Terms and Conditions of Nu Life Health and Wellness

I understand that participating in intravenous (“IV”) hydration, vitamin/supplement administration, pharmaceutical administration, programs, and services made available by Nu Life Health and Wellness carries health risks. Risks include, but are not limited to, injury, bleeding, infection, inflammation/swelling, bruising, or scarring from IV infiltration, extraction and extravasation, misplacement of IV lines in the body, air embolism, fluid overload, medication adverse interactions, nerve injuries, lightheadedness, or fainting. To the extent that I fail to disclose any of my health conditions, medications, or drug use in advance, I acknowledge and agree that the sole risk of injury or harm resulting in any manner from my choosing to participate in such regiment, programs, and services rests entirely with me. I expressly represent to Nu Life Health and Wellness that I have never been, diagnosed with nor treated for any diseases, illnesses or conditions which may result in increased risk when I participate in regimens, programs or services made available by Nu Life Health and Wellness. In addition, I am not choosing to participate with any expectation that Nu Life Health and Wellness will screen for, diagnose, monitor, or otherwise provide any care or treatment for such conditions.

I acknowledge and understand that Nu Life Health and Wellness is relying upon the foregoing representations that I am providing to Nu Life Health and Wellness in choosing to accept me for participation in its program(s) or service(s). I acknowledge that Nu Life Health and Wellness made no warranties or guarantees as to the results or general success of the IV, vitamin/supplement administration, pharmaceutical administration, programs, or any other services made available by Nu Life Health and Wellness and all expressions, oral or in writing, made by Nu Life Health and Wellness relative thereto, are opinions that should not be relied upon. I acknowledge that ancillary damage may occur to me or to my property because of participating in IV hydration, vitamin/supplement administration, pharmaceutical administration, or any program/service made available by Nu Life Health and Wellness. I hereby hold Nu Life Health and Wellness entirely harmless and will fully indemnify Nu Life Health and Wellness against all such damages.

I acknowledge that the services provided have not been evaluated by the US Food and Drug Administration. I acknowledge that these products are not intended to diagnose, treat, or cure any disease. I expressly represent and guarantee to Nu Life Health and Wellness that I am not a user of illegal drugs or controlled substances, and I am not under the influence of or recovering from any drugs or controlled substances at the time of any service provided to me by Nu Life Health and Wellness. In the event of an emergency, I will call 911 or proceed to the nearest emergency room.

Acknowledgement: I confirm that I have read this form and fully understand its contents. I acknowledge that no guarantees or assurances have been made to me concerning the results intended from the sessions and programs offered by Nu Life Health and Wellness. I understand the nature of the sessions and programs and that participating in them carries risks. I have been given an opportunity to ask questions, and all my questions have been answered fully and to my satisfaction. I assume all risks associated with my participation.

Patient Authorization for Use and Disclosure of Protected Health Information: By requesting an appointment, I authorize Nu Life Health and Wellness to use or disclose certain personal information, if necessary. Nu Life Health and Wellness may disclose (not limited to) the following: date(s) of service(s), type of service(s), any data source, age, gender, and vital signs. The information will be used or disclosed for (I) research data to reflect growth, and (ii) any type of service requested by Nu Life Health and Wellness’ current or prospective clients. This authorization expires one year from the date of service. Nu Life Health and Wellness will not receive payment or other remuneration from a third-party in exchange for personal information. I understand I am not obligated to sign this authorization. When my information is used or disclosed pursuant to this authorization, it may be subject to redisclosure by the recipient and may no longer be subject to the HIPAA Privacy Rule when adhering to certain protocol. I hereby give Nu Life Health and Wellness, and any employees or agents of Nu Life Health and Wellness, the right and permission to use or publish any photographs taken of me for art or promotional purposes including, but not limited to, advertising, publicity, or commercial/display of use. I also authorize my pictures to be posted on social media (e.g., Facebook, Twitter, TikTok), including Nu Life Health and Wellness’ website. I hereby release and discharge Nu Life Health and Wellness and any related employee/agent from any legal or equitable claim originating from, but not limited to, (a) blurring of any image(s), (ii) alteration, (iii) distortion or use in composite form, (iv) libel, (v) invasion of privacy, or (vi) any claim based on the production or publishing of any material resulting from a service provided by Nu Life Health and Wellness. I consent to Nu Life Health and Wellness using my name, image or quote for any promotion and I understand all proprietary rights (e.g., property rights) are owned by Nu Life Health and Wellness. I consent to using my name, image, or quotes as determined by Nu Life Health and Wellness in, but not limited to, media content (e.g., website or Facebook Page for Nu Life Health and Wellness).

Credit/Debit Card Authorization: By signing this form, I authorize Nu Life Health and Wellness to debit my credit card provided for any product/service rendered and understand the authorization to be valid.

HIPAA Notice of Privacy Practices

How we may use and disclose your protected health information, and your rights regarding it, are described in our Notice of Privacy Practices.

Agreement for Telehealth

Nu Life Health and Wellness (the “Practice”) is honored to provide you with personalized support and care for the duration of your participation in our telehealth program (the “Program”).

