TELEHEALTH CONSENT AND TERMS OF CARE

Last updated: August 18, 2026

DO NOT USE THE SERVICES FOR A MEDICAL EMERGENCY. IF YOU ARE EXPERIENCING A MEDICAL EMERGENCY, CALL 911 OR GO TO THE NEAREST EMERGENCY ROOM IMMEDIATELY.

These Telehealth Consent and Terms of Care (the “Terms”) form an agreement between you and Keeva Medical Group and its affiliated professional medical entities (collectively, “Keeva,” “we,” “our,” or “us”). The specific Keeva professional entity responsible for your care may depend on your state of residence and the state where you are physically located when you receive treatment.

Keeva provides virtual healthcare services (the “Services”) through healthcare professionals who are licensed or otherwise authorized to practice under applicable state law (“Providers”). These Terms govern your receipt and use of the Services.

Please read these Terms carefully. By selecting “I accept,” “I agree,” or a similar option, or by accessing or using the Services, you confirm that you have read, understand, and agree to these Terms and consent to receive Services from Keeva. If you do not agree to these Terms, you may not use the Services.

CONSENT TO CARE AND TELEHEALTH: Section 2 describes your consent to treatment and telehealth Services.

WARRANTY DISCLAIMERS AND LIMITATIONS OF LIABILITY: Section 5 describes important disclaimers and limits on liability.

MANDATORY ARBITRATION NOTICE: Section 6 requires most disputes to be resolved through individual binding arbitration. By accepting these Terms, you and Keeva waive the right to have those disputes decided by a judge or jury and waive the right to participate in a class, collective, consolidated, or representative action.

1. GENERAL PROVISIONS

Relationship between Keeva, Maves, and Homera Health

Keeva works with Homera Health LLC (“Homera Health”), the technology and administrative-services company that operates the Maves website and platform (the “Platform”). Homera Health supplies technology, scheduling, payment administration, patient support, and other non-clinical services to Keeva. Your access to and use of the Platform is also subject to the Maves Terms of Service and Maves Privacy Policy.

Homera Health and Maves are not healthcare providers. They do not practice medicine, provide medical advice, diagnose conditions, prescribe medication, or control a Provider’s independent clinical judgment. Your provider-patient relationship is with Keeva and the Provider responsible for your care.

Location and eligibility

You must be at least 18 years old and legally able to enter into an agreement and consent to care. When registering, you must provide accurate identity and residence information. You must update your account if your state of residence or other relevant information changes.

You may use the Services only while physically located in a state where Keeva offers the applicable Service and where your Provider is authorized to practice. You may be required to verify your identity, state of residence, and physical location before or during an encounter. Keeva may decline or discontinue Services when identity or location cannot be verified or when Services cannot lawfully be provided in your location.

2. CONSENT TO CARE AND TELEHEALTH

Consent to care

You consent to the medical evaluation, diagnosis, care, and treatment that you agree to receive and that your Provider determines is clinically appropriate. This includes care delivered through telehealth. You understand that medicine is not an exact science and that no result, outcome, diagnosis, treatment response, or prescription is promised or guaranteed.

Consent to telehealth Services

Telehealth means healthcare delivered through technology when you and your Provider are in different physical locations. Telehealth may be used for evaluation, diagnosis, treatment, follow-up, care coordination, and patient education.

The Services may include:

• electronic transmission and review of medical records, photographs, laboratory results, health histories, and other patient information;
• real-time communication through audio, video, text, or other electronic means;
• non-real-time communication through questionnaires, secure messages, uploaded information, and other asynchronous tools;
• electronic or digital tools used to support diagnosis, treatment, care, monitoring, or communication; and
• information transmitted by medical devices, sound files, video files, photographs, or other digital sources.

