Privacy Policy, Legal Notices & Disclaimers

For Revive Infusions and Wellness
Effective Currently

Last Updated: [7/3/25]

Privacy Policy

Revive Infusions and Wellness (“we,” “our,” or “us”) is committed to protecting your privacy. This policy outlines how we collect, use, and safeguard your information in compliance with HIPAA and applicable laws.

What We Collect

We may collect and store the following information:

• Name, contact details, and demographic information
• Health history and intake forms
• Payment and billing data
• Website and device data (e.g., cookies, IP address)

How We Use Your Information

We use your information to:

• Provide medical, wellness, and aesthetic services
• Maintain records, schedule appointments, and process payments
• Comply with federal and state legal or licensing requirements
• Improve our services and digital platform

HIPAA & Confidentiality

We uphold your rights under the Health Insurance Portability and Accountability Act (HIPAA). All information is kept confidential and stored securely. Disclosures are limited to:

• Providers involved in your care
• HIPAA-compliant vendors (e.g., billing software, EMR)
• Required disclosures under law (e.g., public health, court orders)

You may request access to or amendment of your records at any time. Terms of Use & Disclaimers

By using our website or receiving services from Revive Infusions and Wellness, you agree to the following:

 Medical Disclaimer

• The services provided — including IV therapy, vitamin injections, peptide therapy, functional medicine protocols, and aesthetics — are not intended to diagnose, treat, cure, or prevent any disease.

• These services are provided for wellness, lifestyle, and elective purposes and are not a substitute for care by a primary care physician or specialist.
• Many of our treatments have not been evaluated or approved by the U.S. Food and Drug Administration (FDA) for the purposes we use them.
• By receiving these services, you understand and accept their alternative and non-FDA-approved nature.

Informed Consent & Patient Autonomy

You acknowledge that:

• You are choosing to receive these services voluntarily.
• You have had the opportunity to ask questions and receive full information.
  You understand the risks, limitations, and alternative options, including standard medical care.
• You may discontinue treatment at any time.

Cash-Pay Agreement

• Revive Infusions and Wellness is a cash-pay practice.
• We do not bill or participate in any insurance programs, including:
  • Medicare
  • Medicaid (OHP)
  • TRICARE
  • Commercial health plans
• You are fully responsible for all charges and agree not to submit claims for reimbursement unless allowed under your private plan.

Telehealth Consent (if applicable)

By participating in virtual visits, you acknowledge:

• The provider is licensed in Oregon, and services are provided only to residents located in Oregon at the time of the visit.
• Telehealth carries limitations, including the inability to perform a full physical examination.
• In the event of an emergency, you agree to contact 911 or go to the nearest ER.

 Website Use & Cookies

We use cookies to analyze site performance and personalize content. By using our website, you consent to the use of cookies. You may adjust cookie preferences in your browser settings. 

Data Security & Your Rights

• You may request to review, correct, or delete your health or personal data at any time.
• We maintain encryption, firewall, and access-control measures to protect your data.

Legal Jurisdiction

• This policy is governed by the laws of the State of Oregon.
• Any disputes must be brought in Douglas County, Oregon.

 Patient Acknowledgment

I acknowledge that I have read and understand the above privacy policy, disclaimers, and consent information. I voluntarily choose to receive services from Revive Infusions and Wellness with full knowledge of the non-FDA status and cash-pay nature of these services.

Patient Portal Privacy & Security Policy

At Revive Infusions & Wellness, we are committed to protecting your privacy and ensuring the secure handling of your health information. This policy outlines how our patient portal complies with the Health Insurance Portability and Accountability Act (HIPAA) and Oregon state law.

1. Portal Access

Access to the patient portal is available only to active, verified patients of Revive Infusions & Wellness. Each portal account is securely linked to a clinical record and must be activated directly by our team.

2. Security Measures

Our EMR system uses multiple safeguards to protect your information, including:

• End-to-end encryption on all portal communications
• Role-based access controls so only authorized users can view sensitive data
• Secure login with username and password (with optional two-factor authentication)

3. Limitations on Demonstrations

Due to the privacy features of our EMR system, we cannot create test or demo patient profiles from the patient view. For this reason, we are unable to provide screenshots or third-party access to the portal without exposing Protected Health Information (PHI) or Personally Identifiable Information (PII).

4. No Third-Party Portal Access

Revive Infusions & Wellness does not allow access to the patient portal for any third parties, including certifying bodies. All platform reviews are conducted through staff-side documentation and written explanations only.

5. Data Retention & Confidentiality

We retain patient health records for a minimum of seven (7) years, or longer in the case of minors, in accordance with Oregon law. Your information is never sold, shared, or used outside of your care unless required by law or authorized by you in writing.