Terms of Service

Clinical Service Providers

Nureli is a healthcare brand operated by Nureli, Inc. Clinical services are provided by the applicable professional healthcare entity, not by Nureli, Inc. Nureli, Inc. does not provide medical services, prescribe medications, or exercise control over independent clinical decision-making.

Clinical services are provided by appropriately licensed healthcare professionals through the applicable clinical entity based on the patient's physical location at the time of care.

**Texas:** Clinical services are provided by Nureli Medical Group, PLLC.

**New Jersey:** Clinical services are provided by Nureli Medical Group, LLC.

For patients located in Arizona, Colorado, and Iowa, the clinical entity is Nureli Medical Group, PLLC.

In other jurisdictions, clinical services are provided by the applicable authorized clinical entity identified in the patient's documentation.

The applicable clinical entity is responsible for providing professional healthcare services through appropriately licensed clinicians.

Nureli Medical Group, PLLC is responsible for the clinical services it provides. Clinical decisions remain with the treating licensed healthcare professionals.

The Nureli name and mark are owned by Nureli Medical Group, PLLC.

1. About Nureli

Nureli Medical Group, PLLC is a healthcare practice that provides psychiatric care, including through telehealth, where its clinicians are authorized to provide care.

Availability of services may depend on your location, the availability and licensure of clinicians, insurance participation, clinical appropriateness, and other legal or operational requirements.

Nureli does not currently offer psychotherapy as a Nureli service. Where appropriate, a Nureli provider may recommend or refer a patient to psychotherapy or other services offered by others.

2. These Terms and Your Healthcare

These Terms govern use of Nureli's websites, digital services and related technology.

They do not replace the professional obligations of a licensed healthcare professional, informed consent for treatment, telehealth consent, our Notice of Privacy Practices, or other notices, authorizations or agreements that may apply to your healthcare.

Nothing in these Terms is intended to limit rights that cannot lawfully be limited or waived.

3. When a Patient-Provider Relationship Begins

Using Nureli's public website, creating an account, completing a questionnaire, requesting an appointment, checking insurance information, viewing a provider profile, or communicating with Nureli for administrative purposes does not by itself establish a patient-provider relationship with a particular clinician.

A patient-provider relationship is established only when required clinical and legal prerequisites have been satisfied and a Nureli clinician begins providing professional healthcare services to you in accordance with applicable law.

The availability of a clinician or appointment does not guarantee that a particular treatment, medication, diagnosis or other clinical service will be appropriate for you.

4. Not for Emergencies

Nureli's websites, applications, messaging tools and routine clinical services are not emergency services and should not be used for medical or psychiatric emergencies.

If you believe you are experiencing an emergency, call 911 or go to the nearest emergency department. If you or someone else is experiencing a mental health or suicide crisis in the United States, you may also call or text 988 to reach the 988 Suicide & Crisis Lifeline.

Do not rely on messages sent through Nureli's website, patient application, email, text messaging or other non-emergency communication channels for urgent or emergency assistance.

5. Eligibility and Location

You may use Nureli services only when doing so is lawful and when Nureli is authorized to make the applicable service available to you.

Healthcare availability may depend on your physical location at the time care is provided. You may be asked to confirm your location before or during a telehealth visit.

You agree to provide accurate information concerning your identity, location and eligibility to receive services.

Nureli may decline or discontinue access to a service where legal, licensing, clinical, payer or operational requirements are not satisfied.

6. Telehealth Services

Nureli may provide healthcare through telehealth technologies, including video, telephone and secure electronic communications.

Telehealth has benefits and limitations. Technology may fail, communications may be interrupted, and telehealth may not be clinically appropriate in every situation.

When required, Nureli will provide a separate telehealth informed-consent process. Acceptance of these Terms is not a substitute for any telehealth consent required by law or Nureli policy.

You are responsible for providing accurate information about your physical location during a telehealth encounter and for participating from an environment that allows you to communicate safely and appropriately with your provider.

7. Telehealth Recording Prohibition

Prohibition on Recording Telehealth Sessions

Clients are strictly prohibited from audio recording, video recording, screen recording, livestreaming, or otherwise capturing or reproducing any portion of a telehealth appointment with Nureli Medical Group.

