.

Copyright and Trademark Notice

This site is owned and operated by Revive Therapeutics LLC, a Florida limited liability company d/b/a Revive Therapeutics.  Unless otherwise specified, all materials appearing on this site, including the text, site design, logos, graphics, icons, and images, as well as the selection, assembly and arrangement thereof, are the sole property of Revive Therapeutics LLC, Copyright 2019, ALL RIGHTS RESERVED.  No materials from this site may be copied, reproduced, modified, republished, uploaded, posted, transmitted, or distributed in any form or by any means without Revive Therapeutics’ prior written permission.  All rights not expressly granted herein are reserved.  Any unauthorized use of the materials appearing on this site will be considered by Revive Therapeutics to be a violation of copyright, trademark, and other applicable laws and will result in the prosecution of any and all available civil or criminal methods of recourse.

All custom graphics, icons, logos, and service names are registered trademarks or service marks of Revive Therapeutics, LLC d/b/a Revive Therapeutics.  Any other trademarks or service marks that may appear on the site from time to time are property of their respective owners.  The use of any Revive Therapeutics, LLC trademark or service mark without its express written consent is strictly prohibited.

LIMITATION ON SERVICES PROVIDED

Revive Therapeutics is not intended to take the place of your regular primary care physician. The services provided have not been evaluated by the Food and Drug Administration. The products and services provided are not intended to diagnose, treat, cure or prevent any disease. The material on the Revive Therapeutics website (www.revivetherapeuticsfl.com) is for informational purposes only and does not constitute medical advice. Always consult your physician before beginning any therapeutic program. Revive Therapeutics’ physicians and medical professionals are licensed to practice in the State of Florida only and will not provide services to any patient not located within the geographical borders of Florida at the time of service.

Revive Therapeutics patients with medical history or presenting symptoms of acute illness and/or chronic disease may be refused services. Revive Therapeutics is not intended to treat or address illnesses or injuries and you understand that the result of your consultation may be a referral to another provider or facility for an in-person exam and/or consultation, including presentation to the emergency department of a hospital near you.  The identification and diagnosis of an emergency medical condition requiring immediate treatment at a hospital emergency department satisfies the obligation of Revive Therapeutics to provide services and will not result in a refund of the consultation fee.

Revive Therapeutics does not guarantee that services will be provided. Revive Therapeutics operates subject to state and federal laws governing the prescriptions of medications and controlled substances.  Revive Therapeutics does not prescribe controlled substances as that term is defined by federal and Florida law. Revive Therapeutics is not a pharmacy.  It does not sell or dispense medications of any kind.

DISCLAIMER AND LIMITATION OF LIABILITY AS TO PRODUCTS AND SERVICES SOLD/LICENSED

Revive Therapeutics makes no representations or warranties, either express or implied, of any kind with respect to products sold or delivered to Revive Therapeutics clients.

DISCLAIMER AND LIMITATION OF LIABILITY AS TO THE REVIVE THERAPEUTICS WEB SITE

The ReviveTherapeuticsFL.com website and the materials therein are provided as is.  Revive Therapeutics makes no representations or warranties of any kind with respect to the site, its operations, contents, information, or materials.  Revive Therapeutics expressly disclaims all warranties, express or implied, of any kind with respect to the sites or their use, including but not limited to merchantability and fitness for a particular purpose.

You agree that Revive Therapeutics, its directors, officers, employees or other representatives are not liable for damages arising from the operation or use of the site. This limitation of liability is comprehensive and applies to damages of any kind, including without limitation direct, indirect, compensatory, special, incidental, punitive, and consequential damages.

Links to Outside Websites

This site may contain links to other sites on the Internet that are owned and operated by third parties. You acknowledge that Revive Therapeutics is not responsible for the operation of or content located on any outside or third party site.

Cookies

Revive Therapeutics may set and later gain access to cookies on your web browser. Third parties do not have access to Revive Therapeutics cookies.

Revive Therapeutics may use third-party advertising companies to display ads on the site, and it may also allow the companies that show advertisements to set and access their own cookies on your computer. Any information that these third parties collect via cookies and action tags is completely anonymous. Cookies are set and subsequently accessed on a user’s computer after the user interacts with, views, or clicks on a targeted ad. If you do not wish to have other companies’ cookies set on your computer, do not interact with, view or click on the targeted ads. These other companies’ use of their cookies is subject to their own privacy policies and not Revive Therapeutics Privacy Policy.