Informed Consent for Telehealth Services. You agree to receive telehealth services for the duration of your participation in the Program. Telehealth involves the use of audio, video, or other electronic communications to interact with you, consult with your service provider, and/or review your medical information for the purpose of diagnosis, therapy, follow-up, coaching and/or education; telehealth may be provided as synchronous (in real time) or asynchronous (not in real time, such as by sending a chat or a photo and later receiving a response). During your telehealth consultation with the Practice, details of your medical history and personal health information may be collected and such information may be disclosed and/or discussed with other health professionals involved in your care and treatment using interactive video, audio, and telecommunications technology. The benefits of telehealth include having access to specialists and additional medical information and education without having to travel outside of your home or local health care community. A potential risk of telehealth is that because of your specific medical condition or due to technical problems, a face-to-face consultation may still be necessary after the telehealth appointment. You agree that the Practice shall determine whether the condition being diagnosed and/or treated is appropriate for a telehealth encounter. Additionally, while the Practice shall comply with all administrative, physical, and technical safeguards set forth in the Health Insurance Portability and Accountability Act of 1996 and its implementing regulations, in rare circumstances, security protocols could fail, causing a breach of patient privacy. Practice shall hold you harmless for any information lost due to technical failures. The alternative to receiving telehealth services is to not receive them. You understand the risks, benefits, and alternatives of receiving telehealth services. You may ask your provider any questions you may have regarding telehealth services. You may be asked to sign additional consents or provide additional information before receiving telehealth services if you reside in a state where additional documentation or additional information is required prior to receiving telehealth services. Our services should not be used for emergency care or services. If you are experiencing a medical emergency, please call 911 immediately, or go to the nearest emergency room.
Confidentiality and Compliance. We will take appropriate precautions to keep your health information confidential and not disclose it without your consent. You are also protected under the provisions of the federal Health Insurance Portability and Accountability Act of 1996 (“HIPAA”) and any other applicable federal and state laws related to the protection of patient information and how we will use and disclose your protected health information.
Consent to Call, Email, Text, and Application Messaging. You expressly consent to allow our agents and us to communicate with you by telephone call, email, text message, and/or other forms of unencrypted electronic messaging (“Electronic Messages”) using any telephone numbers or email addresses that you provide us or that we obtain lawfully. You expressly agree to receive prerecorded or automated Electronic Messages from us.
You understand the risks associated with communicating through Electronic Messages, including, without limitation, that Electronic Messages can easily be misaddressed to or forwarded to unintended recipients, that Electronic Messages can be stored, that backup copies of Electronic Messages may exist even after the Electronic Messages are deleted, that Electronic Messages may not be secure and thus may be used or forwarded without your permission or knowledge, that Electronic Messages may be inspected by your telephone carrier, and that Electronic Messages may be used as evidence in court. You understand that we are not liable for any breaches of confidentiality caused by you or a third party. You understand that Electronic Messages may be filed in your medical record. You may opt out of automated Electronic Messages, including SMS and/or email, at any time by sending a request via email to info@nulifetoday.com. You acknowledge and agree to receive a final message confirming your choice to opt out. Unless you revoke your consent to communicate with us via Electronic Messages, your consent will last for the duration of your participation in the Program.

In exchange for the services provided by us and to the extent not prohibited by law, you release us from all claims, causes of action, lawsuits, damages, losses, liabilities, or other harms relating to any Electronic Messages you exchange with us. To the extent not prohibited by law, You release us from all claims, causes of action, or lawsuits based on any alleged violations of any laws, including the Telephone Consumer Protection Act, the Truth in Caller ID Act, the CAN-SPAM Act, the Fair Debt Collection Practices Act, the Fair Credit Reporting Act, HIPAA, any similar state and local acts or statutes, and any federal or state tort or consumer protection laws.
Notice Regarding Your Financial Responsibility for Services. Neither the Practice nor any of its Providers are enrolled with or a participating provider with any federal or state healthcare programs (i.e., Medicare, Medicaid) for the provision of any healthcare services or supplies and, as such, you acknowledge and agree that (1) you have sole financial responsibility for all Subscription services or products you purchase, and (2) neither you, nor the Practice may submit a claim for reimbursement to any federal or state healthcare program for the costs of the services and products provided to you.
Indemnification. You agree to defend, indemnify and hold the Practice, its officers, directors, managers, partners, employees, agents, and suppliers harmless from and against all third-party claims, demands, damages, liabilities, costs and expenses including reasonable attorneys’ fees against or incurred by the Practice arising out of your: (1) breach of these terms; (2) violation by you of any and all applicable laws, regulations or rules; or (3) your use of the Program’s materials or features in an unauthorized manner.
Arbitration Agreement. You agree that any dispute between you and the Practice shall be resolved by binding, individual arbitration conducted before one commercial arbitrator from the American Arbitration Association (“AAA”), and you knowingly waive your rights to a jury trial and to participate in a class action lawsuit or class-wide arbitration. The arbitration will be governed by the AAA’s commercial arbitration rules and payment of arbitration costs will be governed by the AAA’s fee schedule.
Disclaimer.
1. The Services are not intended for individuals under the age of eighteen (18), and individuals under the age of eighteen (18) are prohibited from participating in the Program.
2. Your compliance with all the terms described herein, as well as all applicable laws and regulations, is a condition of your participation in the Program.
3. Your interactions with the Practice and participation in the Program is not intended to take the place of your relationship with your regular health care practitioners.
4. Practice does not guarantee any specific outcomes associated with your participation in the Program.
5. You agree that Practice shall not be liable for any damages, losses, or liabilities arising from the use of or reliance on the Program.
Acknowledgment. You have read and understand the information provided above and understand and agree to the terms in this Agreement, including the services, payment methods, and cancellation policy.

By accessing or using the services, clicking “I agree,” checking a related box to signify your acceptance, or using any other acceptance protocol presented through the platform, you acknowledge that you have read, understood, and agreed to be legally bound by and comply with these terms. If you do not or cannot agree to any part of these terms, you may not participate in the Program.