This prohibition applies at all times, regardless of whether the treating clinician has provided verbal or written consent. Clinicians are not authorized to grant exceptions to this policy.

The prohibition includes recordings made through smartphones, computers, third-party applications, external recording devices, or any other technology.

Violations may result in administrative discharge, subject to applicable law, clinical review, and continuity-of-care obligations.

Nothing in this provision limits rights that cannot lawfully be restricted, including applicable disability accommodations, legally protected documentation or reporting activities, or other rights established by law.

This policy applies to all Nureli telehealth appointments, regardless of payment method or treating clinician.

8. Accounts

Some Nureli services may require an account.

You agree to provide accurate, current and complete information and to keep relevant account information reasonably current.

You are responsible for maintaining the confidentiality of your authentication credentials and for taking reasonable steps to prevent unauthorized use of your account.

Do not share authentication credentials with another person.

Notify Nureli promptly if you believe your account has been accessed or used without authorization.

Nureli may use identity verification, authentication, security monitoring and other safeguards to protect accounts and information.

9. Information You Provide

You agree to provide information that is accurate to the best of your knowledge when using Nureli services.

Healthcare decisions may depend on information you provide, including information about your symptoms, health history, medications, allergies, pharmacy, location, insurance coverage and other relevant circumstances.

You should promptly tell your healthcare provider about material changes that may affect your care.

10. Scheduling and Appointments

Nureli may allow you to request, schedule, reschedule or cancel appointments electronically.

An appointment is not guaranteed merely because a time appears available. Availability may change, and an appointment is scheduled only when Nureli's scheduling system confirms the booking. Booking confirmation is separate from the client's affirmative appointment confirmation required below.

Nureli may impose reasonable scheduling requirements, including advance-notice requirements, booking windows and cancellation rules.

Cancellation, late-cancellation, late-rescheduling and missed-appointment fees are governed by the Financial Policy in Section 16.

Nureli may need to reschedule or cancel an appointment because of clinician availability, emergencies, technical problems, licensing restrictions or other operational or clinical circumstances.

Appointment Attendance

These attendance requirements apply to appointments booked after this version of these Terms is published and acknowledged, unless an existing agreement already authorizes the same treatment.

Zoom appointments (all appointment types): Clients are required to join their scheduled Zoom appointment at least 5 minutes before the scheduled appointment start time. Clients who arrive more than 5 minutes after the scheduled appointment start time will be classified as a no-show. This applies to all Zoom appointments, including initial psychiatric evaluations and follow-up visits. Late arrival does not guarantee that the appointment can proceed. Joining early does not change the scheduled appointment start time.

Telephone appointments (follow-up visits only): Telephone appointments are permitted for eligible follow-up visits only; initial psychiatric evaluations are not eligible for telephone appointments. Clients must be available to answer their telephone at the scheduled appointment time. Nureli will make up to two telephone contact attempts. If the client does not answer the second call attempt, the appointment will be classified as a no-show. Clients are responsible for ensuring their contact information is accurate and their telephone can receive calls.

No-show classification under this section does not apply to delays caused by Nureli, documented technical failures, emergencies, approved accommodations, or circumstances requiring clinical judgment. Fees and refunds for no-shows are governed by the Financial Policy in Section 16.

Mandatory Appointment Confirmation

All appointments scheduled with Nureli Medical Group require confirmation by the client at least 24 hours before the scheduled appointment time.

Clients are responsible for reviewing their scheduled appointments and completing the required confirmation through an approved Nureli scheduling or communication channel.

Appointments that have not been confirmed at least 24 hours before their scheduled start time will be reviewed by Nureli and manually canceled for nonconfirmation, subject to the exceptions below. Cancellation is not automatic.

Appointments canceled by Nureli solely because they were not confirmed by the required deadline will not incur a missed-visit fee or cancellation penalty.

Clients whose appointments are canceled due to nonconfirmation may schedule another appointment, subject to provider availability and applicable scheduling requirements.

For appointments confirmed by the required deadline, the Financial Policy in Section 16 remains applicable.

This requirement applies to all appointment types, including initial evaluations and follow-up visits, regardless of whether the client uses insurance, purchases individual visits, or uses a prepaid Nureli Flex package.

