Effective: December 5, 2025

THIS PLATFORM IS NOT INTENDED FOR ACUTE CARE OR FOR USE IN MEDICAL EMERGENCIES. IF YOU NEED ACUTE CARE, CONTACT YOUR PRIMARY CARE PROVIDER. IF YOU ARE HAVING A MEDICAL EMERGENCY, CALL 911 TO SEEK IMMEDIATE ASSISTANCE.

1. Introduction. These Terms and Conditions (these “Terms”) are a legal agreement (this “Agreement”) between Syntrillo, Inc., a Delaware corporation (“Syntrillo”) and its parents, subsidiaries and affiliates, and each of their officers, directors, employees, agents, care providers, beneficiaries, predecessors in interest, successors, assigns and suppliers (“Related Parties”) and you with respect to enrollment in and use of Syntrillo’s stroke and cardiovascular risk management program and other services offered through our website at www.syntrillo.com (the “Site”) and through our Mobile App (collectively, the “Services”), including your use of the Services as a patient or recipient of care, and your use of and access to any mobile phone applications and websites we may own or operate now or from time to time (collectively, the “Platform”). For purposes of this Agreement, references to “Syntrillo”, “we,” “us” and “our” shall be deemed to include Syntrillo and all of its Related Parties unless otherwise stated. Please read the following Terms carefully. By enrolling in our Services and using our Platform you agree to these Terms and become a legal party to this Agreement. IF YOU DO NOT AGREE TO THESE TERMS, YOU ARE NOT AUTHORIZED TO USE THE PLATFORM OR THE SERVICES. Syntrillo reserves the right to amend and update this Agreement from time to time by making amended Terms available on our Site together with notice of the effective date. If you do not agree to any proposed change, you must discontinue your use of the Services before the effective date of the changes. Your continued use of the Services after the effective date will constitute acceptance of the amended Agreement. . If at any later time you do not agree to the Terms then in effect, you must refrain from any further use of the Services and Platform.

IMPORTANT NOTICE CONCERNING YOUR RIGHTS.

ARBITRATION NOTICE. THIS AGREEMENT CONTAINS AN ARBITRATION PROVISION THAT REQUIRES YOU AND SYNTRILLO TO RESOLVE DISPUTES WITH YOU RELATING TO THIS AGREEMENT BY BINDING ARBITRATION INSTEAD OF IN COURT, UNLESS YOU CHOOSE TO OPT OUT. IN ARBITRATION, CLASS ACTIONS AND JURY TRIALS ARE NOT PERMITTED. PLEASE SEE THE SECTION TITLED “PROCEDURE FOR RESOLVING DISPUTES” BELOW.

USE AT YOUR OWN RISK. TO THE MAXIMUM EXTENT PERMITTED UNDER APPLICABLE LAW, SERVICES ARE PROVIDED “AS IS” AND “AS AVAILABLE” WITH NO EXPRESS OR IMPLIED WARRANTIES OF ANY KIND, INCLUDING BUT NOT LIMITED TO WARRANTIES OF MERCHANTABILITY, NON-INFRINGEMENT, SECURITY, FITNESS FOR A PARTICULAR PURPOSE, OR ACCURACY. USE OF THE SERVICES IS AT YOUR OWN RISK. Syntrillo does not assure any desired clinical outcome, such as achieving risk-factor targets (e.g., blood pressure, cholesterol), meeting personal health goals, or avoiding stroke or cardiovascular events.

2. Scope of Our Services.  Syntrillo and its providers and clinicians (the “Care Team”)  deliver ongoing, non-emergency, preventive and chronic-risk management care for stroke and cardiovascular disease, delivered remotely via telehealth and certain digital tools, including, but not limited to, our Site and our Mobile App. Services may be provided by secure audio/video visits, messaging, remote-monitoring platforms, and other virtual means. Our Services include, without limitation:

(a) Remote monitoring of blood pressure and other biometrics.
(b) Review and management of lipids and other vascular risk laboratory results.
(c) Medication review, titration, and adherence support.
(d) Lifestyle counseling and coaching (e.g., diet, physical activity, sleep).
(e) Neurologist and other specialist oversight focused on stroke prevention and vascular risk optimization.
(f) Education regarding stroke warning signs and risk-factor control.

Our Services are intended to supplement, not replace, your relationship with your primary care provider, neurologist, cardiologist, and other clinicians responsible for your care.

3. Limitations of the Services.  Use of the Platform and Services and the deliverance of care by the Care Team is not intended for acute clinical diagnosis or emergency services. Do not disregard any urgent or emergent symptoms (including but not limited to; acute neurologic symptoms, chest pain, shortness of breath, or new/worsening neurologic deficits), you must call 911 or seek care at the nearest emergency department or urgent care facility and notify your primary care provider.  Do not disregard, avoid, or delay obtaining in-person care from your primary care provider or a qualified clinician responsible for your care based on information or advice obtained through the Platform or Care Team.

4. Eligibility. To enroll in the Services and use the Platform, you must:

(a) Be at least 18 years old (or the age specified by applicable state law).
(b) Reside in the United States of America and be physically located in a state where the Care Team are currently licensed to provide telehealth services at the time of each visit.  Services are not available to users located outside the United States. Accessing the Platform or using the Services from jurisdictions where we are not licensed to provide the Services is prohibited.
(c) Be able and willing to use remote-monitoring devices and/or share biometric data, lab results, and other pertinent clinical information with the Care Team as requested.
(d) Complete our intake process and sign all required consents and acknowledgments (including these Terms and this Agreement, and any research or clinical-trial consents, if applicable).

The information you provide during account registration (including name, username, email address, shipping address, and phone number) is not considered protected health information (“PHI”) under the Health Insurance Portability and Accountability Act (“HIPAA”).