By consenting to telehealth, you acknowledge and agree to the following:

• The Services do not replace routine or ongoing care from a local healthcare professional and are not designed to manage every acute or chronic condition.
• Before receiving care, you will be matched with a Provider who is licensed or otherwise authorized to provide the Services in the state where you are physically located.
• You may review information about your Provider’s professional credentials.
• You may not record, photograph, livestream, or otherwise capture an encounter with a Provider or care-team member without prior written consent from Keeva and every person being recorded.
• Telehealth may improve access to care, reduce travel, support more efficient evaluation and follow-up, and make specialized expertise available from a distance.
• Telehealth may also involve delays, interruptions, incomplete information, equipment failures, software failures, poor image or sound quality, and other technological limitations that can affect evaluation or treatment.
• You are responsible for providing complete and accurate health, identity, medication, allergy, symptom, and location information.
• Your Provider will determine whether your condition and needs can be appropriately addressed through telehealth.
• A remote encounter is different from an in-person examination because you and your Provider are not in the same room. In-person care remains an alternative.
• Information transmitted through telehealth may be insufficient for safe medical decision-making. Your Provider may require another telehealth encounter, diagnostic testing, an in-person examination, or care from a local healthcare professional.
• You or your Provider may end an encounter if the technology is not adequate for safe and effective care.
• You will not be prescribed a controlled substance through the Services.
• Completing an intake, paying for a plan, or communicating with a Provider does not guarantee that you will receive a prescription or any particular treatment.
• You may withhold or withdraw consent to telehealth at any time. If you withdraw consent, Keeva may no longer be able to provide Services to you through Maves. Withdrawal does not affect care already provided or charges already incurred.
• Your state may require additional notices or consents. The state-specific disclosures at the end of these Terms are incorporated into your consent.

Your responsibilities

You agree to answer all medical and identity questions honestly and completely, submit accurate photographs and measurements, provide requested records or laboratory results, and promptly disclose relevant changes in your health or medications. You agree to follow your Provider’s instructions regarding medication use, monitoring, testing, follow-up, in-person care, and emergency care.

The Platform, email, text messaging, and other electronic communications must not be used for emergencies or urgent conditions. Response times are not guaranteed. If symptoms are severe, rapidly worsening, or potentially life-threatening, call 911 or seek immediate in-person care.

3. PAYMENT FOR SERVICES

Subscriptions

The Services are offered through subscription plans available on the Platform. You agree to pay all charges disclosed for the plan you select. Subscription, renewal, cancellation, refund, and payment terms are described in the Maves Terms of Service and in the offer presented when you enroll.

Services not included

Unless expressly stated otherwise in writing, your subscription does not include:

• ancillary services;
• services provided by third parties;
• hospital, emergency-room, or urgent-care services;
• care from outside providers or specialists, including providers to whom you are referred; or
• any service or product not expressly identified as included in your subscription.
  

These are “Excluded Services.” Keeva, Homera Health, and Maves are not responsible for bills or charges arising from Excluded Services, even when a Provider recommends or refers you for those services.

No insurance accepted

Providers do not accept commercial health insurance through the Services, are not in-network with commercial health plans for the Services, and do not bill Medicare, Medicaid, or other federal or state healthcare programs for the Services. By using the Services, you choose to receive care and products on a self-pay basis outside any commercial insurance plan or government healthcare program.

You are responsible for all charges associated with the Services and products you receive. An eligible expense may qualify for reimbursement through a flexible spending account or health savings account, subject to the rules of your plan. You are responsible for determining eligibility and satisfying any documentation or reimbursement requirements.

You agree not to submit claims for the Services or related products to a commercial health plan, Medicare, Medicaid, or another government healthcare program. If you want care billed to insurance or a government program, seek care from a participating provider outside the Services.

4. HEALTH INFORMATION AND COMMUNICATIONS

Consent to use and disclose health information

You consent to Keeva using and disclosing your health information as permitted by law for treatment, payment, healthcare operations, and related purposes. This may include disclosures to other healthcare professionals involved in your treatment; Homera Health and its contractors for scheduling, billing, technology, support, and administration; pharmacies and laboratories; persons or entities responsible for payment; and other parties when authorized or permitted by law.

Health information may include information subject to heightened protection under federal or state law, including information concerning mental health, developmental or intellectual disability, psychiatric treatment, substance-use-disorder treatment, and other sensitive conditions.

