Do not use these services for emergency medical or mental health needs. if you are experiencing a medical or mental health emergency, you should dial “911” immediately.

These Terms and Conditions of Use (“Terms of Use”) govern your access and use of the Services (as defined below) and the websites located at www.differentmhp.com and www.learndifferent.com, any other U.S. websites on which we post these Terms of Use.The Services are provided by Different MHP, PC.

Please review these Terms of Use carefully. By accessing or using the Services or paying for or using the Services, you accept and agree to be bound by these Terms of Use and acknowledge the Privacy Policy. If you do not agree to be bound by these Terms of Use, you are not authorized to access or otherwise use the Services and you must promptly exit and stop using the Services. In these Terms of Use, the terms “you” and “your” mean you, as the user of the Services, your dependents if any, any other person accessing your User Account (as defined below), and each of your heirs, assigns, and successors.

1. Subscription Terms

Different MHP, PC provide direct clinical and health care services (described in more detail below) on a bundled payment subscription basis (a “Subscription”). The terms of the Subscription under this Section 1 (“Subscription Terms”) apply solely between you and Different MHP, PC and form a binding agreement between you and a Different MHP, PC. For purposes of these Subscription Terms only, “we,” “us,” or “our” refer solely to Different MHP, PC

1.1 Description of Services

Different MHP, PC utilities telemedicine an electronic medical record to assist with rendering services and can include clinical services for mental and behavioral health conditions, including therapy, counseling, diagnosis and treatment, and medication management through telehealth modalities. Such clinical services are provided by nurse practitioners or doctors, and other qualified health care providers employed or contracted by the Different MHP, PC (“Providers”). Purchasing a Subscription on the Platform will provide access to the Subscription options offered by the Different MHP, PC.

Integrative Psychiatry Subscription

Includes one initial 60 minute psychiatric evaluation and one 30 minute follow up in the first month with a licensed prescriber who will assess mental and behavioral health needs, prescribe medication, provide counseling and a holistic treatment plan as medically appropriate and necessary during the first month of the Subscription.
Ongoing care of up to two 30 minute telehealth visits a month with a licensed prescriber who will assess mental and behavioral health needs, prescribe medication, provide counseling and a holistic treatment plan as medically appropriate and necessary during the first month of the Subscription.
Patients may request additional telehealth visits for an additional fee per visit.
The cost of medications, laboratory testing or other miscellaneous testing and referrals for external care are not included in this price and will be based on market pricing and/or dependent on the patient’s health insurance coverage.
Additional visits are $175 per 30 minutes with a Provider and invoices and payment will be due at the time of service.

The Services may change from time to time, and Different MHP, PC may choose to add new Services or suspend or discontinue some or all of the Services, at their sole discretion.

The Telehealth Services you receive may vary depending on the Provider with whom you interact, and each Provider uses independent professional judgment in rendering Telehealth Services. You should contact your Provider directly for any questions regarding your care or medical treatment, and you can report a complaint relating to the care provided by a Provider by contacting the professional licensing board in the state where the care was received.

Telehealth Services. Telehealth involves the delivery of health care services using electronic communications, information technology or other means between a health care provider and a patient who are not in the same physical location. While the provision of health care services using telehealth may offer certain potential benefits, there are also potential risks associated with the use of telehealth. The Telehealth Services are not intended to take the place of your relationship with your regular inperson health care practitioners or primary care physician. Before receiving Telehealth Services, you will be required to review and agree to the Telehealth Informed Consent that will be provided to you, which provides a description of the risks and benefits of telehealth, and constitutes your voluntary authorization to the rendering of Telehealth Services by Different MHP, PC and its providers. You agree that Different MHP, PC is a third-party beneficiary of the Telehealth Informed Consent and has the right to enforce it against you. The Different MHP, PC and Providers have also adopted a Notice of Privacy Practices describing their collection and use of your health information. By accessing or using any part of the Services, you are acknowledging receipt of the Notice of Privacy Practices.