5. Onboarding and Intake.  Upon enrollment in the Services, you agree to:

(a) Provide accurate and complete medical history, including stroke history, cardiovascular risk factors, medications, allergies, and relevant prior records.
(b) Provide baseline vitals (e.g., blood pressure, heart rate, weight) and relevant laboratory results, either by uploading documents, authorizing release from your other care providers, or using connected devices.
(c) Authorize Syntrillo to receive data from your remote-monitoring devices, labs, pharmacies, and other systems necessary to provide the Services.
(d) Maintain up-to-date contact information and promptly notify your Care Team of changes in your health status, medications, or changes with other clinicians responsible for your care.

6. Device Requirements. You are solely responsible for maintaining your compatible devices (e.g., smartphone, tablet, computer, blood-pressure cuff, wearables) and your internet connectivity needed to access the Services. If Syntrillo recommends or provides specific devices, the additional terms relating to the use of such third-party equipment shall apply.

7. Health Insurance. Syntrillo may offer eligible subscribers the ability to pay Services through health insurance, depending on the terms of your plan and location, if the Care Team providers are in-network with your health plan. This insurance offering is a distinct offering from our subscription-based service detailed below. In order for Syntrillo to bill your health plan for covered Services where applicable, you agree to:

(a) Authorize Syntrillo to submit claims to your health insurer or health plan for covered Services.
(b) Assign and authorize payment of medical benefits directly to Syntrillo for Services rendered to you.
(c) Authorize the release of medical or other information necessary to process such claims.
(d) Remain financially responsible for any amounts not covered by your insurer or plan, including copayments, coinsurance, deductibles, or non-covered services.

8. Subscription Term and Fees.  The Services provided by Syntrillo are offered on a subscription basis. The subscription fee may not be reimbursable by your insurer or health plan.  The applicable fees are:

(a) Subscription fees.  Subscription fees are determined by the plan(s) that you subscribed to and are billed monthly or annually as applicable to your plan(s).
(b) One-time fee. All plans require a one-time non-refundable fee to cover onboarding, comprehensive screening and your initial video visit with our providers.
(c) Renewal. If the Services are rendered using our subscription, the subscription will continue and automatically renew monthly or annually, as the case may be, until you cancel the membership per the instructions further outlined in Section 11, 12 and 13, herein. By choosing this monthly or annual subscription, you acknowledge your responsibility for a recurring payment for the Services and you accept responsibility for all recurring charges prior to cancellation. Once you provide all payment information and conclude the payment transaction, you will be charged for the subscription immediately.  Your subscription billing period will run from the date of input of payment information until cancellation of the Services is initiated in accordance with the cancellation procedures outlined in Cancellation by You, Cancellation by Syntrillo, and/or Effect of Termination, herein.
(d) Cancellation. You may cancel the subscription to the Service at any time for any reason. Your subscription must be canceled before the renewal date in order to avoid the next billing cycle. 
(e) Pricing. While Syntrillo may seek to limit price increases, we reserve the right to change our subscription rate(s) or adjust fees of our Services from time to time. Any changes to your subscription will take effect on the renewal date for the next billing cycle to occur 30 days after we have provided notice of the change using your then most up-to-date contact information and an update to our Terms and Agreement. 

9. Payment Authorization and Hassle-Free Renewal. You authorize Syntrillo to charge your chosen payment method (credit/debit card, ACH, or other accepted method) for all fees when due. Unless otherwise specified:

(a) Subscription fees are automatically renewed and charged each billing cycle or until you cancel in accordance with those procedures outlined in Section 4, herein.
(b) You are responsible for keeping your payment method current and valid.

10. Late Payment. If your payment is not successfully processed within 30 days of the due date, we may suspend access to the Services until payment is received and/or attempt to re-process the payment using your stored payment method. Syntrillo reserves the right to terminate your access to the Services for non-payment.

11. No Refunds. Fees already paid for the current billing period are non-refundable. Syntrillo does not offer refunds for partially used subscription periods. Where Syntrillo determines that a billing error or mistake has occurred, we reserve the right to correct such billing errors or mistakes, even if payment has already been requested or received.

12. Cancellation by You. You may cancel your subscription and use of the Services at any time for any reason by:

(a) Providing written notice via email to admin@syntrillo.com or through your account portal, or by calling customer care at (434) 202 3450.
(b) Cancelling at least 5-business days before your next billing date will avoid charges for the subsequent billing cycle.
(c) Should you cancel the Services, cancellation will not affect any fees already incurred or owed for Services rendered prior to the effective cancellation date.
(d) Your access to the Services will continue until the end of your subscription’s current cycle, (the “Cancellation Effective Date”).

13. Cancellation by Syntrillo. Syntrillo may suspend or terminate your access to the Services in its reasonable discretion, including but not limited to:

(a) Non-payment or late payment.
(b) Your violation of the terms of this Agreement.
(c) Clinical or safety reasons that Syntrillo determines would make continued participation inappropriate.
(d) Regulatory or licensure changes that preclude Syntrillo from legally serving you.
(e) Where appropriate and to the extent legally required, Syntrillo will provide notice of cancellation and we may assist you with transition of care to an alternative provider. Syntrillo cannot guarantee placement with any other provider.

14. Effect of Termination. Upon termination:

(a) Your right to access the Services and any subscription benefits ends as of the Cancellation Effective Date.
(b) This Agreement will continue to apply to any matters arising prior to termination, and all terms that by their nature should survive termination (including limitations of liability, indemnification, arbitration and governing-law provisions) will remain in full force and effect.
(c) Medical records will be maintained in accordance with applicable law, and you may request access or copies as permitted under HIPAA and state law.

15. Accuracy of Your Information. You promise that:

(a) All information you provide to Syntrillo (including but not limited to medical history, medications, vitals, labs, demographic data, and insurance information) is truthful, accurate, and complete to the best of your knowledge.
(b) You will promptly update Syntrillo with any changes to your health status, medications, contact information, insurance coverage, or other relevant information.
(c) You will use remote-monitoring devices, apps, or tools as instructed and will not falsify or intentionally misrepresent any data.