The applicable Keeva Notice of Privacy Practices explains how protected health information may be used and disclosed and describes your rights. The Maves Privacy Policy describes Homera Health’s information practices for the Platform.

Consent to telephone and electronic communications

You authorize Keeva and Homera Health, including contractors acting on their behalf, to contact you at the telephone numbers and email addresses you provide and through messaging features on the Platform. Communications may include health information, treatment recommendations, preventive-care information, refill or order information, outstanding balances, requests for information, and requests for feedback related to your care.

You authorize voicemail messages to be left at the telephone numbers you provide. You understand that email and SMS text messages may not be encrypted and may be read or heard by a person who has access to your device, email account, telephone number, or voicemail. Although reasonable safeguards may be used, the confidentiality and security of standard email, text messaging, voicemail, and other electronic communications cannot be guaranteed.

By choosing to communicate through these methods, you accept the risk of unauthorized access during or after transmission. Message and data rates may apply. Consent to receive marketing communications will be obtained separately when required by law.

5. DISCLAIMER AND LIMITATION OF LIABILITY

The Services are intended for use only in states and United States territories where Keeva currently operates. Keeva does not represent that the Services are lawful, appropriate, or available in any other jurisdiction or outside the United States.

TO THE MAXIMUM EXTENT PERMITTED BY LAW, KEEVA, ITS AFFILIATES, AND THEIR OFFICERS, DIRECTORS, EMPLOYEES, PROVIDERS, CONTRACTORS, AND AGENTS WILL NOT BE LIABLE FOR CONSEQUENTIAL, EXEMPLARY, INCIDENTAL, SPECIAL, PUNITIVE, OR OTHER INDIRECT DAMAGES ARISING FROM OR RELATED TO THE SERVICES OR YOUR USE OF OR INABILITY TO USE THE SERVICES. THIS INCLUDES LOST PROFITS, LOST DATA, SERVICE INTERRUPTION, OR THE COST OF SUBSTITUTE PRODUCTS OR SERVICES, REGARDLESS OF THE LEGAL THEORY ASSERTED AND EVEN IF THE POSSIBILITY OF SUCH DAMAGES WAS DISCLOSED.

SOME JURISDICTIONS DO NOT ALLOW CERTAIN DISCLAIMERS OR LIMITATIONS OF LIABILITY. TO THE EXTENT SUCH A RULE APPLIES, SOME OR ALL OF THE LIMITATIONS ABOVE MAY NOT APPLY TO YOU.

6. DISPUTE RESOLUTION AND ARBITRATION AGREEMENT

PLEASE READ THIS SECTION CAREFULLY. IT REQUIRES MOST DISPUTES BETWEEN YOU AND KEEVA TO BE RESOLVED THROUGH BINDING INDIVIDUAL ARBITRATION. YOU AND KEEVA EACH WAIVE THE RIGHT TO A JURY TRIAL AND THE RIGHT TO PARTICIPATE IN A CLASS, COLLECTIVE, CONSOLIDATED, OR REPRESENTATIVE ACTION.

Informal dispute resolution

Before starting arbitration or filing a permitted court action, you agree to make a good-faith effort to resolve the dispute informally by contacting [email protected]. The notice must identify you, describe the dispute, and state the relief requested. If the dispute is not resolved within 30 days after the notice is received, either party may begin a formal proceeding as allowed below.

Agreement to arbitrate

Except for an individual claim eligible for small-claims court and except where you timely opt out, any dispute, claim, or controversy arising from or related to these Terms or the Services that cannot be resolved informally will be resolved through final and binding individual arbitration.

You may opt out of arbitration by sending written notice to [email protected] within 30 days after the date you first accept these Terms. If you use the Services without registering for an account, the 30-day period begins on the date you first use the Services. Your notice must state that you are opting out of arbitration and must include your full name and the email address associated with your Maves account.

If you do not provide a timely opt-out notice, you knowingly and intentionally waive the right to litigate covered disputes in court, except for an individual action in small-claims court.

If applicable law prevents enforcement of a restriction on class, representative, consolidated, or public-injunctive-relief claims for a particular claim, that claim alone will be severed and heard by a court with jurisdiction. All remaining claims will proceed in arbitration.

