Effective Date: September 10, 2026
Last Updated: September 10, 2026

These Terms and Conditions govern your access to and use of the Alliance Functional Medicine website, online forms, scheduling services, telehealth services, newsletters, text messages, email communications, and related digital services.

By accessing this website, creating an account, scheduling an appointment, submitting information, or using our services, you agree to these Terms and Conditions. If you do not agree, please do not use the website or services.

ABOUT ALLIANCE FUNCTIONAL MEDICINE

Alliance Functional Medicine provides patient-centered healthcare services, which may include telehealth evaluations, health education, care planning, follow-up services, and other services offered by appropriately licensed healthcare providers.

Services are available only where permitted by applicable law, provider licensure, patient location, age, clinical circumstances, and practice policies.

NO EMERGENCY SERVICES

Alliance Functional Medicine is not an emergency medical service.

Do not use this website, email, text messaging, social media, online forms, or routine telehealth scheduling if you believe you are experiencing a medical emergency.

If you are experiencing severe symptoms or believe you may have a medical emergency, call 911 or go to the nearest emergency department immediately.

WEBSITE CONTENT IS NOT MEDICAL ADVICE

Website articles, social media posts, newsletters, videos, downloads, FAQs, and other general content are provided for educational and informational purposes only.

This content:

• Is not individualized medical advice
• Is not a diagnosis or treatment recommendation
• Is not a substitute for care from a qualified healthcare professional
• Should not be used to delay or avoid necessary medical care
• May not apply to your individual medical history or circumstances

You should consult an appropriately licensed healthcare provider before making decisions about your health, medications, supplements, testing, or treatment.

PROVIDER-PATIENT RELATIONSHIP

Viewing this website, subscribing to a newsletter, submitting a general contact form, sending an email, or communicating through social media does not establish a provider-patient relationship.

A provider-patient relationship is established only after all required registration and consent documents have been completed, the provider has accepted the individual for care, and an appropriate clinical encounter has occurred.

Alliance Functional Medicine may determine that its services are not appropriate for a particular person, condition, or circumstance.

TELEHEALTH SERVICES

Telehealth uses electronic communications to connect patients and healthcare providers who are in different locations.

A telehealth visit may include:

• Discussion of symptoms, medical history, and health goals
• Visual assessment through secure video
• Review of information submitted by the patient
• Education and clinical recommendations
• Treatment planning
• Prescriptions when legally and medically appropriate
• Recommendations for laboratory testing
• Referral for in-person care or emergency evaluation

Telehealth has limitations. A provider may be unable to perform certain physical examinations, diagnostic tests, imaging, procedures, or other assessments remotely.

Alliance Functional Medicine may recommend or require in-person care when a virtual evaluation is not clinically sufficient.

PATIENT LOCATION AND ELIGIBILITY

You must accurately disclose your physical location at the time of each telehealth appointment.

Healthcare services may be provided only when the treating provider is authorized to practice in the jurisdiction where you are physically located. Being a resident of an eligible state does not necessarily make you eligible if you are physically located elsewhere during the appointment.

You agree to provide accurate information regarding your:

• Identity
• Date of birth
• Physical location
• Contact information
• Health history
• Current symptoms
• Medications and supplements
• Allergies
• Other information reasonably requested for your care

Providing false, incomplete, or misleading information may affect the safety and availability of services.

TELEHEALTH CONSENT

Before receiving telehealth care, you may be required to complete a separate telehealth informed-consent document.

By participating in telehealth, you acknowledge that:

• Telehealth involves electronic communication with a healthcare provider
• Technology may fail or experience interruptions
• A remote assessment may have limitations
• An in-person examination or additional testing may be required
• Electronic communication carries privacy and security risks
• You may withdraw consent to telehealth, subject to applicable law and the effect on our ability to provide services

These Terms do not replace any separate clinical consent or informed-consent document.

TECHNOLOGY REQUIREMENTS

You are responsible for having:

• A compatible phone, tablet, or computer
• A stable internet or cellular connection
• Working audio and video when required
• A private and reasonably quiet location
• Current contact information
• The ability to access the designated patient or telehealth platform

Alliance Functional Medicine is not responsible for delays or inability to provide services caused by your device, connection, software, or environment.

If a technical failure prevents completion of an appointment, we will attempt to determine an appropriate next step according to practice policy.

PRESCRIPTIONS AND MEDICATIONS

Scheduling or completing an appointment does not guarantee that any medication will be prescribed.

