Terms Of Service

1. Description of Services. Provided the client maintains an active membership, the Agency will provide the following services as requested by the Client on the terms and conditions set forth herein (the “Services”):

a. In-home nursing visits

b. Telehealth and phone consultations

c. Mobile IV therapy and hydration services

d. Health education and coaching

e. Assistance with medical form completion (within the scope of nursing practice)

f. Email access for non-urgent health questions

Note: The Agency is not a home health agency and does not provide 24/7 emergency medical services. In an emergency, Client must call 911 or go to the nearest emergency room.

2. Membership Fee. To maintain an active membership, Client shall pay a non-refundable monthly membership fee of Fifty Dollars ($50.00), due on the first day of the month (the “Membership Fee”). The Membership Fee is paid solely for the purpose of maintaining Client’s eligibility to access the Services offered by the Agency and does not cover or include the cost of the Services, which shall be billed separately in accordance with Paragraph 3 below. Membership shall automatically terminate without notice to Client if the Membership Fee is not received by Agency by the seventh (7th) day of the month (the “Grace Period”). A Fifty-Dollar ($50.00) reactivation fee will be charged to reinstate the membership after expiration of the Grace Period.

3. Payment for Services. 

a. The Agency does not bill through/to insurance, Medicare or Medicaid. Services are provided exclusively on a private pay basis.

b. The prices for the Services are separate and apart from the Membership Fee. Prices for Services are set forth on the Price List attached hereto and incorporated herein as Exhibit A. The Agency may revise the Price List with thirty (30) days advance written notice to Client.

c. Client shall remit payment to the Agency within thirty (30) days of the Agency’s invoice date.

d. Clients will not be charged for cancellations only if Client notified Agency of such cancellation at least twenty-four (24) hours prior to the scheduled Services.

4. Term/Termination. Termination of this Agreement will occur as follows:

a. Either party may terminate this Agreement by providing the other party with thirty (30) days advance written notice.

b. Agency may terminate this Agreement without notice if 

i. the Membership Fee has not been paid by Client; 

ii. any invoice from Agency remains unpaid for more than forty-five (45) days from the date of such invoice;

iii. the Client engages in unsafe behavior; 

iv. the Client has breached a term of this Agreement;  or

v. the services required by Client are outside the scope of nursing care.

5. Confidentiality and HIPAA Compliance. The Agency agrees to maintain the privacy and confidentiality of all information disclosed by Client in the course of Services, whether oral, written or electronic (“Confidential Information”). Confidential Information shall include medical records, health information, personal identifying information and any other information protected under state or federal law, including the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”). The Agency will not disclose Confidential Information to any third party without Client’s prior written authorization (or the authorization of the appropriate Household Member, as the case may be), except as necessary for treatment, payment, or healthcare operations, or as otherwise permitted or required by law. Client has the right to access and request amendments to their health records, to request restrictions on certain uses or disclosures, and to receive confidential communications as provided under HIPAA. The Agency will furnish Client with a copy of the Agency’s Notice of Privacy Practices upon request. The Agency may disclose information when required by law, including but not limited to cases of suspected abuse, threats of harm, or as otherwise legally compelled. This obligation of confidentiality shall survive the termination of this Agreement.

6. Response Times. The Agency shall respond to Client requests as follows:

a. Routine matters – within twenty-four (24) to forty-eight (48) hours.

b. Non-urgent electronic communications – within one (1) business day.

For life-threatening and other emergency situations, Client must call 911 immediately and not wait for a response from the Agency.

The Agency shall make reasonable efforts to meet the aforementioned response times but shall not be liable for delays caused by circumstances beyond its control, including travel and weather conditions.

7. Informed Consent. The Client acknowledges and agrees as follows:

a. Scope of Services: The Client understands that the concierge nursing services provided by the Agency may include in-home visits, virtual consultations, mobile IV therapy, medication education, health assessments, completion of medical forms, and ongoing health guidance. The Client further understands that these services are not a substitute for emergency medical care or primary care.

b. Risks and Limitations: The Client understands that there are inherent risks associated with certain procedures, including but not limited to injections, IV therapy, and in-home care. The Agency will follow standard nursing practices, but cannot guarantee outcomes and is not responsible for medical conditions outside the scope of services agreed to in this Agreement.

c. Emergency Procedures: In the event of a medical emergency, the Client agrees to contact 911 immediately. The Agency may assist until emergency personnel arrive but is not responsible for emergency medical outcomes.

d. Voluntary Participation: The Client voluntarily agrees to receive the services described in this Agreement and may withdraw consent at any time.