Arbitration rules

Arbitration will be administered by the American Arbitration Association (“AAA”) under its Consumer Arbitration Rules in effect when the arbitration begins, except as modified by this section. The AAA rules are available at adr.org. The Federal Arbitration Act governs the interpretation and enforcement of this arbitration agreement.

The party starting arbitration must provide the other party with a written demand that satisfies the AAA rules. The arbitrator will be a retired judge or an attorney licensed to practice law and will be selected under the AAA rules. If the parties cannot agree on an arbitrator within seven days after delivery of the demand, AAA will appoint the arbitrator.

Location and procedure

Arbitration may take place at a location selected under the AAA rules that is reasonably convenient for you, at another location agreed upon by the parties, or by videoconference.

If the amount in dispute does not exceed $10,000, the arbitration will ordinarily be decided from written submissions unless you request a hearing or the arbitrator determines that a hearing is necessary. For claims exceeding $10,000, hearing rights will be determined under the AAA rules. The arbitrator may permit a reasonable exchange of non-privileged information consistent with the efficient nature of arbitration.

Decision and remedies

The arbitrator will issue a written decision containing the essential findings and conclusions supporting the award. A court with jurisdiction may enter judgment on the award.

The arbitrator may award only the relief available under applicable law and only to the individual party seeking relief. Any damages awarded must be consistent with Section 5. Declaratory or injunctive relief may be awarded only to the individual claimant and only to the extent necessary to resolve that claimant’s individual claim. Attorneys’ fees and costs may be awarded when authorized by applicable law.

Fees

Responsibility for AAA filing, administrative, hearing, and arbitrator fees will be determined under the AAA Consumer Arbitration Rules and applicable law.

Changes to this section

If this arbitration section is materially changed after you accept these Terms, you may reject that change by sending written notice to [email protected] within 30 days after the change becomes effective. Rejecting a change means that any dispute between you and Keeva will be governed by the arbitration terms in effect when you first accepted these Terms.

No class actions

YOU AND KEEVA MAY BRING CLAIMS AGAINST EACH OTHER ONLY IN AN INDIVIDUAL CAPACITY. NEITHER PARTY MAY PARTICIPATE AS A PLAINTIFF OR CLASS MEMBER IN A CLASS, COLLECTIVE, CONSOLIDATED, OR REPRESENTATIVE PROCEEDING. UNLESS BOTH PARTIES AGREE IN WRITING, AN ARBITRATOR MAY NOT COMBINE THE CLAIMS OF MORE THAN ONE PERSON OR PRESIDE OVER A REPRESENTATIVE PROCEEDING.

7. MISCELLANEOUS TERMS

Entire agreement

These Terms are the complete agreement between you and Keeva concerning the Services and replace prior communications or agreements on the same subject, except for other written consents or agreements that separately apply to your care.

Governing law

These Terms are governed by the laws of the State of New York, without regard to conflict-of-law principles, except that the Federal Arbitration Act governs Section 6.

Severability

If a provision of these Terms is held invalid, illegal, or unenforceable, the remaining provisions will continue in effect to the fullest extent permitted by law, provided that the essential legal and economic substance of the agreement is preserved.

Survival

Any provision that by its nature should continue after termination of these Terms will survive termination.

Contact

Notices and support requests concerning these Terms or the Services may be sent to [email protected].

Homera Health LLC

1021 East Lincoln Way, Suite 8517

Cheyenne, WY 82001

[email protected]

Do not send emergency requests to these contacts. Call 911 or go to the nearest emergency room if you are experiencing an emergency.

STATE-SPECIFIC DISCLOSURES

The disclosures below supplement the general telehealth consent above. The disclosure for the state where you are physically located applies to your care.

Alaska

Your primary care provider may request and receive a record of your telehealth encounter as permitted by law. See Alaska Stat. § 08.64.364.

Arizona

Records created from a telemedicine consultation become part of your medical record. See Ariz. Rev. Stat. § 12-2291.

Colorado

A complaint concerning a licensed professional may be submitted through the Colorado Department of Regulatory Agencies at dpo.colorado.gov/FileComplaint.