16. Consent to Coordination of Care. You authorize Syntrillo and its Care Team to:

(a) Communicate and exchange information with your primary care provider, neurologist, cardiologist, and other clinicians involved in your care for coordination purposes.
(b) Obtain relevant medical records, lab results, imaging, and other information from your other providers and facilities.
(c) Provide summaries of your care, treatment plans, and recommendations to your other clinicians where clinically appropriate.

Any such communications will be conducted in accordance with Syntrillo’s Privacy Policy and Notice of HIPAA Privacy Practices, copies of which are located on our website at www.syntrillo.com.

17. Research Programs. As described in Syntrillo’s Privacy Policy, to the extent permitted by law your health data may be used and combined with data from other users in de-identified or aggregated form for research, clinical trials, quality improvement, algorithm development, and other purposes, including the development of clinical and other algorithms. Additional research-specific or clinical-trial consents will be presented separately where required by law or by research oversight bodies.

18. Personal Use Only. Your license to access the Platform is personal to you, and may not be shared with any other person without Syntrillo’s express consent. You are prohibited from using anyone else's account at any time.

19. Proxy Access. When proxy access is granted, an adult caregiver will be given access to the Syntrillo account of the patient. This means that the adult caregiver will have access to certain confidential health information of the patient. Proxy access will only be granted to proxies who Syntrillo determines have the right to receive the patient’s personal health information. Syntrillo reserves the right to revoke proxy access to the Platform and Services at any time for any reason. Proxies are required to advise us immediately at privacy@syntrillo.com if they no longer have the right to access the patient’s health information or upon the death of the patient. For more information regarding proxy access, including situations in which proxy access may be granted and how to request proxy access, please contact us at privacy@syntrillo.com.

20. Data Security. Syntrillo uses encryption and other methods to protect personally identifiable information you transmit during account setup. We also take steps to guard the data we collect against unauthorized access. However, you acknowledge that the Service relies on software, hardware, and networks that may be outside Syntrillo’s direct control. These components may require maintenance or could be subject to performance issues or security breaches at any time. Additionally, any individuals with physical access to your computer, phone, or other devices may be able to access the Service and your information, including your medical data. Therefore, it is your responsibility to:

(a) Affirmatively logout from your account when you are not actively using it.
(b) Secure and prevent unauthorized physical access to your computer, phone, and other devices.
(c) Protect the confidentiality of your username and password
(d) Exit your account at the end of each session.
(e) Immediately notify Syntrillo of any unauthorized use of your credentials or security breach related to the Platform.

21. Prohibited Activities. You must exercise caution, good sense, and sound judgment when using the Services. Any intentional violation or attempted violation of our Services’ security is strictly prohibited and may lead to criminal and/or civil penalties. Syntrillo reserves the right to investigate any alleged violations and may cooperate with law enforcement agencies if a criminal violation is suspected. The Service must not be used for any prohibited activities. Prohibited activities include, but are not limited to:

(a) Using the Service for any purpose that is unlawful, harmful, threatening, fraudulent, malicious, abusive, harassing, defamatory, vulgar, obscene, libelous, inappropriate based on intrinsic characteristics (such as race, gender, sexuality or ethnicity), or that invades federal or state privacy or publicity rights, or that is other otherwise inappropriate or offensive as determined in our sole discretion.
(b) Engaging in any conduct that could damage, disable, overburden, or impair any server or network connected to any server; uploading or transmitting content that is unlawful, or without the right to do so, or that contains viruses, Trojan horses, worms, time bombs, corrupted files, spyware, or similar damaging software; deleting author attributions, legal notices, or proprietary designations from uploaded content; transmitting unsolicited advertising, promotional materials, "junk mail," "spam," "chain letters," "pyramid schemes," "phishing," or other solicitations; transmitting material that infringes on any party's patent, trademark, service mark, trade secret, copyright, or other proprietary rights; deleting or altering material posted by others; or Interfering with the use and enjoyment of the Service by any other party;
(c) Manipulating the Service using framing, mirroring, or similar technology;
(d) Probing, scanning, testing vulnerability, or breaching authentication measures of the Platform or related networks or gaining or attempting to gain unauthorized access to accounts, computer systems, or networks through hacking, password mining, or any other means;
(e) Harvesting or collect information about others, including email addresses;
(f) Using automated or manual means (robot, spider, scraper, etc.) to access, copy, download, distribute, or reproduce Services content or information except to support your personal health care or accessing systems, data, or information that Syntrillo did not intend to make accessible to you;
(g) Using the Service for any purpose other than the intended purpose of supporting your personal health care;
(h) Assisting or permitting others to do any of these prohibited activities;

22. Telehealth Consent. By utilizing our Service, you acknowledge and agree that the care, diagnosis, monitoring, and treatment provided by the Care Team are delivered exclusively through telehealth (electronic communications, information technology, and other means where you and your provider are not in the same physical location). Your agreement to these Terms serves as your consent to receive all care via this remote method. Additionally, by using the Services you consent to receive medical services via telehealth, which may include:

(a) Real-time (synchronous) audio and/or video consultations.
(b) Asynchronous messaging, review of uploaded data, questionnaires, and remote-monitoring information.
(c) Use of automated or AI-assisted tools to support diagnosis, risk stratification, care planning, and patient education.

23. Telehealth Limitations. You acknowledge that Telehealth is a valid method of receiving health care services, and our clinicians follow clinical standards, professional guidelines, and privacy requirements that apply to in-person neurology care. Our care is delivered through our HIPAA-compliant and HITRUST-certified Platform. While telehealth can improve access to expert neurologists and monitoring for stroke risk, it is not appropriate for every medical concern. Our Care Team may recommend urgent in-person evaluation, referral to a local provider, or emergency medical care. Protected health information is handled confidentially in accordance with applicable law.