By signing below, the Client acknowledges understanding of the procedures, risks, and limitations, and consents to the Agency performing the Services indicated herein and any other services specified in this Section 7(e).

8. Limitations of Services. The Client understands that:

a. The Agency does not provide emergency medical care. In the event of a life-threatening or urgent medical condition, the Client agrees to contact 911 or appropriate emergency services immediately.

b. The Agency’s services are limited to the scope described in this Agreement and are not a substitute for primary care, diagnosis, or treatment by a licensed physician. Certain health forms may be outside the scope of the nursing practice.

c. The Agency may provide health guidance, monitoring, and education, but cannot guarantee outcomes or assume responsibility for conditions outside the agreed-upon services.

d. The Client accepts personal responsibility for following instructions, reporting changes in their health, and seeking appropriate medical attention as needed.

By signing below, the Client confirms understanding of these limitations and agrees to participate in the concierge nursing program with full knowledge of the scope and restrictions of the Services provided.

9. Client Responsibilities. The Client acknowledges and agrees to the following responsibilities in connection with receiving concierge nursing services from the Agency:

a. The Client shall provide complete and truthful medical history, including current medications, allergies, prior conditions, and any other information necessary for safe and effective care and shall promptly update the Agency regarding changes in health status, medications, or contact information.

b. The Client shall follow the instructions, care plans, and recommendations provided by the Agency. The Client agrees to notify the Agency promptly if instructions are unclear, if recommended care is declined, or if adverse effects are experienced.

c. The Client shall be available for scheduled appointments and shall notify the Agency of cancellations or changes in advance, in accordance with the cancellation policy. The Client shall maintain a safe and appropriate environment for care, including ensuring adequate space, lighting, and cleanliness, and disclosing the presence of pets or other potential hazards.

d. The Client understands that concierge nursing services are not a substitute for emergency medical care or physician services. The Client agrees to contact 911 or appropriate emergency services immediately in the event of a life-threatening or urgent medical condition.

e. The Client shall respect the Agency’s professional judgment, licensure limitations, and scope of practice and agrees to maintain appropriate personal and professional boundaries in all interactions with the Agency.

10. Indemnification. The Client agrees to indemnify and hold harmless the Agency from all claims, losses, expenses, fees, including attorney fees, costs and judgments that may be asserted against the Agency that result from the acts or omissions of the Client. Client’s indemnification obligation under this paragraph shall survive the termination of this Agreement.

11. Entire Agreement. This Agreement constitutes the entire agreement between the parties. All terms and conditions contained in any other writings previously executed by the parties regarding the matters contemplated herein shall be deemed to be merged herein and superseded hereby. No modification of this Agreement shall be deemed effective unless in writing and signed by the parties hereto.

12. Waiver of breach. The waiver by the Agency of a breach of any provision of this Agreement by the Client shall not operate or be construed as a waiver by the Agency of any subsequent breach by Client.

13. Severability. If any provision of this Agreement shall be held to be invalid or unenforceable for any reason, the remaining provisions shall continue to be valid and enforceable. If a court finds that any provision of this Agreement is invalid or unenforceable, but that by limiting such provision it would become valid and enforceable, then such provision shall be deemed to be written, construed and enforced as so limited.

14. Applicable Law. This Agreement is made and entered into in the State of Maryland and shall be governed and construed in accordance with the laws of Maryland, without regard to its conflict of laws principles. The parties also agree that any dispute between the parties shall be resolved in the courts of Maryland, and each party consents to the exercise of personal jurisdiction by the courts of Maryland and expressly waives any argument of forum nonconveniens. 

15. Liability. Except in the event of gross negligence on the part of the Agency, the Agency shall not be liable to Client for any loss, injury, liability, damage, or expense of any kind or nature arising directly or indirectly from the fur­­nishing of Services pursuant to this Agreement. 

16. Notice. Any notice to be given hereunder by either party to the other may be affected either by personal delivery in writing, by first class mail, postage pre-paid to the addresses appearing on the signature page hereof, or by electronic mail to the addresses appearing on the signature page hereof. Either party may change its address by written notice in accordance with this paragraph.Terms of Service

This Membership Agreement is entered into between Summit Legal Nurse Consulting, LLC and the patient.