Booking an appointment, receiving a reminder, or passively acknowledging a communication does not constitute affirmative appointment confirmation.

Nureli will consider urgent clinical needs, reasonable accessibility accommodations, and applicable state-specific and payer requirements before canceling an appointment. Cancellation for nonconfirmation does not, by itself, terminate an established patient-provider relationship or eliminate required notice or continuity-of-care obligations. Nothing in this policy limits rights or protections required by law, applicable payer agreements, Medicare, or Medicaid.

For appointments booked less than 24 hours before the scheduled start time, clients must provide a separate affirmative appointment confirmation during the booking interaction through an approved Nureli channel. Booking alone does not constitute this confirmation. Nureli will not cancel an appointment solely because it was booked less than 24 hours in advance; the short-notice confirmation requirement remains subject to the exceptions above.

11. Identity Verification

Nureli Medical Group requires clients to complete identity verification before routine psychiatric services begin.

To complete identity verification, you must:

• upload an acceptable government-issued photo identification document through Nureli's approved secure intake process;
• ensure that your identification reasonably matches the legal name, date of birth, and identity information maintained in your electronic medical record;
• maintain required identification documentation in your patient record throughout treatment; and
• participate in additional identity verification when reasonably requested.

Expired identification may be accepted for routine identity verification when it is sufficient to establish your identity, unless applicable law or another applicable requirement mandates current identification.

When identity verification cannot be completed during a telephone encounter, you may be required to transition to a video encounter for visual verification.

If you cannot reasonably obtain or present standard identification, you may request an alternative verification or accommodation review. Nureli will consider such requests consistent with applicable law, including nondiscrimination and reasonable-accommodation requirements.

12. Appointment Postponement and Administrative Closure

Appointments may be postponed or rescheduled when required identity verification has not been completed.

Scheduling an appointment, creating a Healthie account, submitting intake paperwork, or signing administrative agreements does not, by itself, mean that Nureli has accepted responsibility for ongoing psychiatric treatment. Nureli's standard process is to initiate psychiatric treatment through the initial psychiatric evaluation.

If two scheduled initial appointments cannot proceed because required identification has not been provided, Nureli may administratively close your pending request to establish care after individualized review. This action is designated a Pre-Treatment Administrative Closure — Services Not Initiated. Administrative closure is not automatic solely because two appointments were unsuccessful. Before closure, Nureli will consider documented exceptions, reasonable accommodation requests, applicable legal requirements, and whether a patient-provider relationship has already been established.

13. Administrative Discharge and Termination of Services

Nureli may administratively discharge a patient or discontinue nonemergency services for legitimate reasons, including:

• repeated failure to complete required identity verification;
• repeated missed appointments;
• material violations of these Terms;
• persistent failure to complete necessary administrative requirements; or
• other lawful circumstances that prevent Nureli from safely or appropriately providing services.

**Pre-treatment administrative closure.** When no treatment relationship has been established, Nureli may close a pending request to establish care following appropriate review and notification. The absence of a completed initial evaluation does not by itself establish that no patient-provider relationship exists; Nureli evaluates each situation individually.

**Established-patient administrative discharge.** When a treatment relationship exists, Nureli will follow applicable state-specific notice requirements, professional obligations, and clinically appropriate continuity-of-care procedures before ending the relationship. Notice periods and transition obligations vary by state, and Nureli does not apply a single universal notice period where state law or professional standards require otherwise.

Nothing in this section limits emergency obligations, patient rights, or duties that cannot lawfully be waived.

14. Notice, Records, and Continuity of Care

Administrative closure or discharge will be communicated through appropriate written notification. Nureli may use a signed Administrative Discharge & Referral Letter generated directly from the patient's Healthie chart as its formal written notice; the signed chart note is the letter itself.

Depending on your treatment status, written notification may include referral resources and transition-of-care instructions. For established patients, Nureli will provide any notice, medically appropriate transition assistance, and continuity-of-care measures required by applicable law and professional standards. For clients who have not initiated treatment, Nureli does not represent that it can continue an existing Nureli treatment regimen or provide prescriptions that were never established.

You may request available medical records through your Healthie patient portal or by contacting privacy@nureli.health. Nothing in these Terms restricts access to medical records that applicable law requires Nureli to provide.