The Services are not for emergencies. IF YOU BELIEVE YOU HAVE AN EMERGENCY, CALL 911 IMMEDIATELY. If you are thinking about suicide or if you Docusign Envelope ID: 34711B00-46E0-4DCA-B193-BAFBBC11FEC7 are considering taking actions that may cause harm to yourself or others, call the National Suicide Prevention Hotline anytime at 1-800-273-8255 (en Español 1-888- 628-9454) or go to the nearest emergency room. You can also use the 24/7 Crisis Text Line by texting “HOME” to 741-741.

The Services, including the Telehealth Services, are not for medical emergencies or urgent situations. You should seek emergency help or follow up care when recommended by a Provider or when otherwise needed. You should continue to consult with your primary care physician and other health care professionals as recommended. Always seek the advice of a physician or other qualified health care prescriber concerning questions you have regarding a medical condition and before stopping, starting, or modifying any treatment or medication

Please be aware the Services, including the Telehealth Services and the delivery of any medication prescribed via the Services, will stop being provided at the termination of your Subscription. The Subscription or Services are not an insurance product. Different MHP, PC are not insurance providers and do not sell or offer any type of insurance product or coverage.

The Subscription or Services are not a type of or substitute for any insurance product or coverage. Your payments to Different MHP, PC are not insurance premiums. The Terms of Use, the Subscription Terms and any incorporated terms or conditions are not and shall not be deemed a contract for insurance under any applicable state law. Neither the Subscription nor the Services qualify as the minimum essential coverage under the Patient Protection and Affordable Care Act. If you desire any type of health or other insurance, you must purchase it separately.

1.2 Payments and Recurring Billing

Your Payment Information. Any fees associated with your User Account will be charged to your credit card or debit card on file, as identified in your User Account, in accordance with these Terms of Use. Invoices or receipts for payments will be emailed to you . You represent and warrant that (i) the credit card or debit card information you provide through the Platform is true, correct and complete, and (ii) that you are the person in whose name the credit card or debit card was issued and/or you are authorized to make a purchase with the relevant credit card or debit card. You will promptly update your User Account if your payment information has changed, if your payment method has been canceled, or if you become aware of a breach of security. You acknowledge that an authorization hold using your payment information may be processed in order to verify the information provided. If your payment card details change or are due to expire, updated payment details may be requested from you, including your card number, expiration date, and CVV (or equivalent). By providing us updated payment information, you authorize the Different MHP, PC, or a third-party payment processor, on behalf of the Different MHP, PC, to continue to charge your card using the updated information so that you can continue to receive the Services. Docusign Envelope ID: 34711B00-46E0-4DCA-B193-BAFBBC11FEC7 If any invoice is not paid in a timely manner, or your payment is not successfully settled, due to expiration, insufficient funds, chargebacks, or otherwise, we reserve the right to suspend, disable, cancel or terminate your Subscription or User Account until we have successfully charged a valid payment method.

Subscriptions and Recurring Payments. If you purchase a Subscription, with the exception of any free trial periods or one time discounts, Different MHP, PC will charge you a Subscription fee at the rate(s) presented to you (“Subscription Fee”). The Subscription gives you access to the Services for one month, or a different subscription period selected on the Platform (“Subscription Period”). Unless otherwise stated when you sign up for a Subscription, your selected Services will automatically renew for a further Subscription Period with the Subscription Fee (including any applicable taxes) and will continue to do so unless we are either no longer offering that Service, in which case we will notify you, or your Subscription has been canceled in accordance with these Terms of Use

The billing period for your Subscription Fee begins from the time of registration (i.e., when you register, enter your payment method and pay the initial Subscription Fee), and again at the start of each subsequent Subscription Period. By signing up for a Subscription, you agree to pay your Subscription Fee in full each Subscription Period and authorize your payment method on file to be billed automatically each Subscription Period through the Platform’s third-party payment processor for the entire length of your Subscription, regardless of whether or not you have used the Services during the Subscription Period, until your Subscription ends or is canceled. You will be responsible for paying all past-due amounts. You acknowledge that billing may not occur on the exact same date of each month.