24. Risks, Benefits, and Alternatives. You acknowledge that Telehealth offers potential benefits, including faster access to specialists, convenience for follow-up care after stroke, and the ability to more frequently monitor blood pressure and other cardiovascular risk factors. It also has inherent limitations such as possible technical interruptions, incomplete transmission of clinical information, or potential privacy/security issues. In-person examinations are necessary to provide a full neurological assessment. You may withdraw your consent for telehealth at any time; however, this may impact our ability to deliver our Services. You have the right to seek healthcare services in-person. You understand that in-person care may sometimes be a more appropriate course of treatment.

25. Technology and Contingency Plan. You are responsible for using a compatible device and stable internet connection to participate in telehealth encounters. If a technology failure occurs during an appointment, our clinical team will attempt to reconnect with you or continue the visit via telephone. If your symptoms indicate a medical emergency or require immediate in-person evaluation, we may advise you to seek urgent or emergency care right away, including calling 911 when appropriate. If you are experiencing a medical emergency, such as new or rapidly worsening symptoms of stroke (e.g., sudden onset of numbness/weakness, confusion, trouble speaking, severe headache), you should immediately call 911 or safely go to the nearest emergency department or hospital. Our Services are not appropriate for emergencies.

26. Location and Licensure. Telehealth services are provided by clinicians only licensed to practice in the jurisdictions where you are physically located at the time of care. By using our platform, you agree to accurately provide your current physical location before each telehealth encounter and acknowledge that services may not be available if you are in a jurisdiction where our clinicians are not licensed.

27. Additional Telehealth Consent. By using our Services you attest you have reviewed and agreed to the following state-specific consent when receiving TeleHealth Services in the following applicable state:

Alaska: I understand my primary care provider may obtain a copy of my records of my telehealth encounter. (Alaska Stat. § 08.64.364).

Arizona: I understand I am entitled to all existing confidentiality protections pursuant to A.R.S. § 12-2292. I also understand all medical reports resulting from the telemedicine consultation are part of my medical record as defined in A.R.S. § 12-2291. I also understand dissemination of any images or information identifiable to me for research or educational purposes shall not occur without my consent, unless authorized by state or federal law. (Ariz. Rev. Stat. Ann. § 36-3602).

Connecticut: I understand that my primary care provider may obtain a copy of my records of my telehealth encounter. (Conn. Gen. Stat. Ann. § 19a-906).

D.C.: I have been informed of alternate forms of communication between me and a physician for urgent matters. (D.C. Mun. Regs. tit. 17, § 4618.10).

Georgia: I have been given clear, appropriate, accurate instructions on follow-up in the event of needed emergent care related to the treatment. (Ga. Comp. R. & Regs. 360-3-.07(7)).

Iowa: I have been informed that if I want to register a formal complaint about a provider, I should visit the medical board’s website, here: https://medicalboard.iowa.gov/consumers/filing-complaint

Idaho: I have been informed that if I want to register a formal complaint about a provider, I should visit the medical board’s website, here: https://bom.idaho.gov/BOMPortal/AgencyAdditional.aspx?Agency=425&AgencyLinkID=650

Indiana: I have been informed that if I want to register a formal complaint about a provider, I should visit the medical board’s website, here: https://www.in.gov/attorneygeneral/2434.html

Kansas: I understand that if I have a primary care provider or other treating physician, the person providing telemedicine services must send within three business days a report to such primary care or other treating physician of the treatment and services rendered to me during the telemedicine encounter. (Kan. Stat. Ann. § 40-2,212(2)(d)(1)(A)).

Kentucky: I have been informed that if I want to register a formal complaint about a provider, I should visit the medical board’s website, here: https://kbml.ky.gov/grievances/Pages/default.aspx

Louisiana: I understand the role of other health care providers that may be present during the consultation other than the One Medical provider. (46 La. Admin. Code Pt XLV, § 7511).

Maine: I have been informed that if I want to register a formal complaint about a provider, I should visit the medical board’s website, here: https://www.maine.gov/md/discipline/file-complaint.html

Maryland: Regarding audiologists, speech language pathologists, and hearing aid dispensers, I recognize the inability to have direct, physical contact with the patient is a primary difference between telehealth and direct in-person service delivery. The knowledge, experiences, and qualifications of the consultant providing data and information to the provider of the telehealth services need not be completely known to and understood by the provider. The quality of transmitted data may affect the quality of services provided by the provider. Changes in the environment and test conditions could be impossible to make during delivery of telehealth services. Telehealth services may not be provided by correspondence only. (Md. Code Regs. 10.41.06.04).

Nebraska: I understand that I shall have access to all medical information resulting from the telehealth consultation as provided by law for access to my medical records. Dissemination of any patient identifiable images or information from the telehealth consultation to researchers or other entities shall not occur without my written consent. I understand that I have the right to request an in-person consult immediately after the telehealth consult and I will be informed if such consult is not available. (Neb. Rev. Stat. Ann. § 71-8505; 471 Neb. Admin. Code § 1-006.05).

New Hampshire: I understand that the One Medical provider may forward my medical records to my primary care or treating provider. (N.H. Rev. Stat. § 329:1-d).

New Jersey: I understand I have the right to request a copy of my medical information and I understand my medical information may be forwarded directly to my primary care provider or health care provider of record, or upon my request, to other health care providers. (N.J. Rev. Stat. Ann. § 45:1-62).

Oklahoma: I have been informed that if I want to register a formal complaint about a provider, I should visit the medical board’s website, here: http://www.okmedicalboard.org/complaint

Board of Osteopathic Examiners can be found at: https://www.ok.gov/osboe/faqs.html

Pennsylvania: I understand that I may be asked to confirm my consent to behavioral health or tele-psych services.

Rhode Island: If I use e-mail or text-based technology to communicate with my Medical Group provider, then I understand the types of transmissions that will be permitted and the circumstances when alternate forms of communication or office visits should be utilized. I have also discussed security measures, such as encryption of data, password protected screen savers and data files, or utilization of other reliable authentication techniques, as well as potential risks to privacy. I acknowledge that my failure to comply with this agreement may result in the Medical Group provider terminating the email relationship. (Rhode Island Medical Board Guidelines).

