Retainer Medical Practice Agreement for a Direct Primary Care Practice:

Resolute Integrative Health LLC

This is an Agreement, dated this ____ day of __________________, 202___, between Resolute Integrative Health LLC (“Resolute” or “Practice”), an Oregon Limited Liability Company located at 216 E Main Street, Rogue River, OR 97537, Heather Friend, DNP, APRN, FNP-C (“Practitioner”) in her capacity as an agent of Resolute and you, _________________________________________(“Patient”). 

Background

Resolute is committed to offering comprehensive family primary care services. Upon the payment of specified fees by the Patient, Resolute, through its designated Practitioner, pledges to provide the Patient with a suite of Services as outlined in this Agreement. Our mission is to deliver quality primary care services while also prioritizing longevity, health and wellness, and quality of life for each Patient’s unique health journey. Further information about our practice can be found at www.ResoluteIntegrativeHealth.com.

Definitions and Agreements

1. Patient. A patient is defined as those persons for whom the Practitioner shall provider Services, and who are signatories to, or listed on the documents attached as Appendix 1, and incorporated by reference, to this agreement. 

2. Services. As used in this Agreement, the term Services, shall mean a package of ongoing primary care services, both medical and non-Medical, and certain amenities (collectively “Services”), which are offered by the Practice, and set forth in Appendix 1 and 2. The Patient will be provided with methods to contact the medical provider via phone, email, and other methods of medical electronic communication. The Practitioner will make every effort to address the needs of the Patient in a timely manner; but cannot guarantee immediate availability for appointments, phone calls, or electronic communications, and cannot guarantee that the patient will not need to seek treatment in the urgent care or emergency department setting.

3. Fee Schedule and Cancellation Policy

1. Semi-Annual Membership Agreement

1. Your membership commences as soon as your initial enrollment fee is processed, and you have read and signed this agreement. By entering into this Agreement, you commit to a semi-annual 6-month membership, billed monthly. Your membership will automatically renew at the end of each 6-month cycle period without notice until you elect to cancel. You authorize Resolute to store your payment method(s) and to automatically charge your payment method(s) every month for the duration of your semi-annual contract. The monthly fee for ongoing primary care services is determined based on the fee structure outlined in Appendix 1 and 2, and may be subject to applicable taxes not included in the rate. 

We reserve the right to modify the monthly rate of your plan at the commencement of each semi-annual renewal term. Any changes to your plan’s rate will be communicated to you with the option to cancel your membership at least 30 days prior to this change.

In the event your primary payment method fails, you authorize us to charge any alternative payment method(s) you have provided. If no backup payment method(s) is available or if all payment methods fail, we may suspend your subscription. You may update your payment information at any time through direct communication with Resolute. 

2. Cancellation Policy

1. You may cancel your semi-annual membership at any time. To cancel, please notify Resolute directly. If you cancel within the first 30 days of your initial enrollment, you will receive a full refund of any fees paid, excluding the nonrefundable enrollment fee. Should you choose to cancel your membership after the initial 30 days, you will be charged a lump sum amount equal to 50% of your remaining contract obligation. Your service will continue until the end of the current month’s billing period following your notice of cancellation. 

Please note, this Agreement is intended to ensure continuous, comprehensive primary care for all our Patients while allowing for the flexibility required to manage your healthcare needs effectively. 

4. Wellness Add-ons. Resolute offers additional health and wellness products and services beyond the basic primary care services covered under the Patient’s monthly fee. These optional Wellness Add-ons are designed to complement the primary care services by addressing specific health goals and conditions that may require specialized treatments or products. Wellness Add-ons may include, but are not limited to some weight loss medications, hormone replacement therapy, and other hormone affiliated products and services, supplements, and additional nutritional or functional medicine options that exceeds typical primary care practice (collectively, “Wellness Add-ons”). 