15. Insurance

Nureli may provide tools or services to help determine whether an insurance plan appears to be accepted or whether benefits appear available.

Insurance information and eligibility responses are not guarantees of payment or coverage.

Health plans determine benefits, eligibility, medical necessity, cost-sharing and payment according to the applicable plan.

You are responsible for providing accurate and current insurance information.

You remain responsible for amounts you owe under the Financial Policy in Section 16, subject to applicable law and your health plan.

16. Financial Policy

This Financial Policy is part of these Terms. It governs appointment cancellations, rescheduling and no-shows; self-pay visits; prepaid self-pay packages; insurance billing; payment authorization; and refunds and credits.

A. Appointment Cancellations, Rescheduling, and No-Shows

Patients must cancel or reschedule appointments at least 24 hours before the scheduled appointment start time to avoid a fee.

A $50 fee per affected appointment applies when:

• A patient does not attend a scheduled appointment (no-show), including a no-show classification under Appointment Attendance in Section 10.
• A patient cancels less than 24 hours before the scheduled appointment.
• A patient reschedules less than 24 hours before the scheduled appointment.

For prepaid self-pay initial psychiatric evaluations, the $50 no-show fee is retained from the prepaid intake fee as described in Section B rather than charged as an additional fee.

Rescheduling within the 24-hour window is considered a late cancellation of the original appointment, even if a replacement appointment is booked.

The $50 fee will not be assessed where prohibited by applicable federal or state law, regulation, insurance plan requirements, or payer contracts.

Nureli may waive the fee at its discretion, including for emergencies or extenuating circumstances.

Patients must cancel or reschedule through an authorized scheduling method or by contacting Nureli.

No fee is imposed where Nureli cancels the appointment.

B. Self-Pay Appointments

Some services may be available on a self-pay basis. For self-pay patients purchasing individual appointments:

• The applicable visit fee is charged on the day of the appointment, before the appointment begins.
• Payment must be completed before the scheduled visit proceeds, subject to applicable law and emergency-care obligations.
• The amount charged reflects the price disclosed at booking, including applicable promotional pricing.
• Patients are not charged for services that Nureli cancels or does not provide, except for lawfully applicable cancellation-related obligations under this Financial Policy.
• Refunds and credits follow this Financial Policy and applicable law.

Nureli does not retain the entire prepaid visit amount and also impose an additional $50 fee for the same missed appointment.

Current self-pay pricing is $100 for an initial psychiatric evaluation ($79 for eligible new self-pay patients under the Year-End Care Event through December 31, 2026) and $50 for each follow-up visit.

Self-Pay Initial Evaluation No-Show Policy

Self-pay clients who fail to attend their scheduled initial psychiatric evaluation, including those classified as no-shows under Nureli's appointment attendance policy in Section 10, will receive a partial refund of their prepaid intake fee.

• The prepaid intake fee is the amount paid in advance for the initial psychiatric evaluation service.
• Nureli will retain $50 of the prepaid intake fee as the no-show fee.
• The remaining balance (the refundable balance) will be refunded to the client's original payment method.
• The $50 fee is deducted from the original payment rather than charged as an additional fee.
• The refund amount depends on the intake fee originally paid, including any promotional pricing.
• Refunds are processed according to the applicable payment processor's timelines.

Examples: for a $100 prepaid intake, $50 is retained and $50 is refunded; for a $79 promotional intake, $50 is retained and $29 is refunded.

If the intake fee paid was less than $50, Nureli will not create an additional charge or a negative refund; the matter is referred for administrative review.

This policy applies to self-pay initial psychiatric evaluations only. It does not apply to follow-up visits, prepaid Nureli Flex packages, or insurance-billed appointments, which remain governed by the other provisions of this Financial Policy. No no-show fee is retained where prohibited by applicable law or payer requirements, or where an approved accommodation applies. Nureli preserves exceptions for emergencies, documented technical failures, and circumstances requiring clinical judgment, in which case the prepaid intake fee is refunded or credited in full.

C. Prepaid Self-Pay Packages (Nureli Flex)

Patients purchasing prepaid packages pay for the package in advance. Patients are not charged again on the appointment date for visits already included in the package.

