Patient Consent to Treat & Financial Responsibility
Effective: July 1, 2025
By checking "Agree" (or otherwise indicating consent) on the IVÉ Wellness platform (the "Platform"), you acknowledge that you have read, understand, and agree to this Consent, and that your ongoing use of the medical services constitutes your electronic signature and continuing agreement. This Consent is in addition to the Platform Terms of Use. Do not book services if you do not agree.
1) Who We Are & How Care Is Delivered
IVÉ Wellness LLC and its affiliate 4418 LLC (collectively, "IVÉ Wellness") operate the Platform and schedule/bill on behalf of the Medical Groups/Providers. IVÉ Wellness is not a medical provider and does not furnish medical services.
Medical services are provided by independent, appropriately licensed medical groups and their clinicians (collectively, the "Medical Groups" and their Providers). Independent pharmacies ("Pharmacies") and laboratories ("Labs") may also participate in your care. The Medical Groups, Providers, Pharmacies, and Labs are third-party beneficiaries of this Consent.
Current Medical Groups (by state): In Georgia, services are furnished by Guardian Medical Group GA, PC; in North Carolina, services are furnished by Guardian Medical Group NC, PLLC. As IVÉ Wellness expands, additional state‑specific medical groups may be engaged; an up‑to‑date list is available on request.
You acknowledge and agree that:
- Any diagnosis, treatment, prescription, or clinical decision is made solely by the Medical Groups/Providers.
- IVÉ Wellness does not control clinical judgment and is not liable for the provision of medical services. You release IVÉ Wellness and its owners, officers, members, managers, employees, and agents from liability related to the provision of medical services.
IVÉ Wellness schedules your requested services and bills on behalf of the Medical Groups/Providers. IVÉ Wellness does not decide your course of care.
2) Consent to Evaluation & Treatment
Each time you book through the Platform, you consent to evaluation and treatment by the Medical Groups/Providers. You may withdraw consent at any time by declining or discontinuing services (this does not affect care already provided).
- No guarantees: Outcomes are not guaranteed.
- Risks/benefits: All medical treatments carry potential risks, side effects, and alternatives. Your Provider will explain these so you can make an informed decision.
3) Your Responsibilities
- Complete medical history: You agree to fully and accurately disclose your health history, medications/supplements, allergies, and any changes. Failure to do so may affect outcomes and safety; Medical Groups/Providers are not responsible for harm from incomplete/inaccurate information you provide.
- Pregnancy/breastfeeding: Some treatments present risks during pregnancy or while breastfeeding. Notify your Provider immediately if you are pregnant, may be pregnant, planning pregnancy, or breastfeeding.
- Communicable-disease notice: In-person care may increase exposure risk to communicable diseases (e.g., respiratory viruses). Notify your Provider promptly if you or close contacts have symptoms suggestive of a contagious illness.
4) Telehealth Consent & Location Attestation
"Telehealth" uses electronic communications (audio/video/text/images/data; synchronous or asynchronous) to deliver care when you and the Provider are not in the same location. Telehealth may be used for evaluation, diagnosis, treatment, follow-up, coordination, or education.
Potential benefits: convenience; quicker access to
evaluation and follow-up.
Potential risks/limitations: limited physical exam; connectivity/quality issues; not all conditions
can be treated; limited access to records may affect decision-making; state prescribing limits without an
in-person exam; while safeguards are used, no system is 100% secure.
By using Telehealth, you acknowledge these limitations, agree that Telehealth is not a substitute for in-person care when needed, and authorize your Provider to determine whether Telehealth is appropriate.
Location attestation: At the time of any telehealth encounter, you represent that you are physically located in a U.S. state where your Provider is licensed and will truthfully disclose your location.
Emergencies: The Platform is not for emergencies. If you believe you are experiencing an emergency, call 911 or go to the nearest emergency department.
5) Laboratory Products & Services
Some care may require at-home or other laboratory testing provided by independent Labs. Lab tests can yield false negatives/positives or inconclusive results and may affect your Provider's ability to diagnose or treat. IVÉ Wellness, Medical Groups, and Providers are not responsible for errors by third-party Labs.
6) Privacy; Notice of Privacy Practices
Laws protecting the privacy/confidentiality of medical information apply to Telehealth as well. The Medical Groups' Notice of Privacy Practices (NPP) explains how your information may be used/disclosed for treatment, payment, and healthcare operations and your rights. A copy is available via the Platform (and upon request). IVÉ Wellness handles personal information in accordance with its Privacy Policy.
7) Financial Responsibility & Billing Authorization
You agree to be financially responsible for all charges for services rendered by the Medical Groups/Providers and related third parties (e.g., Labs, Pharmacies), consistent with prices shown at booking and applicable policies.
- Card on file & recurring charges: You authorize IVÉ Wellness (as billing agent for the Medical Groups/Providers) to store your payment credential and charge your payment method for services, membership/subscription fees, add-ons, and taxes, including recurring charges as disclosed at checkout.
- Refunds/cancellations: Refunds and any cancellation/no-show fees are governed by the Cancellation & Membership Policy (v2025-07-01), incorporated here by reference.
- Insurance: Unless expressly stated otherwise, services are self-pay and not billed to insurance. Receipts (e.g., superbills) may be requested if applicable.
- Billing concerns/chargebacks: Contact [email protected] within 10 days of any billing concern. We may contest improper/duplicate chargebacks by providing documentation to your card issuer.
- Memberships/subscriptions: If you enroll, you authorize auto-renewal and stored-credential billing as disclosed at checkout. Minimum terms, pause rules, and cancellation procedures are set forth in the applicable membership/subscription terms on the Platform.
8) Communications & Records
You consent to receive electronic communications (email, SMS, in-app) related to care, scheduling, and billing. Message/data rates may apply. You may update preferences, but transactional messages related to care or payments may still be sent as permitted by law. Electronic signatures and records related to your care may be maintained electronically.
9) Acknowledgements
- By agreeing, you confirm that you:
- understand the risks, benefits, and alternatives of treatment, including Telehealth;
- have had the opportunity to ask questions and had them answered to your satisfaction;
- may withdraw consent at any time, understanding this may affect service availability; and
- understand that IVÉ Wellness is not a medical provider and is not responsible for medical decision-making or outcomes.
10) Contact
Questions about this Consent?
[email protected] or [email protected]
Medical services remain the sole responsibility of the independent Medical Groups and Providers; IVÉ Wellness does not practice medicine.
Guardian Medical Direction provides medical oversight to medical spas, wellness centers, telemedicine companies, and individual healthcare practitioners across the country. Through their team of highly qualified and trained medical directors and physician collaborators, Guardian’s mission is to create a community in healthcare by providing high quality medical oversight to companies and practitioners that are striving to increase access to healthcare and better the lives of their clients and patients.
Electronic Signature & Continuing Consent
By selecting “Agree,” you provide your electronic signature and consent to evaluation and treatment (including Telehealth), acknowledge financial responsibility as described above, and agree to this Consent and the Terms of Use. Your consent continues for future visits unless revoked in writing or by discontinuing use of the Platform.