It is important for you to understand that Wellness Add-ons are offered as an optional enhancement and are not included in the monthly fee for basic primary care services unless it is deemed as typical primary care by the Practitioner. Patients electing to utilize any Wellness Add-ons will incur additional charges, details of which are provided in Appendix 4, attached hereto and incorporated by reference.  Resolute makes no guarantees regarding the efficacy of any Wellness Add-on options. Please note that some Wellness Add-ons may not be FDA approved and sometimes are considered an off-label use. Please consult with the Practitioner for more information about the FDA approval status of each option.

While we strive to offer products and services that support our Patients’ health and wellness goals, we encourage the Patient to conduct their own research and consult with the Practitioner prior to initiating any Wellness Add-ons. Participation in any Wellness Add-on is voluntary and at the discretion of the Patient.

5. Non-Participation in Insurance. The Patient understands and agrees that the Practice, including all its Practitioners, does not engage with any health insurance or Health Maintenance Organization (HMO) plans. Additionally, Resolute and its Practitioners have chosen not to participate in Medicare or Medicaid. This decision is in compliance with federal mandates that require Practitioners to formally opt out of Medicare to allow them to offer services under this private retainer medical practice (also known as direct primary care). The Practice accepts the responsibility to make any such determinations independently. Should the Patient be currently eligible for Medicare, or become eligible during the duration of this Agreement, the Patient agrees to sign and abide by the stipulations outlined in Appendix 3. This appendix serves as an acknowledgement of the Patient’s understanding that the Practice has opted out of Medicare, effectively precluding any billing to Medicare for services rendered by the Practitioner under this Agreement. The Patient also commits not to seek Medicare reimbursement for any services received.

6. Insurance and Other Medical Coverage. Patient acknowledges and understands that this Agreement is not an insurance plan, and not a substitute for health insurance or other health plan coverage (such as membership in an HMO). It will not cover hospital services, or any services not personally provided by Practice, or its Practitioners. Patient acknowledges that Practice has advised that patient obtain or keep in full force such health insurance policy(ies) or plans that will cover Patient for general healthcare costs. Resolute encourages you to combine Resolute membership with appropriate health insurance coverage. Patient acknowledges that THIS AGREEMENT IS NOT A CONTRACT THAT PROVIDES HEALTH INSURANCE, in isolation does NOT meet the insurance requirements of the Affordable Care Act, and is not intended to replace any existing or future health insurance or health plan coverage that Patient may carry. This Agreement is for ongoing primary care, and the Patient may need to visit the emergency room or urgent care from time to time. Practitioner will make an effort to be available at all times for immediate needs via phone, email, or other methods such as “after hours” appointments when appropriate, but Practitioner cannot guarantee 24/7 availability.

Resolute is dedicated to providing direct primary care services, focusing on addressing regular, and sometimes immediate, health care needs as part of our comprehensive suite of services. We are committed to making every effort to meet the needs of our Patients promptly. However, it’s important to recognize that while we strive to cater to immediate healthcare requirements, conditions that escalate to urgent or emergency level may necessitate care from specialized urgent care or emergency facilities. Resolute ensures that Patients are aware of the scope of direct primary care services we offer and understands that certain situations will require attention beyond what our Practice can provide in-house. 

7. Termination of Membership. This Agreement grants both the Patient and the Practice the unequivocal right to terminate the membership at any given time, without the necessity of providing a reason for such termination. The Patient is required to give a notice of termination twenty-four (24) hours in advance, whereas the Practice is obligated to provide a thirty (30) day written notice to the Patient. Upon termination by the Practice, the Patient will be furnished with a list of alternative primary care providers in the community, adhering to local patient abandonment laws. Termination of this Agreement by the Practice may be based on, but not limited to, the following reasons:

1. Non-payment of dues as detailed in Appendix 1 and 2;

2. Engaging in fraudulent activities by the Patient;

3. Persistent refusal by the Patient to comply with the recommended treatment plans, particularly concerning the use of controlled substances;

4. Demonstrating abusive behavior or posing an emotional or physical threat to the staff or other patients;

5. Discontinuation of Practice operations;

6. Practice’s discretion in patient acceptance based on its capacity to meet the primary care needs such as patients of higher acuity who would be better served elsewhere with additional resources, or for any reason deemed appropriate by the Practice, provided such termination complies with local patient abandonment laws. 