A $50 late-cancellation, late-rescheduling, or no-show fee may apply to package visits when permitted by law and the patient's package agreement. Nureli does not automatically deduct a package visit and separately assess a $50 fee for the same missed appointment.

Nureli Flex packages are optional one-time prepaid self-pay purchases only. Flex Intake costs $199 and includes one initial psychiatric evaluation and four follow-up visits. Its included follow-up visits have no fixed expiration date. Eligible new self-pay patients may purchase Flex Intake for $179 under the Year-End Care Event, subject to the published promotional conditions through December 31, 2026.

Flex Continuing Care costs $199 as a one-time purchase for eligible established patients and includes four psychiatric follow-up visits with no fixed expiration date. Neither package renews automatically or has recurring billing, and no additional fees are introduced beyond those disclosed in this Financial Policy. Patients must actively purchase another eligible package when additional visits are needed, or choose individual pay-per-visit services at the prices stated in Section B.

For both packages, follow-up timing and frequency are determined by the treating clinician's professional judgment, clinical necessity and appointment availability. Package purchase does not guarantee appointments on demand or specific prescriptions.

Refund requests for either Flex package must be submitted by secure message through the Healthie patient portal. Nureli manually processes refunds and confirms the outcome through secure portal messaging.

Flex package refunds use equal-value proration based on the actual amount paid and the total number of visits included in the package: the refund equals the amount paid divided by the total number of included visits, multiplied by the number of unused visits. Completed visits count as used. A refund never exceeds the original amount paid, and regular undiscounted visit rates are never deducted from the package price. Refunds are calculated in cents; the per-visit value of each package divides evenly into whole cents, so the total allocated value of all included visits always equals the original purchase price.

For Flex Continuing Care ($199, four included visits), the prorated refund is $199.00 when no visits are completed, $149.25 after one visit, $99.50 after two visits, $49.75 after three visits and $0.00 after four visits.

For Flex Intake (five included visits), the prorated refund is based on the actual amount paid: at the regular $199 price, $199.00 when no visits are completed, $159.20 after one visit, $119.40 after two visits, $79.60 after three visits, $39.80 after four visits and $0.00 after five visits; at the $179 Year-End Care Event promotional price, $179.00 when no visits are completed, $143.20 after one visit, $107.40 after two visits, $71.60 after three visits, $35.80 after four visits and $0.00 after five visits.

Once a refund is issued, the corresponding unused visits are no longer available. Nothing in these package terms limits refunds or remedies required by applicable law.

If care is administratively closed or discontinued, unused prepaid appointments in a self-pay package will be reviewed for refunds in accordance with the applicable package terms and governing law.

D. Insurance-Based Appointments

For patients using accepted insurance:

• Nureli submits claims to the applicable insurance payer.
• Copayments, coinsurance, deductibles, and other patient-responsibility amounts are charged after the insurance claim has been processed and the patient's financial responsibility has been determined.
• Nureli does not automatically charge estimated copayments before claims processing under this policy.
• Insurance eligibility, coverage, benefits, and reimbursement remain subject to applicable plan and payer requirements.
• Patients are responsible only for amounts that may lawfully and contractually be collected.
• The $50 late-cancellation, late-rescheduling, or no-show fee applies only when permitted by applicable law and payer requirements.
• Cancellation and no-show fees are not submitted to insurance as completed clinical encounters or reimbursable medical visits.

E. Payment Authorization

Patients may authorize Nureli to charge a payment method on file for amounts owed under this Financial Policy. Charges must be consistent with the patient's actual payment authorization and applicable law. Browsing Nureli's website does not authorize payment collection.

Payment processing may be performed by third-party payment processors. Nureli does not store full payment card numbers on its own systems.

Nothing in these Terms authorizes a charge that has not otherwise been properly disclosed or authorized.