No Show Fees:
No show fees. If a user or individual does not cancel within 24 hours, you may be subject to a $50 cancellation fee that is due upon scheduling your next appointment. You understand that no show fees are not covered under the subscription terms or reimbursable by health insurance benefits even if Different MHP, PC is considered “in network.”

Other Fees. You agree to pay all other fees and charges associated with your User Account that are not included in the Subscription Fee, including, for example, the cost of prescribed medication and refills, the cost of laboratory tests, single visits with a Provider that are not part of a Subscription, appointment no-show fees, cancellation fees or late rescheduling fees, co-pays, co-insurance and deductibles and other costs not covered by your health insurance plan, and any fees for any services that are not charged on a Subscription model (collectively, “Other Fees”), on a timely basis and according to the terms and the rates presented to you. By incurring such Other Fees, you authorize us to bill and charge your payment method on file for such Other Fees in full.

Insurance. If you have health insurance, your insurance plan may cover all or a portion of your use of the Services, including costs associated with the Telehealth Services. Subject to the terms of any written agreement between Different MHP, PC and the insurance plan, if you provide information about your health insurance to us, that will be deemed your authorization for Different MHP, PC, the Pharmacies, the Labs and/or one of their affiliates or partners to submit claims and bill for services on your behalf and share necessary information with the insurance plan to process payments and reimbursements. The Different MHP, PC are not enrolled with federal or state health care programs such as Medicare, Tricare, CHAMPUS, or Medicaid and if you are insured under or covered by any of these programs, you are not permitted to use the Services.

If you elect to use your health insurance you agree that you are responsible for any costs or co-pays for medications, laboratory services, as well as co-pays, coinsurance and other fees even if Different MHP, PC is considered in-network. Some of these services such as laboratory fees may be billed separately.

By electing to use insurance for the Services, you hereby assign all medical benefits, including but not limited to, major medical insurance, sick benefits and injury benefits, due to you because of liability of a third party, such as auto insurance or workers’ compensation insurance, and the proceeds of all claims resulting from the liability of the third party payable by any person, employer, or insurance company to or for you up to the full amount of your medical bill. You also hereby authorize and direct your insurance carrier(s), including private insurance, and any other health/medical plan, to issue payment directly to Different MHP, PC rendered to yourself and/or your dependents regardless of your insurance benefits, if any.

Your insurance policy is a contract between you and your insurance plan, and it is your responsibility to know your benefits, including if your insurance has any deductible, copayment, co-insurance, out-of-network, usual and customary limit, prior authorization requirements or any other type of benefit limitation for the Services you receive, and how your benefits will apply to your payments. If all or any portion of the Services are not covered or paid by your insurance plan for any reason or you do not have health insurance, you understand that you will be ultimately responsible for all fees and costs arising out of your use of the Services and agree to pay the full amount of the invoice for services rendered

Other Fees associated with your User Account. Questions about non-payment should be directed to your insurance plan. You agree to update your health insurance information and inform us at help@differentmhp.com or your Provider immediately if you lose your health insurance and/or can no longer pay for treatment.

Changes to Subscription Fees, Other Fees or Subscription Features. We may change fees published on the Platform from time to time in our sole discretion. If the pricing for your Subscription increases, you will be notified and provided an opportunity to change or cancel your Subscription before applying those changes to your User Account or charging you in connection with an automatic renewal. We may choose in our sole discretion to add, modify, or remove benefits and features from a Subscription. Your continued enrollment in your Subscription after the changes become effective will constitute your acceptance of the changes. If you do not wish to continue your Subscription at the revised rates and/or terms, you must cancel your Subscription prior to the end of your then current Subscription Period in accordance with Section 1.3 (Cancellations and Refunds) (so that at the end of that Subscription Period, your Subscription will end), otherwise the revised rate and/or terms will apply on and from the next Subscription Period.