This section ensures both parties – the Practice and the Patient – can manage their healthcare and business needs efficiently, maintaining the flexibility required in the direct primary care setting.

8. Privacy & Communications. You expressly acknowledge and agree that communications between you and the Practitioner, whether via email, facsimile, video chat, instant messaging, or cell phone, may not be secure. While Resolute endeavors to protect your privacy and secure all communications through the implementation of various security measures, including but not limited to passwords and encryption technologies, we cannot guarantee the confidentiality of these communications. You understand that these communication methods are prone to risks and that by using them, you may be exposing your Protected Health Information (PHI) to interception by unauthorized third parties. 

Given these risks, Resolute will provide you with recommendations for the most secure communication platforms available that comply with the Health Insurance Portability and Accountability Act (HIPAA) standards, including those willing to sign HIPAA Business Associate Agreements. While we encourage the use of these recommended platforms for the exchange of PHI, we recognize that you may choose to communication through other means. Should you initiate communication using a less secure platform and disclose PHI, you are hereby providing your consent for Resolute to respond to you using the same communication method. This consent serves as an acknowledgement of the potential risk associated with such communication methods and releases Resolute from any liability should your PHI be accessed by unauthorized third parties as a result of such communications. 

Furthermore, you agree to not hold Resolute, its Practitioners, or staff liable for any breaches of confidentiality that may occur as a direct result of your choice to communicate through less secure platforms. This clause is intended to protect the integrity of your PHI while acknowledging the limitations and risks associated with electronic communications.

9. Severability. If for any reason any provision of this Agreement shall be deemed by court of competent jurisdiction, to be legally invalid or unenforceable in any jurisdiction to which it applies, the validity of the remainder of the Agreement shall not be affected, and that provision shall be deemed modified to the minimum extent necessary to make that provision consistent with applicable law and in its modified form, and that provision shall then be enforceable. 

10. Reimbursement for Services if Agreement is Invalidated. If this Agreement is held to be invalid for any reason, and if Practice is therefore required to refund all or any portion of the fees paid by Patient, Patient agrees to pay practice an amount equal to the fair market value of the Services actually rendered to Patient during the period of time for which the refunded fees were paid, where the fair market value shall be determined by the average price for similar services in the local area. 

11. Assignment. This Agreement, and any rights Patient may have under it, may not be assigned or transferred by Patient. 

12. Jurisdiction and Dispute Resolution.  This Agreement shall be governed and construed under the laws of the State of Oregon. In the event of any dispute, controversy, or claim arising out of or relating to this Agreement, or the breach, termination, enforcement, interpretation, or validity thereof, including the determination of the scope or applicability of this Agreement to arbitrate, the parties hereto shall first attempt to settle the dispute through good faith negotiation.

Should such a dispute not be resolved within a period of sixty (60) days, then upon notice by either party to the other, all disputes shall be finally settled by arbitration administered by the Arbitration Service of Portland, Inc. (ASP) in accordance with the provisions of its Commercial Arbitration Rules. The arbitration shall be conducted by one arbitrator, selected in accordance with the ASP rules. The language of the arbitration shall be English. 

The arbitration shall take place in Medford, Oregon and may be conducted by telephone, online and/or be solely based on written submissions, the specific manner to be chosen by the party initiating the arbitration. The decision of the arbitrator shall be final, binding, and conclusive upon both parties, and a judgment upon the award rendered by the arbitrator may be entered in any court having jurisdiction thereof. The prevailing party in any arbitration or legal proceeding relating to this Agreement shall be entitled to recover its reasonable attorney’s fees and costs. 

