TERMS CONDITIONS OF SERVICES, PAYMENT & CONSENT FOR USE AND DISCLOSURE OF PROTECTED HEALTH INFORMATION.
By signing below, you are agreeing to the following Terms and Conditions of our engagement. You must return a signed copy of this document to M. Graves Medical P.C. prior to receiving services. The services recipient is referred to herein as “client” or “you”. These terms to which you agree are referred to as “Terms and Conditions” or “Agreement”.
1. Introduction
This document outlines the legal terms and conditions for the services provided by M. Graves Medical P.C., a wellness injectable company ("JMG Wellness Journey"). By using our services, you agree to comply with these terms and acknowledge the risks associated with our services.
2. Scope of Services
The Company provides wellness injectables, including but not limited to vitamins, supplements, and compounded formulations of FDA-approved weight loss pharmaceuticals. These services are not intended to diagnose, treat, cure, or prevent any disease and should not replace professional medical advice.
Upon entering into these Terms and Conditions, you expressly represent and warrant that you are not engaging M. Graves Medical P.C. or its personnel with the expectation that it or they will diagnose or otherwise provide treatment for any illness, disease or condition of any nature. M. Graves Medical P.C. personnel will not screen for, diagnose, monitor or otherwise provide any care or treatment for such conditions. M. Graves Medical P.C. is relying upon the foregoing representations and warranties upon your entering into these Terms and Conditions and upon JMB Medical Group’s acceptance of you for the provision of services.
3. Client Responsibilities
Health Disclosure: Clients must disclose all relevant medical history, current medications, andknown allergies prior to receiving services.
Consent: Clients must provide informed written consent before any procedure.
Compliance: Clients agree to follow all pre- and post-procedure instructions provided by the provider conducting an infusion/injection.
4. Risks and Liabilities
Acknowledgment of Risk: Clients understand that wellness injectables and IV infusions carry inherent risks including but not limited to: INJURY, BLEEDING, INFECTION, INFLAMMATION/SWELLING, BRUISING OR SCARRING RESULTING FROM IV INFILTRATION, EXTRACTION, EXTRAVASATION AND INJECTION, MISPLACEMENT OF IV LINES IN THE BODY, AIR EMBOLISM, FLUID OVERLOAD, MEDICATION ADVERSE INTERACTIONS, NERVE INJURIES, LIGHTHEADEDNESS OR FAINTING, PAIN OR BURNING DURING INJECTION.
No Guarantees: The Company does not guarantee specific outcomes from the services provided.
Liability Waiver: By using our services, clients agree to release M. Graves Medical P.C. (“JMG Wellness Journey) from liability for any harm resulting from procedures, except in cases of gross negligence.
5. Payment and Refund Policy
Fees: Clients agree to pay all fees in full at the time of service unless otherwise arranged. Refunds: The Company does not offer refunds for completed services but may consider adjustments for future appointments under certain circumstances.
6. Privacy and Confidentiality
Data Protection: The Company will handle client information in compliance with applicable privacy laws.
Third-Party Sharing: Client information will not be shared with third parties without explicit consent unless required by law.
7. Governing Law
This agreement is governed by the laws of New York City, NY, and any disputes will be resolved under its jurisdiction.
8. Amendments
The Company reserves the right to amend these terms at any time. Clients will be notified of significant changes.
9. Contact Information
For questions or concerns, please contact us at: JMG Wellness Journey 317.514.3115 or jmgwellnessjourney@gmail.com
Acknowledgment and Agreement:
By agreeing to treatment and signing these terms, conditions, and informed consent I confirm that I have read, understood, and agree to the terms outlined in this document.