Desert Agave Booking Terms 

Desert Agave Wellness - Terms and Agreement

Effective Date: March 1, 2025

This Terms and Agreement ("Agreement") is entered into by and between Desert Agave Wellness PLLC ("the Clinic," "we," "us," or "our") and the individual patient ("you" or "your") accessing our services. By accessing, using, or receiving services from Desert Agave Wellness, you agree to abide by and be bound by these terms and conditions.

1. Services Provided

Desert Agave Wellness provides a variety of health and wellness services, including but not limited to low-acuity urgent care needs, medical grade weight loss treatment, IV hydration therapy, aesthetics (Botox, Dysport injections), microneedling, and hormone replacement therapy (HRT). Our services may be provided in-person or via telehealth, depending on your location and the nature of the service.

2. Payment for Services

• Payment is Due at the Time of Service: All fees for services rendered are due at the time of the appointment, either in-person or online.

• No Insurance Accepted: Desert Agave Wellness does not accept insurance directly. You may submit the itemized statement we provide to your insurance company for reimbursement if applicable.

• Payment Methods: We accept credit cards, debit cards, Apple Pay, Zelle, Venmo, Alle points, and cash payments. For telehealth consultations, payment is required at the time of booking.

3. Cancellation and Missed Appointment Policy

• In-Person Appointment Cancellations: Cancellations must be made at least 24 hours before the scheduled appointment. Failure to do so will result in a missed appointment fee, which will be charged to your account.

• Telehealth Appointment Cancellations: Cancellations must be made at least 24 hours before the scheduled appointment for a full refund. Cancellations made within 24 hours will incur a missed visit fee.

• No-Shows: Patients who fail to show up for their scheduled appointment without prior notice will be charged the full consultation fee.

• Late Arrivals: If you arrive late, you may have to reschedule your appointment, and a missed appointment fee may apply.

4. Prescription Policy

• Prescriptions: Prescriptions are issued at the provider’s discretion based on clinical evaluation. Desert Agave Wellness providers follow state and federal regulations regarding prescription medications, and we do not prescribe controlled substances.

• Medication Requests: We do not guarantee the issuance of a prescription for any requested medication. The provider will determine the medical necessity of the prescribed medication.

• Lifestyle Medications: Desert Agave Wellness does not prescribe medications for lifestyle treatments, including but not limited to erectile dysfunction, hair loss, and weight loss medications.

5. Telehealth Services

• Telemedicine: If you opt for telehealth services, you consent to receiving health care through electronic communications, which may include video, audio, or written communication. Telehealth is not appropriate for medical or mental health emergencies. In case of an emergency, you should dial 911 or seek in-person care immediately.

• Confidentiality: Desert Agave Wellness uses secure, HIPAA-compliant platforms to conduct telehealth services, ensuring the privacy of your medical information.

• Technical Requirements: You are responsible for ensuring that you have the necessary technology (e.g., a computer, smartphone, or tablet with internet access) to participate in telehealth services.

6. Confidentiality and Privacy

• HIPAA Compliance: Desert Agave Wellness follows all applicable federal and state laws related to patient privacy and confidentiality. We are committed to safeguarding your health information and will not disclose any personal information without your written consent, except as required by law.

• Electronic Health Records: Your medical records are maintained securely and are available for review upon request in accordance with privacy regulations.

7. No Guarantee of Results

While we make every effort to provide high-quality care, Desert Agave Wellness does not guarantee specific outcomes or results from any treatment or service. Individual results may vary.

8. Patient Responsibilities

• Accurate Information: You agree to provide accurate and complete information regarding your health history, current conditions, medications, and any other relevant details to facilitate proper care.

• Follow-up Care: You agree to comply with any instructions or recommendations provided by your health care provider, including follow-up care or appointments.

• Communication: You are responsible for notifying Desert Agave Wellness if you experience any adverse effects or if your condition changes following treatment.

9. Limitation of Liability

Desert Agave Wellness, its providers, employees, and affiliates will not be liable for any indirect, incidental, special, or consequential damages arising from the use of our services. You agree to indemnify and hold harmless Desert Agave Wellness from any claims, damages, or expenses arising out of your use of our services.

10. Governing Law

This Agreement is governed by the laws of the State of Arizona. Any disputes arising from the use of our services shall be resolved in the appropriate courts located in Arizona.

11. Consent to Treatment

By receiving treatment at Desert Agave Wellness, you acknowledge that you have provided your informed consent for medical evaluation, treatment, and procedures, including telemedicine if applicable, as described in our Informed Consent documents.

12. Amendments to Agreement

Desert Agave Wellness reserves the right to modify or amend this Agreement at any time. Any changes will be posted on our website or communicated to you directly. 

Website: www.desertagavewellness.com 

Financial Policy Notice

At Desert Agave Wellness, we are committed to providing the best care for our patients. To ensure a smooth and transparent process, we have established the following financial policy. By receiving services, you acknowledge and agree to the terms of this policy:

1. Payment for Services:
   Payment for services is expected at the time of service. We accept all major credit cards, debit cards, and cash. For telehealth consultations, payment is due at the time of booking, and for in-person visits, payment is expected upon arrival.

2. No Insurance:
   Desert Agave Wellness does not accept insurance directly. However, we will provide you with a detailed, itemized receipt for services rendered. You may submit this receipt to your insurance provider for reimbursement based on your plan’s out-of-network benefits. It is your responsibility to check with your insurance company to determine if reimbursement is available.

