Membership Agreement
& Privacy Policy
CoreLife Membership Agreement
Thank you for choosing CoreLife as your partner in health and wellness. Please review the following terms and conditions regarding your participation in our program. By signing this waiver, you acknowledge your understanding and agreement to these terms.
Acknowledgement of Risks and Responsibilities
CoreLife provides guidance and support for health and wellness improvements. However, participation in the program involves inherent risks, and results may vary based on individual effort, health conditions, and compliance with program guidelines.
By signing this waiver, you agree to:
- Assume full responsibility for your participation in the program.
- Release CoreLife and its staff from any liability for outcomes related to your participation.
Membership Terms
Non-Refundable Membership Fees
All fees paid to CoreLife for program participation are non-refundable.
Automatic Payments
You authorize CoreLife to automatically charge the payment method on file for your selected membership plan on a recurring basis according to the billing schedule until you cancel your membership.
Cancellation Policy
You may cancel your membership at any time by contacting your local CoreLife office directly or by emailing cancellationsnc@corelifemd.com. Cancellation requests will be processed within 30 days.
If a cancellation request coincides with a scheduled payment date, one final charge may be processed. Cancellations will take effect at the end of the current billing cycle. Once processed, membership benefits will be forfeited, the membership will be deactivated, and no further charges will be made.
Changes to Membership Terms
Membership terms and conditions, including but not limited to pricing and benefits offered, are subject to change upon notice.
Privacy and Information Exchange
CoreLife prioritizes the privacy and security of your personal health information. All information shared with CoreLife will be managed in accordance with the Health Insurance Portability and Accountability Act (HIPAA) regulations and standards.
By signing this waiver, you consent to:
- The collection and secure storage of your health-related information.
- The safe exchange of your information between CoreLife staff as necessary to support your participation in the program.
Acknowledgement and Agreement
By signing below, you acknowledge that you have read, understood, and agreed to the terms outlined in this waiver. You also affirm that you have had an opportunity to ask questions regarding these terms and that all your questions have been answered to your satisfaction.
Care App Privacy Policy
Effective Date: December, 1st 2024
Our Services
- CoreLife Care App
Agreement to Terms
Scope of Notice
Collection & Use of Your Personal Information
Information Collected Directly from You
Information Collected from Your Use of the Services
Cookies
Web Logs and Beacons
Online Analytics and Mobile Application Technologies
Security
Disclosure of Personal Information
- To Participating Providers: For services you’ve requested.
- To Other Third-Party Providers: With third parties who offer services you’ve requested from CoreLife.
- To Affiliates : To subsidiaries or companies under common control, honoring this Notice.
- For Internal Analyses and Operations : For improving our services and operations.
- For Legal and Compliance : To comply with the law or protect rights and safety.
- As Part of Business Transfers : During mergers, acquisitions, or sales.
- As Aggregated Information : Sharing anonymized information for marketing or statistics.
Disclosures of Protected Health Information
Your Rights
Links to Third Parties
Third-Party Advertising
Governing Law
Changes to this Notice
Patient Bill of Rights
- A patient has the right to respectful care given by competent personnel.
- A patient has the right to privacy with respect to his or her medical condition. A patient’s care and treatment will be discussed only with those who need to know.
- A patient has the right to have his or her medical records treated as confidential and read only by people with a need to know. Information about a patient will be released only with permission from the patient or as required by law.
- A patient has the right to request amendments to and obtain information on disclosures of his or her health information, in accordance with law and regulation.
- A patient has the right to know what rules apply to his or her conduct as a patient, as stated in the Patient Responsibilities section below.
- A patient has the right to good quality care and high professional standards that are continually maintained and reviewed.
- A patient has the right to make informed decisions regarding his or her care and has the right to include family members in those
decisions. - A patient has the right to information from his or her provider in order to make informed decisions about his or her care. This means
that patients will be given information about their diagnosis, prognosis, and different treatment choices. This information will be given in terms that the patient can understand. - A patient has the right to refuse any drugs, treatment or procedures to the extent permitted by law after hearing the medical consequences of refusing the drug, treatment or procedure.
- A patient has the right to have help getting another provider’s opinion at his or her request and expense.
- A patient has the right to care without regard to race, color, religion, disability, sex, sexual orientation, national origin, or source of payment.
- A patient has the right to be given information in a manner that he or she can understand. A patient who does not speak English, or is hearing or speech impaired, has the right to an interpreter, when possible, and/or as provided by law.
- Upon request, a patient has the right to access all information contained in the patient’s medical records within a reasonable timeframe. This access may be restricted by the patient’s provider only for sound medical reasons. A patient has the right to have information in the medical record explained to him or her.
- A patient has the right to be free from needless duplication of medical and nursing procedures.
- A patient has the right to treatment that avoids unnecessary discomfort.
- A patient has the right to a copy of his or her bills. A patient also has the right to have the bill explained.
- A patient has the right to request help in finding ways to pay his or her medical bills.
- A patient has the right to access people or agencies to act on the patient’s behalf or to protect the patient’s right under law. A patient has the right to have protective services contacted when he or she or the patient’s family members are concerned about safety.
- A patient has the right to be informed of his or her rights at the earliest possible time in the course of his or her treatment.
- A patient has the right to make advance directives (such as a living will, health care power of attorney and advance instruction for mental health treatment) and to have those directives followed to the extent permitted by law.
- A patient has the right to personal privacy and to receive care in a safe and secure setting.
- A Medicare patient has the right to appeal decisions about his or her care to a local Medicare Review Board. The Facility will provide the name, address, and phone number of the local Medicare Review Board and information about filing an appeal.
- A patient has the right to be free from all forms of abuse or harassment.
- A patient has the right to be involved in resolving dilemmas about care decisions.
- A patient has the right to have his or her complaints about care resolved.
- A patient has the right to be free from financial exploitation by CoreLife.
Patient Responsibilities
- Provide complete and accurate information concerning your present health, medication, allergies, etc., when appropriate to your care/service.
- Be involved, as needed and as able, in the development, carrying out and modifying your care plan.
- Properly clean and maintain equipment and supplies.
- Contact us with any questions or problems concerning your equipment, supplies or service.
- Notify us prior to changing your place of residence or your telephone number.
- Notify us when encountering any problem with equipment or service.
- Notify us of denial and/or restriction of our privacy policy.