South Carolina: I understand my medical records may be distributed in accordance with applicable law and regulation to other treating health care practitioners. (S.C. Code Ann. § 40-47-37).

South Dakota: I have received disclosures regarding the delivery models and treatment methods or limitations. I have discussed with the One Medical provider the diagnosis and its evidentiary basis, and the risks and benefits of various treatment options. (S.D. SB136 (not yet codified)).

Texas: I understand that my medical records may be sent to my primary care physician. (Tex. Occ. Code Ann. § 111.005).

I have been informed of the following notice:

NOTICE CONCERNING COMPLAINTS -Complaints about physicians, as well as other licensees and registrants of the Texas Medical Board, including physician assistants, acupuncturists, and surgical assistants may be reported for investigation at the following address: Texas Medical Board, Attention: Investigations, 333 Guadalupe, Tower 3, Suite 610, P.O. Box 2018, MC-263, Austin, Texas 78768-2018, Assistance in filing a complaint is available by calling the following telephone number: 1-800-201-9353, For more information, please visit our website at www.tmb.state.tx.us.

AVISO SOBRE LAS QUEJAS- Las quejas sobre médicos, asi como sobre otros profesionales acreditados e inscritos del Consejo Médico de Tejas, incluyendo asistentes de médicos, practicantes de acupuntura y asistentes de cirugia, se pueden presentar en la siguiente dirección para ser investigadas: Texas Medical Board, Attention: Investigations, 333 Guadalupe, Tower 3, Suite 610, P.O. Box 2018, MC-263, Austin, Texas 78768-2018, Si necesita ayuda para presentar una queja, llame al: 1-800-201-9353, Para obtener más información, visite nuestro sitio web en www.tmb.state.tx.us

Utah: I understand (i) any additional fees charged for telehealth services, if any, and how payment is to be made for those additional fees, if the fees are charged separately from any fees for face-to-face services provided in combination with the telehealth services; (ii) to whom my health information may be disclosed and for what purpose, and have received information on any consent governing release of my patient-identifiable information to a third-party; (iii) my rights with respect to patient health information; (iv) appropriate uses and limitations of the site, including emergency health situations. I understand that the telehealth services Medical Group provides meets industry security and privacy standards, and comply with all laws referenced in Subsection 26-60-102(8)(b)(ii). I was warned of: potential risks to privacy notwithstanding the security measures and that information may be lost due to technical failures, and agree to hold the provider harmless for such loss. I have been provided with the location of Medical Group’s website and contact information. I was able to select my provider of choice, to the extent possible. I was able to select my pharmacy of choice. I am able to a (i) access, supplement, and amend my patient-provided personal health information; (ii) contact my provider for subsequent care; (iii) obtain upon request an electronic or hard copy of my medical record documenting the telemedicine services, including the informed consent provided; and (iv) request a transfer to another provider of my medical record documenting the telemedicine services. (Utah Admin. Code r. 156-1-602).

Virginia: I acknowledge that I have received details on security measures taken with the use of telemedicine services, such as encrypting date of service, password protected screen savers, encrypting data files, or utilizing other reliable authentication techniques, as well as potential risks to privacy notwithstanding such measures; I agree to hold harmless Medical Group for information lost due to technical failures; and I provide my express consent to forward patient-identifiable information to a third party. (Virginia Board of Medicine Guidance Document 85-12).

Vermont: I understand that I have the right to receive a consult with a distant-site provider and will receive one upon request immediately or within a reasonable time after the results of the initial consult. I understand that receiving tele-dermatology or tele-ophthalmology services via Medical Group does not preclude me from receiving real-time telemedicine or face-to-face services with the distant provider at a future date. (Vt. Stat. Ann. § 9361).

I have been informed that if I want to register a formal complaint about a provider, I should visit the medical board’s website, here: http://www.healthvermont.gov/health-professionals-systems/board-medical-practice/file-complaint

Board of Osteopathic Examiners can be found at: https://www.sec.state.vt.us/professional-regulation/file-a-complaint-employer-mandatory-reporting.aspx

28. THE AMOUNT OF OUR LIABILITY TO YOU IS STRICTLY LIMITED. To the greatest extent permitted by law Syntrillo’s aggregate liability to you for direct damages arising out of or related to the Services will not exceed the amount of fees you paid to Syntrillo for the Services applicable to the (3) months immediately preceding the event giving rise to the claim, or $100 if you have not made any payment during such period.

29. LIMITATION ON DAMAGES. UNDER NO CIRCUMSTANCES WILL SYNTRILLO BE LIABLE FOR ANY INDIRECT, INCIDENTAL, CONSEQUENTIAL, SPECIAL, EXEMPLARY, OR PUNITIVE DAMAGES (INCLUDING LOST PROFITS, LOSS OF DATA, OR COST OF SUBSTITUTE SERVICES), WHETHER ARISING UNDER CONTRACT OR TORT, EVEN IF ADVISED OF THE POSSIBILITY OF SUCH DAMAGES. Some jurisdictions regulate the exclusion or limitation of liability for consequential or incidental damages; in such jurisdictions, these limitations shall apply to the fullest extent permitted by law.

You may have non-waivable rights arising under applicable law in your jurisdiction

30. PROCEDURE FOR RESOLVING DISPUTES. ALL DISPUTES BETWEEN YOU AND US ARISING OUT OF OR RELATING IN ANY WAY TO THIS AGREEMENT OR THE SERVICES SHALL BE RESOLVED EXCLUSIVELY THROUGH BINDING ARBITRATION, AND NOT IN A COURT OF GENERAL JURISDICTION. BINDING ARBITRATION MEANS THAT YOU AND SYNTRILLO ARE EACH WAIVING THE RIGHT TO A JURY TRIAL AND TO BRING OR PARTICIPATE IN A CLASS ACTION. References to “dispute” or “claim” shall include any dispute, claim or controversy of any kind whatsoever (whether based in contract, tort, statute, regulation, ordinance, fraud, misrepresentation or any other legal or equitable theory) arising out of or relating in any way to this Agreement or the Services.