3. Missed Payments:
   If payment is not received at the time of service, Desert Agave Wellness reserves the right to collect payments through a third-party collection agency. A fee will be charged to you for any late payments or charges that remain unpaid for an extended period.

4. Returned Payments:
   If your payment is returned for any reason (e.g., insufficient funds), you will be responsible for any bank fees or charges associated with the returned payment.

5. Refunds:
   Refunds are available if you cancel an appointment within our specified cancellation window (see cancellation policy). Refunds for completed consultations will not be given solely due to the patient not receiving a prescription.

Cancellation Policy

We understand that schedules can change unexpectedly, and we aim to provide the best service for our patients. However, cancellations and no-shows affect our ability to serve other patients and impact our clinic’s operations. Therefore, we have the following cancellation policies:

In-Person Appointment Cancellation:

1. Cancellation Notice:
   We ask that you cancel your in-person appointment at least 24 hours prior to your scheduled appointment. Cancellations made within 24 hours of the scheduled time will result in a missed appointment fee equal to the full consultation cost. This fee will be charged to your credit card on file.

2. No-Show Policy:
   If you do not show up for your appointment and fail to notify us in advance, you will be charged the full consultation fee as a no-show charge.

Telehealth Appointment Cancellation:

1. Cancellation Notice:
   For telehealth appointments, cancellations must be made at least 24 hours prior to the appointment time to receive a full refund. If you cancel within 24 hours of your telehealth appointment, you will be charged a missed visit fee.

2. No-Show Policy:
   If you do not attend your scheduled telehealth appointment and do not provide prior notice, you will be considered a no-show and will be charged the full consultation fee.

3. Late Arrivals:
   For telehealth appointments, we allow a 10-minute grace period from your scheduled appointment time. If you do not connect within this time, we will consider you a no-show, and you will be charged a missed visit fee. 

Prescription Policy

Patient-Facing Prescription Policy:

At Desert Agave Wellness, our providers can prescribe a range of medications for treating common ailments such as infections, allergies, and other minor health concerns. Prescriptions are sent electronically to your local pharmacy or a mail-order pharmacy of your choice.

Exclusions:

• We do not prescribe elective medications, certain anticonvulsants, narcotic pain relievers, or other controlled substances.

• We generally do not prescribe more than a 90-day refill within a six-month period. Consultations address common conditions, but some issues may require an in-person visit for full care.

Please note that Desert Agave Wellness is not a replacement for your primary care provider or routine check-ups.

Antibiotics:
While we may prescribe antibiotics for bacterial infections, not all infections are caused by bacteria. Some ailments, such as viral infections, do not respond to antibiotics. Overuse of antibiotics can contribute to resistance, making future bacterial infections harder to treat. Therefore, if antibiotics are not medically necessary, we may suggest alternative treatments for symptom relief.

By signing below, I acknowledge that I have read, understand, and agree to the Prescription Policy of Desert Agave Wellness. I understand that the prescribing practices outlined above apply to me and that I have had the opportunity to ask questions and receive clarifications as needed.

I consent to the use of this policy in the course of my care with Desert Agave Wellness and understand the limitations and exclusions as described.

Desert Agave Wellness

Effective Date: January 1, 2025

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.

OUR COMMITMENT TO YOUR PRIVACY

At Desert Agave Wellness PLLC, we are committed to protecting the privacy and confidentiality of your personal health information. This Notice describes how we may use and disclose your protected health information (PHI), and your rights regarding your health information.

HOW WE MAY USE AND DISCLOSE YOUR HEALTH INFORMATION

We may use and share your information as we:

• Treat you – For example, sharing information with other healthcare providers involved in your care.

• Run our organization – To operate our practice, improve care, and contact you when necessary.

• Bill for services – To send claims to insurance companies and collect payment.

Other permitted or required uses and disclosures include:

• Public health and safety issues

• Reporting adverse reactions to medications

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

• Complying with laws and regulations

• Responding to legal actions or government requests

We will not use or share your information for marketing purposes or sell your information without your written permission.

YOUR RIGHTS REGARDING YOUR HEALTH INFORMATION

You have the right to:

• Get a copy of your medical record – You may request access to your records in paper or electronic format.

• Correct your medical record – If you believe information is incorrect, you may request an amendment.

• Request confidential communications – You may ask to be contacted in a specific way.

• Ask us to limit what we use or share – You can request that we not use or share certain information, although we may not always be able to comply.

• 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 – If someone is your legal guardian or power of attorney, that person can exercise your rights.

• File a complaint – If you feel your rights are violated, you may file a complaint with our office or the U.S. Department of Health and Human Services.

We will not retaliate against you for filing a complaint.

OUR RESPONSIBILITIES

We are required by law to:

• Maintain the privacy and security of your protected health information.

• Provide you with this notice of our legal duties and privacy practices.

• Follow the terms of the notice currently in effect.

• Notify you if a breach occurs that may have compromised the privacy or security of your information.

CONTACT INFORMATION

If you have any questions or complaints, please contact:

Desert Agave Wellness
7325 N. 16^th Street, Suite 135, Phoenix, AZ 85020
Phone: 602-935-5396
Email: info@desertagavewellness.com