Right to Refuse Service

Revive Therapeutics reserves the right at any time after receipt of your request for services to accept or decline your order for any non-discriminatory reason.  Revive Therapeutics reserves the right to, any time after receipt thereof, to cancel your request for services without any prior written notice.  Examples of circumstances in which your order/request may be cancelled include, but are not limited to: unforeseen unavailability of a medical professional; inability to effectively communicate with you through the methods provided; requests to perform illegal or unethical acts; a good-faith belief that your situation is of an emergent nature and is not suitable for services with Revive Therapeutics; or other similar issues which prevent effective treatment of you by Revive Therapeutics’ physicians or otherwise prevents the Revive Therapeutics physician from complying with the law or prevailing standard of care.

Sales Taxes

Revive Therapeutics will automatically charge and withhold the applicable sales/service tax.

Jurisdiction and Venue

You agree that any legal action brought against Revive Therapeutics, LLC, d/b/a Revive Therapeutics shall be governed by the laws of the State of Florida with venue for all such disputes being the state or federal court having jurisdiction over and sitting in Orange County, Florida.

Acceptance of these Terms and Conditions

BY REQUESTING AND ACCEPTING SERVICES FROM REVIVE THERAPEUTICS, YOU ARE CERTIFYING THAT YOU AGREE WITH AND UNDERSTANDS THESE TERMS AND CONDITIONS AND THAT THEY CONSTITUTE A VALID AND BINDING CONTRACT.

CANCELLATION, BOOKING AND REFUND POLICY 

Cancellation and Booking Policy

Cancellation and Booking

Appointments are encouraged to be made through our website (www.revivetherapeuticsfl.com). Appointments may also be scheduled by calling Revive Therapeutics on the phone. All appointments require a verified credit card deposit.

Individual deposits may be up to $100.00 which will be applied to services rendered at the time of appointment. Individual appointments will incur no charge if cancelled 24 hours or more prior to appointment time. If you notify us to cancel within the 24 hours prior to your appointment, we will offer a one-time courtesy reschedule. We will hold your deposit and apply it to services rendered at your new rescheduled appointment. If you do not notify us of your cancellation, you will be charged $100.00 or the current deposit rate, whichever is higher. This charge is non-refundable and may not be applied to future services.

Group appointments must be cancelled 72 hours in advance. Group appointments cancelled within 72 hours of appointment time will forfeit their deposit. Groups may be rescheduled subject to availability, but the deposit from the original appointment date will not be applied to the rescheduled visit.

Refunds

If it is determined by the medical staff you are not a good candidate for services due to medical condition(s) at the time of your appointment, your deposit will be may be refunded minus a $25.00 consultation fee at the discretion of Revive Therapeutics’ staff.

Refunds will not be issued for IV or injection services after they have been drawn up or performed.

Service packages and promotions must be paid in full in advance and are non-refundable.

Food and beverage items and all wellness items are final sale unless defective. Should you have a defective item, please notify us immediately for a refund or replacement (subject to availability). Approved refunds will be returned via the original method of payment. Your credit will be received according to your card issuer’s policies.

NOTICE OF PRIVACY PRACTICES

Your Information. Your Rights. Our Responsibilities.

This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.

Your Rights

You have the right to:

Get a copy of your paper or electronic medical record

Correct your paper or electronic medical record

Request confidential communication

Ask us to limit the information we share

Get a list of those with whom we’ve shared your information

Get a copy of this privacy notice

Choose someone to act for you

File a complaint if you believe your privacy rights have been violated

Your Choices

You have some choices in the way that we use and share information as we:

Tell family and friends about your condition

Provide disaster relief

Market our services and sell your information

Raise funds

Our Uses and Disclosures

We may use and share your information as we:

Treat youRun our organization

Bill for your services

Help with public health and safety issues

Respond to organ and tissue donation requests

Work with a medical examiner or funeral director

Address law enforcement and other government requests

Respond to lawsuits and legal actions

Your Rights

When it comes to your health information, you have certain rights. This section explains your rights and some of our responsibilities to help you.

Get an electronic or paper copy of your medical record

You can ask to see or get an electronic or paper copy of your medical record and other health information we have about you. Ask us how to do this.

We will provide a copy or a summary of your health information, usually within 30 days of your request. We may charge a reasonable, cost-based fee.

Ask us to correct your medical record

You can ask us to correct health information about you that you think is incorrect or incomplete. Ask us how to do this.

We may say “no” to your request, but we’ll tell you why in writing within 60 days.

Request confidential communications

You can ask us to contact you in a specific way (for example, home or office phone) or to send mail to a different address.

We will say “yes” to all reasonable requests.