(a) Notice of Dispute. In the event you intend to commence an arbitration proceeding, you must first notify Syntrillo in writing at least 30 days in advance of initiating the arbitration by sending a letter to Syntrillo at 240 W Main Street, Suite 100-CW113, Charlottesville, VA 22902. You and Syntrillo agree to engage in good faith discussions in an attempt to amicably resolve your claim. The notice must provide your name, address, and telephone number and describe the nature of the claim and the relief being sought. If you and Syntrillo are unable to resolve the dispute within 30 days, either party may proceed to file a claim for arbitration.
(b) Agreement to Binding Arbitration and Class Action Waiver. Upon failure to resolve the dispute during the 30 day period after sending written notice to Syntrillo, you and Syntrillo agree to resolve any claims between us only by binding arbitration on an individual basis, unless you opt out as provided below. Any dispute between you and Syntrillo shall not be combined or consolidated with a dispute involving any other person’s or entity’s product or claim. More specifically, without limitation of the foregoing, any dispute between you and Syntrillo shall not under any circumstances proceed as part of a class or representative action. Instead of arbitration, either party may bring an individual action in small claims court, but that small claims court action may not be brought on a class or representative basis.
(c) Arbitration Rules and Procedures. To begin arbitration of a claim, either you or Syntrillo must make a written demand for arbitration. The arbitration will be administered by the American Arbitration Association (“AAA”) and will be conducted before a single arbitrator under the AAA’s Consumer Arbitration Rules that are in effect at the time the arbitration is initiated (referred to as the “AAA Rules”) and under the procedures set forth in this section. The AAA Rules are available online at www.adr.org/consumer. Send a copy of your written demand for arbitration, as well as a copy of this provision, to the AAA in the manner described in the AAA Rules. You must also send a copy of your written demand to Syntrillo at 240 W Main Street, Suite 100-CW113, Charlottesville, VA 22902. If there is a conflict between the AAA Rules and the rules set forth in this section, the rules set forth in this section will govern. This arbitration provision shall be governed by the Federal Arbitration Act. Judgment may be entered on the arbitrator’s award in any court of competent jurisdiction. All issues are for the arbitrator to decide, except that issues relating to the scope and enforceability of the arbitration provision and to the arbitrability of the dispute are for the court to decide. The arbitrator is bound by the terms of this provision.
(d) Fees. You do not need to pay any fee to begin an arbitration. Upon receipt of your written demand for arbitration, Syntrillo will promptly pay all arbitration filing fees to the AAA unless you seek more than $25,000 in damages notwithstanding the limitations expressed in this Agreement, in which case the payment of these fees will be governed by the AAA Rules. Except as otherwise provided for herein, Syntrillo will pay all AAA filing, administration and arbitrator fees for any arbitration initiated in accordance with the AAA Rules and this arbitration provision. If you prevail in the arbitration, Syntrillo will pay your attorneys’ fees and expenses as long as they are reasonable, by considering factors including, but not limited to claim amount and the award amount. Notwithstanding the foregoing, if applicable law allows for an award of reasonable attorneys’ fees and expenses, an arbitrator can award them to the same extent that a court would be expected to. If the arbitrator finds either the substance of your claim or the relief sought in the demand is frivolous or brought for an improper purpose (as measured by the standards set forth in Federal Rule of Civil Procedure 11(b)), then the payment of all arbitration fees will be governed by the AAA Rules. In such a situation, you agree to reimburse Syntrillo for all monies previously disbursed by it that are otherwise your obligation to pay under the AAA Rules. Except as otherwise provided, Syntrillo waives any rights it may have to seek attorneys’ fees and expenses from you if Syntrillo prevails in the arbitration.
(e) Hearings and Location. If your claim is for $25,000 or less, you may choose to have the arbitration conducted solely on the basis of (1) documents submitted to the arbitrator, (2) through a telephonic hearing, or (3) by an in-person hearing as established by the AAA Rules. If your claim exceeds $25,000, the right to a hearing will be determined by the AAA Rules. Any in-person arbitration hearings will be held at a location within the federal judicial district in which you reside unless we both agree to another location or we agree to a telephonic arbitration.

31. HOW TO OPT OUT. You may opt out of this dispute resolution procedure. If you opt out, neither you nor Syntrillo can require the other to participate in an arbitration proceeding. To opt out, you must send notice to Syntrillo no later than 30 calendar days from the date of the first access to the Platform by either: (i) sending an e-mail to admin@syntrillo.com, with the subject line: “Arbitration Opt Out” or (ii) calling (434) 202 3450. You must include in the opt out e-mail or provide by telephone: (a) your name and address; and (b) the date on which you first accessed the Platform. You may only opt out of the dispute resolution procedure in the manner described above (that is, by e-mail or telephone); no other form of notice will be effective to opt out of this dispute resolution procedure. Opting out of this dispute resolution procedure will not affect the other terms, conditions and limitations expressed in this Agreement in any way. If you use the Services and do not opt out, then you accept all terms and conditions of the arbitration provision described above.

32. Indemnification. To the maximum extent permissible under applicable law, you agree to indemnify, defend, and hold harmless Syntrillo together with its affiliates, Care Team, employees, and agents from and against any claims, liabilities, damages, losses, and expenses (including reasonable attorneys’ fees) arising out of or related to, but not limited to:

(a) Your failure to seek in-person, urgent, or emergency care.
(b) Your failure to follow treatment plans, instructions, or safety guidance from the Care Team.
(c) Your misrepresentation or omission of material medical or personal information.
(d) Your failure to comply with Sections 20 (Data Security) and 21 (Prohibited Activities) of this Agreement.

Your indemnification obligation does not apply to the extent a claim arises from Syntrillo’s gross negligence or willful misconduct.

