Last updated: March 20, 2022
QRx Weight Loss program membership agreement

This Agreement sets forth the terms of your membership in QRx weight loss health care service (“Service”) with QRxMD LLC, a FL limited liability company. The Service is designed to provide you with direct personalized medical services.

INITIAL NOTICES:

NOT HEALTH INSURANCE. THIS AGREEMENT IS NOT HEALTH INSURANCE AND DOES NOT MEET ANY INDIVIDUAL HEALTH INSURANCE MANDATE THAT MAY BE REQUIRED BY FEDERAL LAW, INCLUDING THE FEDERAL PATIENT PROTECTION AND AFFORDABLE CARE ACT AND COVERS ONLY LIMITED ROUTINE HEALTH CARE SERVICES AS DESIGNATED IN THIS AGREEMENT

BINDING ARBITRATION. THIS CONTRACT CONTAINS A BINDING ARBITRATION PROVISION WHICH MAY BE ENFORCED BY THE PARTIES

1. QRx weight loss health care service options and fees.

The service offers different membership options, each with varying scope of services and fees. You select your desired service option after a consultation with our medical providers. The terms of your selected service option, which can be found on the QRx weight loss website at https://qrxweightloss.com/terms-and-conditions. Service options and pricing may change from time to time, and you will receive at least sixty (60) days’ advance notice of such changes.

2. No Emergency Care; Certain Services and Items Excluded.

If you have an emergency you must dial 911. QRx weight loss does not treat emergencies.

3. No Insurance Accepted; Self-Payment Only.

The Program is a direct health care service; it is not health insurance. QRx weight loss does not participate with or bill commercial health insurance plans or federal health care programs such as Medicare or Medicaid. QRx weight loss providers may recommend you receive services not offered by QRx weight loss (e.g., specialty services, diagnostic tests), but in no event will QRx weight loss be responsible for any resulting medical bills.

You are solely responsible for payment of all fees for QRx weight loss services. If you do have health insurance, your insurance policy is a contract between you and your insurance company. It is your responsibility to know your benefits, and how they will apply to your benefit payments. QRx weight loss takes no responsibility to understand or be bound by the terms and conditions of such insurance. There is no guarantee your insurance company will make any payment on the cost of the services you have purchased. QRx weight loss services are not covered by insurance.

4. Appointments: Missed/Late Cancellation

You understand and agree that if you do not show for your appointment or you cancel your appointment with less than 6 hours’ notice more than three (3) times, your account may be charged a fee of $25, if eligible.

5. Payment terms and termination

By enrolling in a QRx weight loss service, you are agreeing to pay your service fee every 4 weeks. Service fees will be automatically charged to the form of payment you set up during your enrollment. If you wish to discontinue your membership at any time you must submit a cancellation notice 7 days before you wish to end your service. Cancellation requests can be submitted at https://qrxweightloss.com/cancellation. Upon notice of termination, you will be entitled to receive the services included in your selected Service option until the effective date of termination.

6. Refund Policy

Once paid, your service fee is non-refundable, as set forth in the QRx weight loss Refund Policy.

7. Electronic Communications.

By providing your phone number and email address, you agree to receive electronic communications via text, phone call, or email.

8. Privacy and Confidentiality.

QRx weight loss and its providers will maintain a record of the services they provide you, and will maintain the confidentiality of your medical information in accordance with applicable state law and federal law.

9. Entire Agreement; Amendment.

This Agreement sets forth the entire agreement between the parties with regard to the subject matter hereof, and supersedes all prior or contemporaneous oral or written agreements. This Agreement may be amended only in writing signed by all parties. Notwithstanding the foregoing, QRx weight loss may, upon at least ninety (90) days’ notice to you, unilaterally amend the service fees and service payment schedule at any time during this agreement and/or amend this agreement if required by applicable law. Upon receipt of such notice, you may accept these changes or reject them by immediately terminating your service in accordance with Section 5 (Termination).

10. Miscellaneous. Governing Law.

This Agreement shall be governed by and construed in accordance with the state laws specified in the applicable State Addendum. Venue. The exclusive forum for all disputes arising under or relating to this Agreement, shall be in New York City, New York, unless such action cannot by law be brought in such forum, in which case the venue required by law shall govern. Waiver. The failure of a party to insist upon strict adherence to any term of this Agreement on any occasion shall not be considered a waiver or deprive that party of the right thereafter to that term or any other term of this Agreement. Severability. The invalidity or unenforceability of any term or provision of this Agreement shall not affect the validity or unenforceability of any other term(s) or provision(s). Successors. This Agreement shall be binding upon and shall inure to the benefit of the parties and their respective successors, assigns, heirs, executors and administrators. No Assignment. You may not assign your rights, duties and obligations under this Agreement without the prior written consent of QRx weight loss, whose consent may be withheld for any reason. Any attempt to assign said rights, duties and obligations without the prior written consent of QRx weight loss will be null and void and of no force or effect. QRx weight loss may assign this agreement with thirty (30) days in advance to you. Counterparts. This Agreement may be executed electronically in one or more counterparts, all of which together shall constitute only one agreement. State Addendum. The applicable State Addendum shall be incorporated herein. The terms of this Agreement and the State Addendum shall be read in harmony but, in the event of an irreconcilable conflict between the two, the conflicting terms of the State Addendum shall control.

Notices.

Any communication required or permitted to be sent under this Agreement shall be in writing and sent via electronic mail (a) to QRx weight loss at info@qrxweightloss.com and (b) to you at the email or the address you designate at signature.