Prescription decisions are made solely by the treating provider based on medical judgment, patient safety, available information, applicable law, and professional standards.

Antibiotics are prescribed only when medically appropriate for a suspected bacterial infection. Antibiotics do not treat viral illnesses.

Certain medications may require testing, previous medical records, ongoing monitoring, or an in-person examination. Some medications may not be prescribed through Alliance Functional Medicine or through telehealth.

Patients must provide complete and accurate information about current medications, supplements, allergies, medical conditions, pregnancy status, and relevant health history.

LABORATORY TESTING AND REFERRALS

A provider may recommend laboratory testing, imaging, specialist evaluation, urgent care, emergency care, or another form of in-person treatment.

Fees charged by laboratories, imaging centers, pharmacies, specialists, hospitals, or other third parties are separate from fees charged by Alliance Functional Medicine unless expressly stated otherwise.

Alliance Functional Medicine does not control third-party pricing, scheduling, availability, or insurance coverage.

APPOINTMENT FEES AND PAYMENT

The fee for your appointment or service will be disclosed during scheduling or before payment is collected.

Current general visit fee:

[INSERT VISIT FEE OR LINK TO CURRENT PRICING]

Payment may be required before an appointment is confirmed. You authorize Alliance Functional Medicine and its payment processor to charge the payment method you provide for authorized services.

You are responsible for:

• Providing accurate billing information
• Paying disclosed charges
• Understanding whether services are eligible for insurance reimbursement
• Paying third-party pharmacy, laboratory, imaging, or referral costs
• Requesting receipts or documentation needed for reimbursement

Unless expressly stated, Alliance Functional Medicine does not guarantee insurance coverage or reimbursement.

CANCELLATIONS, RESCHEDULING, AND NO-SHOWS

Appointments may be cancelled or rescheduled according to the following policy:

[INSERT CANCELLATION WINDOW, LATE-CANCELLATION FEE, AND NO-SHOW FEE]

A patient who arrives late may receive a shortened appointment, be asked to reschedule, or be charged according to the published cancellation policy.

Alliance Functional Medicine may cancel or reschedule an appointment because of provider availability, emergencies, technology failures, licensing limitations, or other operational circumstances.

REFUNDS

Refund eligibility is determined according to the following policy:

NO REFUNDS

Fees may not be refundable once professional time has been reserved, an appointment has started, or a healthcare service has been provided, except where required by law or stated in the applicable service terms.

Dissatisfaction with a clinical decision, including a decision not to prescribe medication, does not automatically create a right to a refund.

PATIENT RESPONSIBILITIES

You agree to:

• Provide complete and accurate information
• Participate from a safe, private location
• Follow reasonable instructions for using telehealth technology
• Ask questions when information is unclear
• Inform the provider of changes in symptoms or health status
• Seek emergency or in-person care when directed
• Use medications only as prescribed
• Protect your account credentials and access codes
• Treat providers and staff respectfully
• Refrain from recording appointments without prior permission

Alliance Functional Medicine may limit or terminate services in cases involving threats, harassment, fraud, repeated misuse, unsafe conduct, or material violations of these Terms, subject to applicable professional obligations.

COMMUNICATIONS

By providing your contact information, you authorize Alliance Functional Medicine to contact you regarding requested information, appointments, patient administration, account activity, and services.

Email and Text Messages

If you separately consent to promotional communications, you may receive newsletters, educational content, service announcements, or marketing messages.

Message frequency may vary. Message and data rates may apply. Consent to receive marketing text messages is not a condition of receiving healthcare services.

Reply STOP to opt out of text messages. Reply HELP for assistance.

You may unsubscribe from marketing emails by selecting the unsubscribe link included in the message.

Standard email and text messaging may not always be secure. Do not use unsecured messages to communicate emergencies or highly sensitive medical information.

PRIVACY

Use of the website and services is also governed by our Privacy Policy and, when applicable, our Notice of Privacy Practices.

INTELLECTUAL PROPERTY

The Alliance Functional Medicine website and its original content, branding, logos, graphics, text, videos, downloads, page designs, and educational materials are owned by or licensed to Alliance Functional Medicine and are protected by applicable intellectual-property laws.

You may use website content for personal, noncommercial informational purposes only.