33. Telehealth Licensing. You acknowledge that Syntrillo’s Care Team is licensed only in certain jurisdictions. You agree that:

(a) You will be physically located in your state of residence or another approved location where the treating Care Team provider is licensed to provide services at the time of each telehealth encounter.
(b) If you move or travel to a location where the Care Team provider is appropriately licensed, Syntrillo may suspend or limit Services until alternative arrangements are made.
(c) You will promptly notify Syntrillo if your place of residence changes.

34. Changes, Suspension, and Interruptions to the Services. We reserve the right to change, suspend, disrupt, or stop providing the Services to you, and to withhold or limit your access to the Platform, at any time, with or without notice. You agree we are not liable for any resulting losses or damages. The Services rely on our software, hardware, and tools, as well as those of our contractors, affiliates, and suppliers. While we strive for reliable and accessible Services, we are unable to guarantee 100% reliability and accessibility. Therefore, we do not promise consistent, uninterrupted, timely, or defect-free access to the Platform and Services.

35. Privacy and HIPAA Compliance. Syntrillo is committed to protecting the privacy and security of your personal information and Protected Health Information (“PHI”). All personal health data will be handled in accordance with:

(a) Syntrillo’s Privacy Policy and Notice of HIPAA Privacy Practices.
(b) The Health Insurance Portability and Accountability Act of 1996 (“HIPAA”) and applicable state privacy laws.

By using the Services, you acknowledge you have reviewed and agree to the terms of Syntrillo’s Privacy Policy and HIPAA Privacy Practices, including those described in Section 44 below.

36. Data Collection and Use. Syntrillo may collect and use personal information, PHI, and user content as described in the Privacy Policy, for purposes including:

(a) Providing you with Services including but not limited to personalized care.
(b) Conducting quality improvement, product development, and research.
(c) Operating and improving the Site, Mobile App, Platform and Services.
(d) Complying with legal obligations and regulatory requirements.

37. Third-Party Technology and Vendors. The Services offered by Syntrillo may contain other content, products or services which are offered or provided by third parties ("Third Party Content"), links to Third Party Content (including but not limited to links to other websites) or advertisements which are related to Third Party Content. We have no responsibility for the creation of any such Third Party Content, including (but not limited to) any related products, practices, terms or policies, and we will not be liable for any damage or loss caused by any Third Party Content. The Services may incorporate content, products, or services provided by third parties ("Third Party Content"), which includes links to external content (such as other websites) and advertisements for Third Party Content. We are not responsible for the creation of any Third Party Content, including any associated products, practices, terms, or policies. Consequently, we are not liable for any damage or loss resulting from any Third Party Content.

38. Third Party Content technology. Syntrillo also uses custom-built and third-party technology platforms (e.g., EHRs, patient portals, secure messaging, Amazon Web Services and similar platforms) to deliver the Services and store data. Syntrillo maintains HIPAA-compliant agreements where required and expects each vendor to maintain appropriate security safeguards within its own environment.

39. Your Data Privacy Rights. In accordance with law, you may:

(a) Request access to, or copies of, personal information and [PHI] maintained by Syntrillo.
(b) Request certain corrections or deletions, subject to legal and clinical record-keeping requirements.
(c) Exercise other rights as described in Syntrillo’s Privacy Policy and Notice of HIPAA Privacy Practices.

Privacy related inquiries may be submitted to privacy@syntrillo.com

40. Intellectual Property. Syntrillo, its website (Syntrillo.com) and related apps ("Syntrillo Intellectual Property") are owned by Syntrillo or its licensors. This Agreement does not grant you ownership or rights to the Services or Syntrillo’s intellectual property. Syntrillo, Syntrillo.com and related names and logos ("Syntrilllo Trademarks") are trademarks of Syntrillo or its affiliates/licensors. Other names and logos on Syntrillo’s website or Service platform belong to their respective owners. Syntrillo provides you with a limited, non-exclusive, and revocable license to use the Service platform and its content on your personal device. This license is strictly for your personal, noncommercial use of the Services and is subject to these Terms. The Company and its licensors reserve all rights not explicitly granted herein.

41. Content. The Platform contains Content owned or licensed by Syntrillo, including the name, logo, text, images, audio/visual works, icons and scripts and other materials provided on or through the Platform. As used in these Terms, “Content” means all text, information, materials, images, photos, graphics, artworks, logos, videos, audio, directories, listings, databases, search engines, functionality, features, applications, and other content. Except as provided herein, none of the Content may be copied, distributed, displayed, downloaded, licensed, modified, published, re-posted, reproduced, reused, sold, used to create a derivative work, or transmitted in any form or by any means without prior written permission from Syntrillo or the third-party owner. Unauthorized use of any Content provided through the Platform may violate copyright laws, trademark laws, the laws of privacy and publicity, and/or other regulations and statutes. Except as expressly provided herein, Syntrillo and its licensors reserve all rights with respect to the Platform and the Content, and may pursue all legally available options under both civil and criminal laws (and may cooperate with law enforcement agencies) in the event of any violations, including but not limited to the right to terminate accounts of any user who has infringed any intellectual property or proprietary rights. We may also disable any features and any links at any time without notice in its sole discretion.

42. Trademarks. Trademarks and service marks that may be referred to in the Platform are owned by Syntrillo or their respective owners. Nothing in the Platform or the Services should be construed as granting, by implication, estoppel, or otherwise, any license or right to use any trademark without our written permission. The names and logos used by Syntrillo may not be used in any way, including in advertising or publicity, without our prior written permission.