Third-Party Payment Processor. All credit card, debit card and other monetary transactions on or through the website or patient portal occur through an online payment processing application that is provided by a third-party payment processor(s). If our third-party payment processor is unable to secure funds from your payment method for fees that are due for any reason, including, but not limited to, insufficient funds or insufficient or inaccurate information provided when submitting electronic payment, we may undertake further collection action, including application of fees to the extent permitted by law, and reserve the right to suspend or terminate your User Account or Services.

Waiver of Claims and Unauthorized Payments. You agree to waive all claims against the Different MHP, PC and their third-party service providers, including any third-party payment processor(s), related to any unauthorized payments made on or through the use of your User Account outside of Different MHP, PC or its third-party service providers’ control, regardless of whether such payments are authorized or unauthorized. However, you may submit a claim of the unauthorized payment Different MHP, PC so that we can conduct a reasonable investigation as we see fit under the circumstances

1.3 Cancellations and Refunds

Canceling Subscription. When you cancel a Subscription, you cancel only future charges associated with your Subscription. You may initiate your cancellation at any time, but the cancellation will become effective at the end of your current Subscription Period. You can cancel by notifying your provider, sending a message in your patient portal notifying request for cancellation of your Subscription or by calling Different MHP, PC at +844-325-4647 or by emailing help@differentmhp.com.

Except as otherwise stated herein or required by applicable law, no refunds will be provided for a partial Subscription Period, but you will continue to have access to the Docusign Envelope ID: 34711B00-46E0-4DCA-B193-BAFBBC11FEC7 Subscription until the next billing cycle. Notwithstanding any other terms Different MHP, PC reserve the right to cancel your Subscription in its entirety at any time and for any reason, with or without prior notice. If Different MHP, PC exercise their right to cancel a Subscription, you will be refunded the current Subscription Period’s Subscription Fee as required by law. Once you cancel your Subscription, your access to and use of the Services will continue to the end of your then current Subscription Period and thereafter end, but you will continue to have access to certain information maintained within User Account, such as personal health information. Please note that all Services, including Telehealth Services, will end once cancellation takes effect. You should talk to your Provider before discontinuing any medication. Abruptly stopping certain medications can impact your health. Any other service that is paid separately from the Subscription Fee, such as additional visits with Providers which are not part of a Subscription, may be rescheduled (if applicable) but are not cancellable after purchase.

Refunds. All purchases are final and once paid, all fees, including Subscription Fees, are non-refundable regardless of whether Services are utilized, except as prohibited by applicable law. However, you may cancel your Subscription at any time in accordance with this Section 1.3 (Cancellations and Refunds) to stop incurring future Subscription Fees. We reserve the right to issue refunds or credits at our sole discretion. If we issue a refund or credit in one instance, we are under no obligation to issue the same refund or credit in the future

Different MHP, PC is not a prescription fulfillment center and do not endorse any specific medication, pharmacy, or pharmacologic product. There is no guarantee a prescription will be written by using the Services. If a Provider prescribes a medication, the Provider will limit supply based upon applicable regulations and will only prescribe a medication as determined in the Provider’s own discretion and professional judgment. Providers may also deny care for actual or suspected misuse of the Services for prescriptions.

1.4 Prescriptions

You will not be able to obtain a prescription medication unless you have completed a consultation with one of our licensed Providers and the Provider has determined the prescription is appropriate for you, and the Provider has written a prescription. prescribed.

You agree that any prescriptions that you acquire from a Provider will be solely for your personal use. All prescription medications are provided subject to all warnings, limitations, and restrictions published or provided by the medication’s manufacturer. You agree to fully and carefully read all provided product information and labels and to contact your Provider, or another physician or pharmacist, if you have any questions regarding the prescription. You acknowledge and understand that your use or misuse of Docusign Envelope ID: 34711B00-46E0-4DCA-B193-BAFBBC11FEC7 prescription medications obtained through our Services may result in undesirable or unexpected consequences.