Ask us to limit what we use or share

You can ask us not to use or share certain health information for treatment, payment, or our operations. We are not required to agree to your request, and we may say “no” if it would affect your care.

If you pay for a service or health care item out-of-pocket in full, you can ask us not to share that information for the purpose of payment or our operations with your health insurer. We will say “yes” unless a law requires us to share that information.

Get a list of those with whom we’ve shared information

You can ask for a list (accounting) of the times we’ve shared your health information for six years prior to the date you ask, who we shared it with, and why.

We will include all the disclosures except for those about treatment, payment, and health care operations, and certain other disclosures (such as any you asked us to make). We’ll provide one accounting a year for free but will charge a reasonable, cost-based fee if you ask for another one within 12 months.

Get a copy of this privacy notice

You can ask for a paper copy of this notice at any time, even if you have agreed to receive the notice electronically. We will provide you with a paper copy promptly.

Choose someone to act for you

If you have given someone medical power of attorney or if someone is your legal guardian, that person can exercise your rights and make choices about your health information.

We will make sure the person has this authority and can act for you before we take any action.

File a complaint if you feel your rights are violated

You can complain if you feel we have violated your rights by contacting us using the information listed on this website.

You can file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights by sending a letter to 200 Independence Avenue, S.W., Washington, D.C. 20201, calling 1-877-696-6775, or visiting hhs.gov/ocr/privacy/hipaa/complaints/.

We will not retaliate against you for filing a complaint.

Your Choices

For certain health information, you can tell us your choices about what we share. If you have a clear preference for how we share your information in the situations described below, talk to us. Tell us what you want us to do, and we will follow your instructions.

In these cases, you have both the right and choice to tell us to:

Share information with your family, close friends, or others involved in your care

Share information in a disaster relief situation

Include your information in a hospital directory

If you are not able to tell us your preference, for example if you are unconscious, we may go ahead and share your information if we believe it is in your best interest.  We may also share your information when needed to lessen a serious and imminent threat to health or safety.

In these cases we never share your information unless you give us written permission:

Marketing purposes

Sale of your information

Our Uses and Disclosures

How do we typically use or share your health information?

We typically use or share your health information in the following ways.

Treat you

We can use your health information and share it with other professionals who are treating you.

Example: A doctor treating you for an injury asks another doctor about your overall health condition.

Run our organization

We can use and share your health information to run our practice, improve your care, and contact you when necessary.

Example: We use health information about you to manage your treatment and services.

Bill for your services

We can use and share your health information to bill and get payment from health plans or other entities.

Example: We give information about you to your health insurance plan so it will pay for your services.

How else can we use or share your health information?

We are allowed or required to share your information in other ways – usually in ways that contribute to the public good, such as public health and research. We have to meet many conditions in the law before we can share your information for these purposes. For more information see: www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/index.html.

Help with public health and safety issues

We can share health information about you for certain situations such as:

Preventing disease

Helping with product recallsReporting adverse reactions to medications

Reporting suspected abuse, neglect, or domestic violence

Preventing or reducing a serious threat to anyone’s health or safety

Do research

We can use or share your information for health research.

Comply with the law

We will share information about you if state or federal laws require it, including with the Department of Health and Human Services if it wants to see that we’re complying with federal privacy law.

Respond to organ and tissue donation requests

We can share health information about you with organ procurement organizations.

Work with a medical examiner or funeral director

We can share health information with a coroner, medical examiner, or funeral director when an individual dies.

Address workers’ compensation, law enforcement, and other government requests

We can use or share health information about you:

For workers’ compensation claims

For law enforcement purposes or with a law enforcement official

With health oversight agencies for activities authorized by law

For special government functions such as military, national security, and presidential protective services

Respond to lawsuits and legal actions

We can share health information about you in response to a court or administrative order, or in response to a subpoena.

Our Responsibilities

We are required by law to maintain the privacy and security of your protected health information.

We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information.

We must follow the duties and privacy practices described in this notice and give you a copy of it.

We will not use or share your information other than as described here unless you tell us we can in writing. If you tell us we can, you may change your mind at any time. Let us know in writing if you change your mind.

For more information see: www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/noticepp.html.

Changes to the Terms of this Notice

We can change the terms of this notice, and the changes will apply to all information we have about you. The new notice will be available upon request, in our office, and on our web site.

Other Instructions for Notice

This Notice of Privacy Practices is effective as of January 1, 2020
Our practice’s Privacy Officer is:
Jacob Beierschmitt
Tel: (717) 487-0778
E-mail: jake@revivetherapeuticsfl.com