F. Refunds and Credits

Refunds and credits are determined by the type of service and circumstance:

• Completed clinical services: payment covers professional clinical services that were provided and is not refunded merely because a particular outcome, diagnosis, or prescription was not obtained, subject to applicable law.
• Appointments canceled by Nureli: patients are not charged for services that Nureli cancels or does not provide, and any amount collected for a service not provided is refunded or credited.
• Timely patient cancellations (at least 24 hours before the scheduled appointment start time): no cancellation fee applies, and any prepaid individual-visit amount is refunded or credited.
• Late cancellations and late rescheduling: the $50 fee in Section A applies where permitted.
• No-shows: the $50 fee in Section A applies where permitted. For prepaid self-pay initial psychiatric evaluations, $50 is retained from the prepaid intake fee and the remaining balance is refunded, as described in Section B.
• Prepaid package purchases: refunds follow the proration terms in Section C.
• Insurance overpayments and adjustments: handled subject to payer contracts and applicable law.

Appointments canceled by Nureli solely for nonconfirmation incur no cancellation penalty or missed-visit fee, regardless of payment method. See Mandatory Appointment Confirmation in Section 10.

The laboratory benefit applies to eligible self-pay clients receiving individual visits, Nureli Flex Intake (one initial evaluation and four follow-up visits), or Nureli Flex Continuing Care (four follow-up visits), subject to the same clinical necessity, authorization, laboratory arrangement, and eligibility conditions. Existing visit prices, package prices, included visits, expiration provisions, and refund terms remain unchanged.

17. Prescriptions and Treatment Decisions

Clinical decisions are made by licensed healthcare professionals based on their professional judgment and the information available to them.

Using Nureli does not guarantee:

• a diagnosis;
• a prescription;
• a particular medication;
• a medication refill;
• laboratory testing;
• a referral;
• a particular treatment plan;
• continuation of a previous treatment.

A clinician may determine that a requested medication or treatment is not clinically appropriate or cannot lawfully be provided through Nureli.

Prescriptions, when clinically appropriate, may be transmitted electronically to a pharmacy selected or approved by the patient.

Pharmacies are independent organizations and may have their own policies, inventory limitations, pricing and processing requirements.

18. Controlled Substances

Nureli Medical Group does not prescribe controlled substances.

If you schedule an appointment with the intention of starting, continuing, renewing, or obtaining a prescription for a controlled substance, please understand that Nureli will not prescribe that medication.

Appointments booked for the purpose of obtaining controlled-substance prescriptions are nonrefundable once the clinical service has been provided, including when the clinician determines that the requested medication cannot be prescribed under Nureli's prescribing policies.

Patients are responsible for reviewing this policy before scheduling an appointment. Payment for an appointment covers professional clinical services and does not guarantee any prescription or specific treatment outcome.

This policy does not limit refunds required by applicable law or remedies when a paid service is not provided.

19. Laboratory and Other Clinical Services

A Nureli clinician may recommend laboratory testing or other services when clinically appropriate.

Laboratories, pharmacies and other outside healthcare organizations may be independent from Nureli and may impose their own charges, policies and requirements.

Nureli is not responsible for the independent acts or omissions of third-party healthcare organizations, except to the extent responsibility cannot lawfully be excluded.

Laboratory Testing Coverage for Self-Pay Clients

Nureli Medical Group may order clinically necessary laboratory testing in connection with psychiatric evaluation, medication initiation, medication management, and ongoing treatment. For eligible self-pay clients, Nureli Medical Group will cover the cost of clinically indicated laboratory testing ordered by an authorized Nureli clinician and processed through Nureli's approved Quest Diagnostics laboratory arrangement.

Covered testing is determined by the treating clinician based on medical necessity, medication-specific monitoring recommendations, and individualized clinical circumstances. Coverage is limited to testing ordered and authorized through Nureli's established laboratory workflow. Laboratory testing ordered by outside healthcare providers, performed through nonparticipating laboratories, or obtained without Nureli's authorization is not covered unless expressly approved in advance.

The laboratory coverage benefit does not guarantee that any particular test will be ordered or that a specific medication will be prescribed. Clients remain responsible for completing recommended laboratory testing and following applicable preparation instructions. Clients may decline testing; however, refusal or failure to complete clinically necessary monitoring may affect the clinician's ability to safely initiate, continue, or renew certain medications.

The benefit applies to eligible self-pay clients and does not automatically extend to services billed through commercial insurance, Medicare, Medicaid, or other third-party payers. Nureli will not charge eligible self-pay clients separately for covered laboratory testing performed under its approved arrangement.