43. User Submissions. The Platform may permit you to send, post or otherwise submit Content on or through the Platform (collectively, “Submissions”). As between us and you, you own your Submissions, but, by sending, posting or transmitting Submissions to or through the Platform, you grant us and our designees a worldwide, non-exclusive, sub-licensable (through multiple tiers), transferable, royalty-free, perpetual and irrevocable right to use, reproduce, create derivative works of, display, perform, distribute and otherwise exploit your Submissions for any and all lawful purposes. Under no circumstances are you entitled to payment if Syntrillo uses or authorizes use of one of your Submissions. You are responsible for the content of your Submissions. By posting a Submission, you represent and warrant that your Submission does not violate the rights of any other person or entity, such as rights of privacy and publicity and that your Submission complies with these Terms and applicable laws, rules and regulations. Notwithstanding the foregoing or anything to the contrary set forth above or otherwise in these Terms, personal information about you or your health submitted through the Platform will be treated in accordance with the Syntrillo Privacy Policy. All Submissions are deemed non-confidential and non-proprietary. You acknowledge and agree that we have the right (but not the obligation) to alter, remove, or refuse to post or allow to be posted, any Submission. We take no responsibility and assume no liability for any Submission posted by you or any third party or for altering, removing or refusing to post your Submission.

44. Feedback. We may offer you the opportunity to provide us with your comments, suggestions, ideas or other feedback (together, “Feedback”). We have the unrestricted right to use Feedback that you provide to us for any purpose and you waive all rights therein and are not entitled to receive any compensation. PLEASE DO NOT SEND US ANY FEEDBACK THAT YOU WISH US TO KEEP CONFIDENTIAL OR FOR WHICH YOU EXPECT TO RECEIVE COMPENSATION UNLESS WE EXPRESSLY AGREE IN WRITING OTHERWISE

45. Governing Law. This Agreement and our relationship will be interpreted exclusively under the laws of the State of Delaware and federal law, without regard to applicable choice of law rules. However, nothing in this Agreement, including the choice of Delaware law, affects your statutory rights as a consumer to rely on the mandatory consumer protection and other non-waivable provisions of the law in the jurisdiction where you live.

46. Entire Agreement. This document and the terms and policies referenced herein constitutes the entire agreement between you and us. You acknowledge that you have not relied on any promises or representations from us other than those explicitly agreed in this Agreement.

47. Apple Additional Terms. If you access the Platform or Services via a mobile device or tablet branded by Apple, Inc. (“Apple”) and/or running Apple’s iOS (an “Apple Device”), the following terms (“Apple Device Additional Terms”) are hereby made part of these Terms:

Conflicting Terms. If these Apple Device Additional Terms conflict with any other provision of these Terms, then these Apple Device Additional Terms shall control with respect to access and use of the Platform and Services via an Apple Device.

Agreement with Syntrillo, not Apple. You acknowledge that these Terms are an agreement between Syntrillo and you, and not with Apple. Syntrillo, not Apple, is solely responsible for any application you access via your Apple Device (“iOS App”) and the content thereof. If these Terms are less restrictive with respect to an iOS App or otherwise conflict with, the Apple App Store Terms of Service (the “App Store Terms of Service”), the App Store Terms of Service shall apply to the extent of any conflict.

Scope of License. The license granted to use an iOS App is limited to a non-transferable license to use the Platform on an Apple Device that you own or control and as permitted by the usage rules set forth in the App Store Terms of Service.

Maintenance and Support. You acknowledge that Apple has no obligation whatsoever to furnish any maintenance and support services with respect to any iOS App. If Syntrillo decides (in its sole discretion) to provide support and maintenance services for an iOS App, Syntrillo is solely responsible for providing such services.

Warranty. Apple will have no warranty obligation whatsoever with respect to the iOS App and any other claims, losses, liabilities, damages, costs or expenses attributable to any failure to conform to any warranty is Syntrillo’s sole responsibility. Notwithstanding the foregoing, Syntrillo is not obligated to provide any warranty with respect to an iOS App and you acknowledge and agree that this paragraph will not have any effect on the warranty disclaimers provided in these Terms.

Product Claims. You hereby acknowledge that Syntrillo, not Apple, is responsible for addressing your or any third-party claims relating to an iOS App and/or use of an iOS App. Note that, pursuant to the limitation of liability provision set forth in these Terms, these Terms will not limit Syntrillo’s liability beyond what is permitted by applicable law.

Intellectual Property Rights. You acknowledge that, in the event of any third party claim that an iOS App or your possession and use (in accordance with these Terms) of an iOS App infringes that third party’s intellectual property rights, Syntrillo, not Apple, is solely responsible for the investigation, defense, settlement and discharge of any such intellectual property infringement claim.

Third-Party Beneficiary. You hereby acknowledge and agree that Apple, and Apple’s subsidiaries, are third-party beneficiaries of these Terms with respect to any iOS App, and that, upon your acceptance of these Terms, Apple has the right (and is deemed to have accepted the right) to enforce the Terms against you with respect to the iOS App as a third party beneficiary thereof.

48. Google Additional Terms. If you access the Platform or Services through Google LLC (“Google”), the following terms and conditions are applicable to you:

Acknowledgement. You acknowledge that Google is not responsible for providing support services for the App. If any of the terms and conditions in these Terms are inconsistent or in conflict with the Google Play Developer Distribution Agreement available at https://play.google/developer-distribution-agreement.html, the Google Play Developer Distribution Agreement will apply.

49. Assignment. We reserve the right to transfer or assign this Agreement or any obligations arising under it. You agree that this Agreement, and the Services, are personal to you and may not be assigned without consent from Syntrillo.

50. Severability. If any provision of this Agreement is held by a court of competent jurisdiction to be illegal, invalid, unenforceable, or otherwise contrary to law, the remaining provisions will remain in full force and effect.

51. Survival of Clauses. For the avoidance of doubt, all clauses concerning arbitration, limitations of liabilities, and indemnification will survive the termination or expiration of this Agreement.

52. Headings. The paragraph headings used in this Agreement are for convenience only and will not be used in interpreting the terms of this Agreement.

53. Customer Support & Contact. You can reach Syntrillo for inquiries regarding the Services, billing, technical support, or the documents that constitute this Agreement at:

(a) Email (general/admin): admin@syntrillo.com
(b) Email (privacy/data): privacy@syntrillo.com
(c) Mailing address: Syntrillo, Inc., 240 W Main Street, Suite 100‑CW113, Charlottesville, VA 22902

Support is available during posted business hours. Response times may vary and are not intended for emergency or urgent clinical concerns.