Notwithstanding the foregoing, either party may seek immediate judicial intervention to obtain injunctive relief. The parties agree to submit to the jurisdiction of the federal and state courts located in Jackson County, Oregon, for any action or proceeding arising out of or related to this Agreement, if such immediate judicial intervention is sought.

This clause shall not preclude parties from seeking provisional remedies in aid of arbitration from a court of appropriate jurisdiction. 

13. Patient Understandings (initial each):

By initialing each line, I confirm my understanding and agreement with the terms outlined above, contributing to a transparent and mutually respectful healthcare relationship with Resolute.

_____ This Agreement is for ongoing primary care and is NOT a medical insurance agreement. 

_____ I understand that this Agreement establishes a relationship for ongoing primary care and explicitly is NOT a medical insurance policy. 

_____ I confirm that I do not currently have an emergent medical condition. In the case of a medical emergency, I acknowledge my responsibility is to dial 911 first. 

_____ I am aware that Resolute will not submit, negotiate, or contest any insurance claims on my behalf. 

_____ I understand that Resolute does not provide prescriptions for chronic or long term daily controlled substances, including but not limited to opioids, sleep aids such as Ambien/Lunesta, or benzodiazepines. Should a patient be on the mentioned medications, an appropriate taper plan will be recommended as an alternative. Exceptions to this policy would be for the following: 1. Patients who are being treated for ADHD with well documented history and diagnosis, such as by a mental health prescribing clinician without having other complex mental health history and are a case-by-case approval by the Practitioner; 2. Patients who are appropriate for buprenorphine treatment for opioid use disorder and a case-by-case approval by the Practitioner; 3. Patients who are receiving appropriate hormone replacement therapy including testosterone. 4. Patients receiving phentermine for weight loss and who have not had any aberrant history. These exceptions require abiding by Practice guidelines and policies, and specific controlled substance Practice contracts. The Practitioner reserves the right to decline any controlled substance prescription. 

_____ Should I have any grievances concerning the Practice, I commit to addressing these concerns directly with Resolute before seeking external resolution. 

_____ I acknowledge that this Agreement, by itself, does not fulfill the individual insurance mandate of the Affordable Care Act and I am responsible for ensuring compliance with such requirements through other means. 

_____ My enrollment (including that of my family, if applicable) in Resolute is done willingly and voluntarily. 

_____ I will endeavor to schedule all appointments and notify of any cancellations with at least 24 hours’ notice. Repeated cancellations may result in patient dismissal. I will endeavor to also arrive at my appointment on time out of respect for both the Practitioner and other clients.

_____ Upon request, I am entitled to receive a copy of this Agreement.

_____ I understand that this Agreement is personal to me and cannot be transferred to another individual. 

_____ I acknowledge that Wellness Add-ons, as described in Appendix 4, are not included in the basic primary care services covered under this Agreement. I understand that choosing to utilize any Wellness Add-ons will incur additional charges, for which I will be fully responsible. I agree to discuss the suitability, benefits, and risks of any Wellness Add-on with my Practitioner before proceeding. 

_____ I agree to a respectful partnership with Resolute and its staff, understanding that failure to adhere to the recommended treatment plans or engaging in abusive behavior may result in termination of this Agreement. 

_____ I agree to update my personal and payment information promptly with Resolute to ensure continuous access to services. 

By signing below, the undersigned Patient (or Guardian) and Resolute Integrative Health LLC acknowledge and affirm their full and complete agreement to the terms and conditions set forth in this Agreement, including all appendices referenced herein. Each party affirms that they have read, understand, and voluntarily accept the obligations, rights, and responsibilities outlined in the Agreement and its appendices. Furthermore, by signing, the Patient acknowledges receipt of all attached appendices and confirms understanding that if they are a current Medicare patient or become a Medicare patient during the course of their engagement with Resolute, they must fill out Appendix 3 in accordance with the terms outlined therein. 