Eligibility criteria, coverage exclusions, and any expected expense for testing outside the covered benefit will be disclosed before the client incurs laboratory expenses. Nureli will not impose an unexpected laboratory charge without appropriate advance disclosure and agreement, consistent with applicable law.

If you receive an unexpected Quest bill for testing you understood to be covered, contact Nureli through your existing secure patient portal or the practice telephone number so Nureli can review the order and billing arrangement and assist in resolving the issue with Quest. Please do not send laboratory results or other clinical information through public website forms or ordinary email. Nothing in this provision waives Nureli's responsibility for billing errors or rights and remedies under applicable law.

The general third-party charges and responsibility provisions above do not override Nureli's covered-testing commitments, billing-error responsibilities, or client rights under applicable law.

20. Communications

Nureli may communicate with you through email, telephone, text message, secure messaging, patient applications or other channels you provide or authorize.

Some communications are necessary to administer your account, provide healthcare, communicate about appointments, address security matters, provide legally required notices or operate Nureli services.

Electronic communications can involve privacy and security risks.

You are responsible for keeping your contact information current and for considering who may have access to devices, telephone numbers, email accounts or other communication channels you provide.

Additional consent may be requested for particular categories of communications where required.

21. Electronic Records and Signatures

Nureli may provide records, notices, acknowledgments, consents and other documents electronically where permitted by law.

Electronic signatures and electronic acknowledgments may have the same legal effect as their paper equivalents where applicable law provides.

Certain documents may require separate affirmative acceptance or acknowledgment.

Acceptance of these Terms does not constitute acceptance of a separate document unless Nureli clearly presents that document and indicates that your acceptance applies to it.

22. Privacy

Nureli's Privacy Policy explains how personal information is collected, used and disclosed in connection with Nureli services.

Nureli's Notice of Privacy Practices explains how Nureli may use and disclose protected health information under HIPAA and describes patient rights concerning protected health information.

Where information is protected health information governed by HIPAA, the Notice of Privacy Practices governs Nureli's handling of that information.

A website cookie or privacy preference is not a HIPAA authorization.

23. Third-Party Services

Nureli may use or link to third-party services involved in areas such as telehealth, pharmacies, laboratories, payment processing, insurance eligibility, communications, electronic signatures, identity services and other healthcare or operational functions.

Some third-party services may be governed by their own terms or privacy practices.

A link to or integration with a third-party service does not necessarily mean Nureli controls that service.

Nothing in this section limits responsibilities Nureli has under applicable healthcare, privacy or other law for vendors or business associates acting on Nureli's behalf.

24. Acceptable Use

You may not misuse Nureli's websites, applications or services.

You agree not to:

• attempt to gain unauthorized access to accounts, systems or information;
• interfere with the security or operation of Nureli systems;
• introduce malicious code;
• impersonate another person;
• use another person's account without authorization;
• submit information you know to be materially false for fraudulent purposes;
• scrape, harvest or systematically extract protected or proprietary information without authorization;
• use Nureli services to violate applicable law;
• threaten, harass or abuse Nureli workforce members, clinicians or other users.

Nothing in this section prohibits good-faith complaints, disputes, requests for records, reports of safety or privacy concerns, or other lawful exercise of patient or consumer rights.

25. Intellectual Property

Nureli's websites, software interfaces, branding, graphics, text and other content may be protected by copyright, trademark and other intellectual property laws.

Subject to these Terms, Nureli grants you a limited, personal, non-exclusive, non-transferable and revocable right to use Nureli's patient-facing services for their intended purposes.

This does not transfer ownership of Nureli intellectual property to you.

Your medical records and rights concerning information about you are governed by applicable law and are not converted into Nureli intellectual property by this section.

26. Service Availability and Changes

Nureli may modify, maintain, suspend or discontinue digital features from time to time.

We do not guarantee that every website or digital feature will operate without interruption or error.

Maintenance, outages, third-party failures, security events or other circumstances may temporarily affect availability.

Where interruption of a digital feature affects ongoing patient care, Nureli will address continuity and access consistent with applicable professional and legal obligations.

27. Suspension or Termination of Digital Access

Nureli may restrict or suspend access to an account or digital service when reasonably necessary for security, suspected misuse, legal compliance or protection of Nureli systems or users.