Controlled substances:

Different MHP, PC and their Providers must abide by all federal and state regulations in regards to prescribing controlled substances. Controlled substances include, but are not limited to:

Benzodiazepines i.e alprazolam (Xanax), clonazepam (Klonopin)
Hypnotics i.e zlopidem (ambien), eszopiclone (Lunesta)
Stimulants i.e methylphenidate (Ritalin, Concerta), dextroamphetamine/amphetamine (Adderall).
Psychedelics i.e ketamine, esketamine (Spravato)
Opioid modulator i.e buprenorphine/naloxone (Suboxone)

Prescriptions of these medications may include the need for random urine drug screens, pill counts, limits on quantity and refills.
Prescribing of these medications are contingent on temporary waiver from the DEA/HHS under “Second Temporary Extension of COVID-19 Telemedicine Flexibilities for Prescription of Controlled Medications” which extends prescribers ability as deemed medically necessary, to provide controlled substances to patients established via a telemedicine visit and waives the necessity of “in person” or face to face visits. This extension is valid through December 31st, 2024. Different MHP, PC will continue to monitor this policy, but cannot guarantee prescribing of controlled substance prescriptions after Dec. 31st, 2024.

Prescriptions fulfilled by third party pharmacies may not use child-resistant packaging and prescriptions may not be dispensed in child-resistant containers.
You acknowledge that you must keep prescription medication safe, secure, and out of the reach of children. We do not control or interfere with any professional service provided by third party pharmacies, which is solely responsible for the provision of their professional services.

1.5 Orders for Laboratory Products and Services

Certain laboratory products and services, including at-home testing kits and in-person testing services to monitor the effects of certain prescribed medication or for diagnostic purposes (“Lab Tests”), require a valid prescription or order by a licensed Provider. You will not be able to obtain Lab Tests unless a Provider has determined that the Lab Test is appropriate for you and the Provider has prescribed or ordered the Lab Test. These Lab Tests can only be ordered and fulfilled through the Labs (defined below). If your Provider orders a Lab Test, you may be required to go to an in-person location of the applicable Lab to be tested or at-home testing materials will be shipped to you by the applicable Lab. In certain cases, regularly scheduled Lab Tests are required in order to properly and safely manage your treatment plan. Please note that in most cases, the Docusign Envelope ID: 34711B00-46E0-4DCA-B193-BAFBBC11FEC7 cost of Lab Tests, laboratory products and services are not included in your Subscription Fee and will be billed separately and may require up front payment before lab services are rendered.

If your Provider suspects that you are misusing the Services for prescriptions or engaging in other prohibited activities relating to your medication, your Provider may order and require that you obtain a laboratory test to confirm that misuse is not taking place before continuing your treatment or prescribing or refilling any medications (an “Investigative Lab Test”). Typically, these are in-person tests that may be ordered by your Provider to be completed at any local laboratory of your choice. If you refuse to or do not timely complete any Lab Test or Investigative Lab Test, or if your test results present evidence that you have been misusing your prescriptions or engaging in other prohibited activities under these Terms of Use, your Provider reserves the right to modify or cease your treatment plan and/or medications based on their independent professional judgment, you may no longer be eligible to receive further prescriptions through the Services, and/or your Subscription or User Account may be suspended, canceled or terminated.

Laboratory and diagnostic services may be offered on the Platform by Labcorp, Rupa and other third parties (the “Labs”) from time to time. We do not control or interfere with any professional service provided by the Labs, which is solely responsible for the provision of their professional service

2. PLATFORM TERMS

Different MHP, PC owns and maintains the websites, www.differentmhp.com and www.learndifferent.com to provide administrative, technological and other non clinical services for Different MHP, PC and its Providers. The terms of the Platform under this Section 2 (“Platform Terms”) apply solely between you and Different MHP, PC. For purposes of these Platform Terms only, “we,” “us,” or “our” refer solely to Different MHP, PC.

