Terms of Service

1. Acceptance of Terms

By accessing or using 1836 Wellness services, you agree to be bound by these Terms of Service. If you do not agree to these terms, please do not use our services.

2. Management Services Organization Disclosure

3. Services Described

1836 Wellness facilitates the following services through its affiliated healthcare providers:

• Precision Diagnostic: A clinician-ordered executive panel drawn at the 100-marker entry set covering health areas + 60-minute NP consultation + 7-Domain Composite biological age calculation + mobile phlebotomy, ordered as the first step of care
• Executive Reset ($4,000 all-in, 12 weeks): A physician-supervised program with exactly two NP telehealth visits at the start and end, two home or office blood draws for baseline and end-of-program testing, and a personalized care plan. Base medications and supplements are included only when clinically indicated.
• Maintenance: Available only after initial treatment when your clinician determines you are ready based on your health and progress. Essential is $499/month, Performance is $749/month, and Concierge Annual: Contact our care team for current terms.

All treatment decisions are at the sole discretion of the treating healthcare provider. Healthcare providers reserve the right to decline service to anyone they determine is not an appropriate candidate.

4. Eligibility

To use our services, you must:

• Be between 18 and 64 years of age
• Be a current resident of the State of Texas
• Meet the clinical screening criteria determined during the eligibility assessment
• Provide accurate and complete health information
• Have a valid form of payment

5. Payment Terms

Reserving your place with the practice requires a charter membership deposit at the time of booking: $599 for the first 50 Founding 50 charter members, then $699. Payment is processed securely through CardPointe by Fiserv. Executive Reset is $4,000 all-in for 12 weeks, and your diagnostic payment is credited in full toward that total. Your care team reviews enrollment terms during your results consultation.

Your Right to a Good Faith Estimate

Under the federal No Surprises Act, patients who are not using insurance have the right to receive a Good Faith Estimate of the expected cost of scheduled health care services. Because the affiliated medical practice does not bill insurance, this applies to every patient.

• Uninsured or self-pay patients will receive a written Good Faith Estimate of expected charges. If care is scheduled 3–9 business days in advance, the estimate is due within 1 business day after scheduling. If care is scheduled 10 or more business days in advance, it is due within 3 business days after scheduling
• You can request a Good Faith Estimate before scheduling by emailing concierge@1836wellness.com; it is due within 3 business days after the request
• If a provider’s bill is at least $400 more than that provider’s Good Faith Estimate, you may use the federal patient-provider dispute resolution process
• Keep a copy of your Good Faith Estimate. For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 1-800-985-3059

6. Medical Disclaimer

1836 Wellness services are not a substitute for emergency medical care. If you are experiencing a medical emergency, call 911 immediately. Our services are designed for metabolic optimization and preventive health. They do not replace your primary care physician or specialist care. Results vary by individual and are not guaranteed.

7. Patient Portal

Patient records, intake forms, and secure communications are managed through Cerbo, a HIPAA-compliant patient portal and EHR system. By using our services, you agree to create and maintain a patient portal account for the duration of your care.

8. Prescription Medications

• All medications require a valid prescription from a licensed provider after clinical evaluation
• Medications are for your personal use only and may not be shared or transferred
• Medications must be used exactly as prescribed and stored as directed
• Medications are dispensed by licensed pharmacies

9. Telehealth Services and Informed Consent

Clinical services are delivered by telehealth by the affiliated, physician-owned medical practice to patients located in Texas. Before care begins, the practice obtains and documents your informed consent to telemedicine, consistent with Texas telemedicine law and Texas Medical Board rules. That consent covers the nature and limits of telehealth, the possibility that your clinician determines an in-person evaluation or a referral is required, the risk that a technology failure interrupts a visit and how it is handled, how your records are stored and protected, and your right to withdraw consent and stop care at any time.

• You must be physically located in Texas during every telehealth visit and confirm your location when asked
• Telehealth is not appropriate for emergencies. If you are experiencing a medical emergency, call 911
• Any prescription is issued only after a clinical evaluation by a licensed provider who determines it is clinically indicated
• Laboratory draws are performed by licensed phlebotomists at a location you choose and are processed by CLIA-certified laboratories

10. Communications Consent

Providing contact information requests contact by phone or email about your request, reservation, or care. Marketing emails include an unsubscribe link. Calls to our published numbers may be recorded or tracked as described in the Privacy Policy.

Submitting a website form, providing a phone number, or accepting Terms does not enroll you in SMS. Any separately offered texting program requires a separate affirmative opt-in.

Please do not send medical details through general website forms, ordinary text messages, or the website chat; use the secure patient portal or a method directed by your clinical team.

11. AI Chat Assistant and Website Content

The chat assistant on this site is an automated tool that provides general information about the practice. It does not provide medical advice, diagnosis, or treatment, it does not create a patient relationship, and it is not monitored in real time. Do not use it for emergencies or to share detailed health information. Articles, condition pages, and the symptom check on this site are educational and are not a diagnosis. Only a licensed clinician who has reviewed your labs and history can tell you what your results mean.

12. Accessibility

We work to meet the Web Content Accessibility Guidelines 2.1 at level AA. If any part of this site is difficult for you to use, email concierge@1836wellness.com or call (832) 291-2414 and we will provide the information in a format that works for you.

13. Limitation of Liability

To the maximum extent permitted by law, 1836 Wellness LLC, its officers, employees, and affiliates shall not be liable for any indirect, incidental, special, consequential, or punitive damages arising from or related to your use of our services. Our total liability for any claim shall not exceed the amount you paid for the specific service giving rise to the claim.

14. Modifications

We reserve the right to modify these Terms of Service at any time. Changes will be posted on this page with an updated "Last Updated" date. Continued use of our services after modifications constitutes acceptance of the updated terms.

15. Governing Law

These Terms are governed by the laws of the State of Texas without regard to conflict of law principles.

16. Contact