Suspension of digital access does not eliminate rights a patient may have to obtain medical records or otherwise exercise rights under applicable law.

Ending access to a digital service is not necessarily the same as terminating a patient-provider relationship.

Any termination of an established clinical relationship will be handled according to applicable professional and legal requirements.

28. Educational Information

General information made available through Nureli's public website or educational materials is provided for informational purposes.

General educational content is not individualized medical advice and should not be used as a substitute for evaluation by a qualified healthcare professional.

Personalized medical advice is provided only through an appropriate clinical relationship.

29. No Guarantee of Results

Healthcare outcomes vary from person to person.

Nureli and its clinicians do not guarantee a particular clinical result, diagnosis, medication response or outcome.

Nothing in this section reduces the professional standard of care or other duties imposed on healthcare professionals by applicable law.

30. Disclaimer Regarding Digital Services

To the extent permitted by law, Nureli's non-clinical digital services are provided on an "as available" basis.

Nureli does not guarantee that digital services will always be uninterrupted, error-free or compatible with every device or network.

This section does not disclaim or limit professional duties owed by healthcare professionals, obligations concerning protected health information, or rights that cannot lawfully be waived.

31. Limitation of Liability

To the extent permitted by applicable law, Nureli will not be liable for indirect, incidental, special, consequential or punitive damages arising solely from use of or inability to use non-clinical website or digital functionality.

This limitation does not apply where liability cannot lawfully be limited and is not intended to waive or limit rights or remedies arising from professional healthcare services, medical malpractice, gross negligence, willful misconduct, violations of applicable privacy law, or other matters for which liability may not lawfully be excluded or limited.

32. Your Responsibility for Misuse

To the extent permitted by law, you are responsible for losses resulting from your unlawful or unauthorized misuse of Nureli services or your material violation of these Terms.

This provision does not require you to indemnify Nureli for Nureli's own professional negligence, unlawful conduct or other responsibility that cannot lawfully be shifted to you.

33. Governing Law

These Terms are governed by applicable federal law and, except where another jurisdiction's law is required to apply, the laws of the State of Texas, without regard to conflict-of-law principles.

Healthcare services remain subject to the laws and professional requirements applicable to the jurisdiction in which care is provided.

Nothing in this section eliminates rights or protections that applicable law requires to remain available to you.

34. Disputes

If you have a concern about Nureli's digital services, you may contact us so that we can attempt to address it.

Nothing in these Terms prevents you from:

• filing a complaint with a governmental or regulatory agency;
• exercising rights under HIPAA or other privacy law;
• making a complaint to a professional licensing authority;
• reporting a safety concern;
• exercising any right that cannot lawfully be restricted.

These Terms do not require arbitration and do not waive a right to a jury trial.

35. Changes to These Terms

Nureli may update these Terms from time to time.

When we make changes, we will update the "Last Updated" date and version identifier.

Where required by law or where changes materially affect your rights or obligations, we will provide additional notice or obtain renewed acceptance as appropriate.

Continued availability of an older version does not mean that version continues to govern new use after a valid updated version takes effect.

36. Relationship to Other Agreements and Notices

These Terms should be read together with other documents that apply to your use of Nureli services.

Those documents may include:

• Privacy Policy;
• Notice of Privacy Practices;
• telehealth informed consent;
• consent to treatment;
• communication consents;
• insurance-related authorizations;
• other clinical or state-specific notices and consents.

If these Terms conflict with a document that specifically governs protected health information, clinical care or a particular transaction, the more specific applicable document controls for that subject.

37. Severability

If a provision of these Terms is determined to be invalid or unenforceable, the remaining provisions will continue to apply to the extent permitted by law.

38. No Waiver

If Nureli does not immediately enforce a provision of these Terms, that does not waive Nureli's right to enforce it later.

39. Contact Us

Questions about these Terms may be directed to:

Nureli Medical Group, PLLC

2340 E. Trinity Mills Rd., Suite 300

Carrollton, Texas 75006

Phone: 972-945-8840

For privacy questions, contact:

Privacy Officer, Nureli Medical Group, PLLC

Email: privacy@nurelimed.com

Phone: 972-945-8840