Patient Name: ______________________________________

Patient (or Guardian) Signature: ______________________________________

Date: ______________________________________

___________________________________________________ __________________

Heather Friend, DNP, FNP-C as Practitioner and as authorized Date

agent of Resolute Integrative Health LLC

APPENDIX 1: Periodic & Enrollment Fees

This Agreement signifies an ongoing commitment to provide primary care services and is not to be misconstrued as a health insurance or Health Maintenance Organization (HMO) contract. It is essential for the Patient to understand that while this Agreement covers the scope of primary care services specified herein, it may necessitate seeking care from specialists, emergency rooms, and urgent care centers beyond the purview of this Agreement. The scope of primary care services available will be determined by each Practitioner within the Practice, with a detailed list of common conditions treated and procedures performed available on our website at www.ResoluteIntegrativeHealth.com, subject to modifications based on evolving healthcare practices. 

Fee Schedule: Enrollment Fee: Upon enrolling with the Practice, Patients are required to pay a non-refundable enrollment fee, which is subject to change at the discretion of the Practice. If a Patient decides to discontinue their membership and subsequently wishes to re-enroll, the Practice reserves the right to either decline re-enrollment or adjust the re-enrollment fee to account for the period of lapsed membership. 

The current enrollment fee is set at $100 for adults and $50 for minors. 

Monthly Periodic Fee: This fee covers ongoing primary care services and is billed at the start of each service period. While we encourage scheduling visits in advance, ideally more than 24 hours when possible, we reserve the right to impose a $100 charge for visits that are not prescheduled, particularly in cases of repeated misuse use of the 24-hour scheduling policy. Some ancillary services, which include but are not limited to Wellness Add-ons (See Appendix 4), laboratory testing and collection, EKG testing, and dispensed medications, will be provided at no or low cost further described in Appendix B. Our website lists these ancillary services and any updates to this provision. 

The monthly periodic fee is structured as follows: 

• $47 per month for minors under 21

• $97 per month for adults 21 and older.

• $174 per month for adult married couple ($10 discount per member)

• $297 per month max for a family (2 married parents + legal child minors under 21).

Monthly fees are due each month on a specified recurring date decided between Patient and Practice.

Upon cancellation by the Patient, there will be no refunds for payments already processed. However, the Patient is entitled to a full 30 days of service from their last periodic fee payment, with the membership concluding 30 days from the last payment received. 

After-Hours Visits: The practitioner strives to provide fast and accessible support, even after hours 7 days a week. However, acknowledging that our medical practitioners have personal commitments, we cannot always guarantee availability for after-hours consultations or requests that are not urgent. At the discretion of the practitioner, non urgent requests may be followed up during the next open business day. This Agreement encompasses ongoing primary care and is not designated to cover appropriate emergency or urgent care scenarios. Practitioners will strive to respond to service requests within 24 hours and facilitate office or telemedicine consultations as deemed necessary within that timeframe. After hours support does not include in person visits. Any variance to after hours in person consultations would be at the discretion of the practitioner and may incur after hours charges.

Practitioner Availability: Advance notice of at least 14 days will be provided for any known practitioner unavailability. In unforeseen circumstances, such as personal or family emergencies affecting your Practitioner, notification will be issued as promptly as feasible. Any vacation of Practitioner will be planned with adequate coverage to support your urgent needs with other local DPC clinics or email/text coverage with your practitioner.

Acceptance of Patients:  The Practice maintains the right to accept or decline patients based on our ability to adequately address the patient’s primary care needs, subject to non-discrimination laws and regulations. New patients may be declined in accordance with the provisions outlined in the main Agreement, due to full capacity of the Practitioner’s patient panel or the patient’s need for medical care outside the Practitioner’s scope of services.