2.1 Platform Content and Functionality

Platform Content. Other than clinical advice or information you receive directly from a Provider, the content of the Platform, including without limitation, text, copy, audio, video, photographs, illustrations, graphics, and other visuals, is for informational purposes only and does not constitute professional medical advice, diagnosis, treatment, or recommendations of any kind by Different MHP, PC. All information provided by Different MHP, PC, or in connection with any communications supported by Different MHP, PC(including resources from the cognitive behavioral therapy exercise library, meditation guides, articles and blog posts published on Different MHP, PC websites and other general health care-related information and self-guided resources), is intended to be for general, non-clinical information purposes only, and is in no way intended to create a health care provider-patient relationship.

2.2 Off-Platform Communications

By providing your mobile number and email you give consent to receive automated messages including information about upcoming appointments and reminders. We recommend that sensitive messages of your personal health care information be send securely using the patient portal managed by third party organization. Keep in mind that off platform communications including text messages and e-mails are not encrypted and have the risk of being intercepted by third parties. If you choose to send or receive information via text or email outside of the patient portal you do so at your own risk.

3. Consent for Care

By agreeing to this terms and service document you, the patient or patient’s legal representative, hereby grant permission to the Providers of Different MHP, PC to perform such examinations, medical, and therapeutic procedures as may be professionally deemed necessary or advisable and to communicate about them via telephone, mail, fax, and e-mail for my/the patient’s diagnosis, treatment, payment, and healthcare operations. I am aware that the practice of nursing and/or medicine is not an exact science and that no guarantees or promises have been made to me as to the result of treatment or examination, and that initial consultation does not necessarily create a healthcare providerpatient relationship. I consent for Different MHP, PC to obtain my prescription history.

Consent for the use of telemedicine with Different MHP, PC

Telemedicine includes the use of specialized audio/visual equipment along with a secure internet connection that allows Different MHP, PC to provide psychiatric assessments, medication management and/or therapeutic services to patients who are located outside of the healthcare office.

Benefits of Telemedicine

Improved access and convenience
Improved access to specialists i.e psychiatry
Security measures designed to ensure protection of privacy

Possible Risks of Telemedicine

Occasionally internet and/or data speeds between the health care professional and patient may be slow and result in more image quality, in rare instances enough to require the session to be ended.
If the session is ended it may cause a delay in evaluation and treatment and service may need to be rescheduled
Although very safe, in rare instances security measures could fail resulting in potential breach of personal medical information.

Telemedicine Code of Conduct

In order to participate in telemedicine services at Different MHP, PC it is important that each patient agrees

Not to use telemedicine in a medical or psychiatry emergency. If there is an emergency please contact 911 immediately.
Choose a location with strong internet connection
Chose a private, well lit, quiet area where you can speak freely
Be appropriately clothed
Be stationary / not driving during your appointment
If you are a minor or someone with legal guardianship, be sure you are accompanied by a parent or legal guardian.

By agreeing to terms and services

I am aware that Different MHP, PC provides only telemedicine services with audio and video connection for every visit.
I confirm I have a device that I can conduct telemedicine visits (with audio and video) including, but not limited to a smartphone, tablet, computer or laptop with webcam.
I am aware that federal legislation dictates the prescription of controlled substances and Different MHP, PC makes no guarantee that controlled substances will remain accessible indefinitely and/or with added provisions.
I am aware of my right to withdraw my consent for telemedicine at any time
I am aware that my health care professional will need to identify your current address at the time of visit for safety and to ensure the healthcare provider is licensed in the location you are at. I acknowledge that I am assigned a provider licensed in your state that you reside and I agree only to seek care via telemedicine while I am physically in that state in order for Different MHP, PC to abide by telehealth regulations.
By withdrawing consent from telemedicine I understand Different MHP, PC will process administrative discharge and refer you to your local mental health department and/or insurance company for psychiatric care.
I have read this form completely and understand the risks and benefits of telemedicine. I’ve had my questions answered and I hereby consent to telemedicine services at Different MHP, PC.

Conditions

Medications

Interventions