You may not, without prior written permission:

• Copy or republish substantial website content
• Sell or commercially exploit our materials
• Alter or remove copyright or branding notices
• Impersonate Alliance Functional Medicine
• Use our name, logo, or content in a misleading manner
• Scrape, harvest, or systematically extract website information
• Interfere with the operation or security of the website

ACCEPTABLE USE

You may not use the website or services to:

• Violate any law or regulation
• Submit false or fraudulent information
• Attempt unauthorized access to accounts or systems
• Introduce malware or harmful code
• Disrupt website availability or security
• Harass providers, staff, patients, or other users
• Misrepresent your identity or authority
• Collect information about others without authorization
• Use automated systems to access the website in a harmful manner

THIRD-PARTY SERVICES AND LINKS

The website may link to or integrate with third-party services, including scheduling platforms, patient portals, telehealth technology, payment processors, pharmacies, laboratories, social media services, and educational resources.

Alliance Functional Medicine does not control independent third-party websites or services and is not responsible for their content, availability, terms, privacy practices, or security.

Your use of third-party services may be governed by separate agreements.

NO GUARANTEE OF RESULTS

Healthcare outcomes differ among individuals.

Alliance Functional Medicine does not guarantee:

• A particular diagnosis
• A prescription or specific treatment
• Symptom improvement or resolution
• Eligibility for a particular service
• Insurance reimbursement
• A specific laboratory or clinical outcome
• That telehealth will eliminate the need for in-person care

Recommendations are based on the information reasonably available to the provider at the time of care.

DISCLAIMER OF WEBSITE WARRANTIES

To the fullest extent permitted by law, the website and general informational materials are provided on an “as available” basis.

Alliance Functional Medicine does not guarantee that:

• The website will always be available or uninterrupted
• Website content will always be complete or current
• Every technical error will be corrected immediately
• The website will be free from all harmful components
• Third-party links or services will remain available

Nothing in this section limits professional duties or patient rights that cannot legally be waived.

LIMITATION OF LIABILITY

To the fullest extent permitted by law, Alliance Functional Medicine will not be liable for indirect, incidental, special, consequential, or punitive damages arising solely from use of or inability to use the public website or general educational content.

This limitation does not exclude liability that cannot legally be limited, including liability arising from professional healthcare services where applicable law prohibits such limitation.

INDEMNIFICATION

To the extent permitted by law, you agree to indemnify and hold Alliance Functional Medicine harmless from claims, damages, or expenses arising from your unlawful misuse of the website, violation of these Terms, infringement of another person’s rights, or submission of fraudulent information.

This provision does not require a patient to indemnify Alliance Functional Medicine for its own professional negligence or conduct where indemnification is prohibited by law.

ACCESSIBILITY AND NONDISCRIMINATION

Alliance Functional Medicine is committed to providing services without unlawful discrimination.

If you need a reasonable accommodation or assistance accessing telehealth services, contact us before your appointment so available options can be discussed.

CHANGES TO SERVICES OR TERMS

Alliance Functional Medicine may modify its website, services, fees, policies, or these Terms as business, clinical, technical, or legal requirements change.

Updated Terms will be posted with a revised “Last Updated” date. Continued use after an update constitutes acceptance of the revised Terms to the extent permitted by law.

Changes will not retroactively eliminate rights that cannot legally be waived.

TERMINATION OF WEBSITE ACCESS

Alliance Functional Medicine may restrict or terminate access to the website or nonclinical digital services when reasonably necessary to protect patients, staff, systems, or legal rights.

Termination of website access does not eliminate payment obligations or alter legal duties related to existing healthcare records.

GOVERNING LAW

These Terms are governed by the laws of the State of [INSERT STATE], without regard to conflict-of-law principles, except where another jurisdiction’s law must apply.

Any dispute concerning these Terms will be handled in the courts located in [INSERT COUNTY AND STATE], unless the parties agree to another lawful dispute-resolution process.

This section does not limit any patient right or remedy that cannot legally be waived.

SEVERABILITY

If any provision of these Terms is found invalid or unenforceable, the remaining provisions will remain in effect to the fullest extent permitted by law.

ENTIRE AGREEMENT

These Terms, together with the Privacy Policy, Notice of Privacy Practices, telehealth consent, financial policies, and other agreements presented during registration or care, constitute the applicable agreement concerning use of the website and services.

If a clinical consent or legally required notice conflicts with these general website Terms, the clinical consent or legally required notice will control for that subject.

CONTACT INFORMATION

Questions about these Terms and Conditions may be directed to:

Alliance Functional Medicine
[email protected]