APPENDIX 2: Comprehensive Service Structure

The Services detailed herein encompasses the scope of ongoing primary care services provided under the Periodic Fee as referenced in Appendix 1. The intention of this appendix is to ensure transparency and understanding of the services available to the Patient within the framework of the Agreement. 

1. Ongoing Primary Care Services: The Periodic Fee, as outlined in Appendix 1, includes a comprehensive array of primary care services. A list of chronic conditions routinely managed by the Practice, along with the scope of primary care services, is available for review on the Practice’s website (www.ResoluteIntegrativeHealth.com). This list is not all encompassing as there are countless chronic health conditions and any question of if we address a specific service can be asked. The Practice will notify patients of any significant changes to this list, including exclusions. This list is subject to updates reflecting the evolution of healthcare practices to meet the needs of our Patients. 

2. In-Office Procedures:  The Practice is equipped to perform a variety of in-office procedures, which are generally included within the Periodic Fee. A detailed list of these procedures is available on the Practice’s website and may be adjusted based on advancements in medical practice or changes in services offered by the Practice. Certain procedures may incur additional costs, which will be communicated to the Patient prior to the service being provided. Repeated needs for certain tests in clinic such as flu testing will incur additional charges due to the cost of this supplies.

3. Laboratory and Diagnostic Studies:  Laboratory tests necessary for the management of the Patient’s care will be conducted in-office or through designated facilities. For laboratory tests collected in the Practice, these have been negotiated below-market rates for these services, ensuring costs are as low as possible for the patient. Anticipated costs will be discussed with the Patient in advance of the tests being ordered. External laboratory orders sent to other non Resolute facilities to be collected and processed will need to be discussed with that site and may be subject to using your insurance.

4. Pharmaceuticals: When medications are dispensed directly from the Practice, they will be made available to the Patient at a discounted rate.  The Practice commits to sourcing medications in the most cost-effective manner, balancing affordability with quality. Prescriptions sent to external pharmacies will be subject to their charges, and in this instance, your insurance may be used.

5. Pathology and Radiology Services: Pathology services, including but not limited to skin biopsies, and radiology studies, will be facilitated through the most economical channels available. The Practice will provide Patients with anticipated costs prior to ordering these services to ensure informed decision-making, though these prices are subject to change at other facilities. Should orders be sent to outside locations (eg hospital), you may be able to use your insurance.

6. Specialist Referrals and Hospital Services: While the Practice does not cover hospital services or specialist consults under the membership plan, it will assist Patients in accessing these services in the most cost-effective manner. The Practice does not have formal hospital admission privileges, reflecting our focus on primary care services within the direct primary care model. 

7. Vaccinations and Additional Services: Currently, the Practice does not offer vaccinations on-site due to the prohibitive costs associated with maintaining the inventory. Efforts will be made to assist patients in obtaining necessary vaccinations through alternative providers. Additional-cost services, which may include IV infusions, physical therapy, and elective procedures, will be introduced based on Practice resources and Patient demand. Details and associated costs of these services will be communicated through the Practice’s website and directly to Patients as they become available. 

8. Wellness Add-ons: As Wellness Add-ons become available, these optional additional enhancements outside of typical comprehensive primary care services will be charged at an additional cost and will be listed on the website and/or in the Practice.

This Appendix serves to clarify the fee structure related to the primary care serviced offered by the Practice, ensuring Patients are fully informed of the costs associated with their care. The Practice reserves the right to adjust this fee structure in response to changes in the healthcare environment, with all such changes to be communicated clearly to the patients in advance.

APPENDIX 3: Understanding for Medicare Beneficiaries

This Appendix forms part of the Agreement between Resolute Integrative Health LLC (“Resolute” or “Practice”) and the undersigned Medicare Beneficiary (“Beneficiary”).

Beneficiary Address: ____________________________________________________________

Medicare ID #: ____________________________________________________________

As a Beneficiary seeking primary care services outside the Medicare framework, Resolute has informed the Beneficiary or their legal representative that the Practitioners at Resolute have opted out of the Medicare program in compliance with Section 4507 of the Balanced Budget Act of 1997. It is hereby confirmed that the Practitioners at Resolute are not excluded from Medicare under Sections 1128, 1156, or 1892 of the Social Security Act. 

By Initialing each statement below, the Beneficiary or their legal representative acknowledges their understanding and agreement to the following terms:

_____ Beneficiary or their legal representative agrees to personally assume full financial responsibility for payments related to services rendered by Resolute Practitioners. 

_____ Beneficiary or their legal representative acknowledges that Medicare’s fee restrictions do not apply to charges for services provided by Resolute Practitioners. 

_____ Beneficiary or their legal representative commits not to file a Medicare claim nor request Resolute’s Practitioners to file such claim for services rendered under this Agreement.

_____ Beneficiary or their legal representative understands that services provided by Resolute’s Practitioners, which could have been reimbursed by Medicare if not for this Agreement, will not be eligible for Medicare payments. 

_____ Beneficiary or their legal representative enters into this Agreement with full knowledge that they have the option to seek Medicare-covered services from entities not opted out of Medicare and that this Agreement does not limit access to other Medicare-covered services by non-opted-out providers. 

_____ Beneficiary or their legal representative recognizes that Medi-Gap and certain other supplemental insurance plans may not cover charges for services that are not reimbursed by Medicare. 

_____ Beneficiary or their legal representative confirms that they are not in an emergency or urgent health care situation at the time of signing this Agreement. 

_____ Beneficiary or their legal representative acknowledges having received a copy of this Agreement for their records. 

This Appendix services to clarify the Medicare Beneficiary’s position in relation to Medicare and the services provided by Resolute Integrative Health LLC. By proceeding with this Agreement, the Beneficiary accepts the terms herein, acknowledging that Resolute’s services are provided outside of the Medication program.

Beneficiary (or Legal Representative) Signature: _________________________________

Date: ____________________________ Name:  ___________________________________

A copy of this Appendix has been provided to the Beneficiary or their legal representative for their records and reference.

APPENDIX 4: Wellness Add-ons Description and Terms

Resolute Integrative Health LLC offers a variety of Wellness Add-ons to meet the diverse health and wellness needs of our Patients, beyond those more typical services described in Appendix 2. These options are provided in addition to the primary care services covered by the monthly fee and are available to Patients for an additional charge. The following is a non-exhaustive list of available potential Wellness Add-ons:

1. IV infusions

2. Certain Weight Medications, coaching, nutrition, or other therapies

3. Hormone Affiliated Products and Services 

4. Supplements

5. In the future, formal Functional Medicine Programs, if offered, will also be included in this list.

Patients interested in any Wellness Add-ons should consult with their Practitioner to discuss suitability, potential benefits, and associated risks. 

Financial Terms: Detailed pricing for each Wellness Add-on is available upon request and will be provided to the Patient prior to the commencement of any such service and is not included in the monthly primary care service fee. 

FDA Approval and Recommendations:  Resolute Integrative Health LLC does not guarantee that any or all the Wellness Add-ons are approved or recommended by the Food and Drug Administration (FDA). However, the Practice does not offer treatments that the FDA has specifically disapproved. Patients are responsible for understanding the approval and recommendation status of any Wellness Add-ons. 

Patient Acknowledgement: By electing to participate in any Wellness Add-on, Patients acknowledge and accept that such options are not included in the basic primary care services covered by their monthly fee and that additional charges will apply. Patients further acknowledge that they have discussed the potential benefits and risks of the selected Wellness Add-on options with their Practitioner and have made an informed decision to proceed. 

This Appendix is subject to updates and modifications as new Wellness Add-on options become available or existing options are modified or discontinued. Patients will be notified of any significant changes to the Wellness Add-on options or terms outlined herein.