Connecticut

Your primary care provider may obtain documentation from your telehealth encounter. You may revoke your consent to telehealth at any time. See Conn. Gen. Stat. § 19a-906.

District of Columbia

You have been informed that other methods of communicating with a physician are available for urgent medical concerns. See D.C. Mun. Regs. tit. 17, § 4618.10.

Georgia

You will receive appropriate follow-up instructions if emergency care becomes necessary in connection with treatment. See Ga. Comp. R. & Regs. 360-3-.07(7).

Idaho

Information about filing a complaint with the Idaho medical licensing authority is available at dopl.idaho.gov/filing-a-complaint.

Illinois

A professional complaint may be submitted to the Illinois Department of Financial and Professional Regulation at idfpr.illinois.gov/admin/dpr/complaint.html.

Indiana

Information about filing a consumer complaint is available through the Indiana Attorney General at in.gov/attorneygeneral/consumer-protection-division.

Iowa

Information about the Iowa medical board and its complaint process is available through the Iowa Department of Inspections, Appeals, and Licensing at dial.iowa.gov/about-dial/boards/medicine.

Kansas

If you have a primary care or other treating physician, a report of the treatment and Services provided during a telemedicine encounter may be sent to that physician within the period required by law. Information about the Kansas complaint process is available at ksbha.org/complaints. See Kan. Stat. Ann. § 40-2,212.

Kentucky

Information about filing a grievance with the Kentucky Board of Medical Licensure is available at kbml.ky.gov/grievances.

Louisiana

You will be informed of the role of any healthcare professional who participates in the consultation in addition to the telehealth Provider. See 46 La. Admin. Code Pt XLV, § 7511.

Maine

Information about filing a complaint with the Maine Board of Licensure in Medicine is available at maine.gov/md/complaint/file-complaint.

Maryland

Telehealth care will not be based solely on an online questionnaire when applicable law requires additional interaction or evaluation. Information about filing a complaint with the Maryland Board of Physicians is available at mbp.state.md.us.

Nebraska

Existing confidentiality protections apply to telehealth. You may access medical information created through a telehealth consultation as permitted by law. Patient-identifiable information or images from the consultation will not be shared with researchers or unrelated entities without written consent when consent is required.

You may request an in-person consultation immediately after a telehealth consultation and will be informed if one is not available through the Provider. Information about filing a complaint in Nebraska is available at dhhs.ne.gov/Pages/Complaints.aspx. See Neb. Rev. Stat. § 71-8505 and 471 Neb. Admin. Code § 1-006.05.

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New Hampshire

Your telehealth Provider may forward relevant medical records to your primary care or treating provider as permitted by law. See N.H. Rev. Stat. § 329:1-d.

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New Jersey

You may request a copy of your medical information. Your information may be sent to your primary care provider, provider of record, or another healthcare professional at your request or as otherwise permitted by law. See N.J. Stat. § 45:1-62.

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Ohio

Your telehealth Provider may send relevant medical records to your primary care or treating provider as permitted by law. See Ohio Admin. Code 4731-11-09.

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Oklahoma

Information about filing a complaint with the Oklahoma State Board of Medical Licensure and Supervision is available at okmedicalboard.org/complaint. Information about the Oklahoma State Board of Osteopathic Examiners is available at osboe.ok.gov.

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Rhode Island

When email or text-based technology is used to communicate with your Provider, you will be informed about permitted uses, circumstances requiring another method of communication or an in-person visit, relevant security measures, and material privacy risks. Failure to follow the communication agreement or treatment requirements may result in termination of the telehealth relationship.

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South Carolina

Your medical records may be shared with other treating healthcare professionals as permitted by law. See S.C. Code § 40-47-37.

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South Dakota

You will receive information about the telehealth delivery model and its material limitations. Your Provider will discuss the diagnosis and its basis, along with the material risks and benefits of reasonable treatment options. See S.D. Codified Laws § 34-52-3.

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Texas

Your telehealth records may be sent to your primary care physician as permitted by law. See Tex. Occ. Code § 111.005.

NOTICE CONCERNING COMPLAINTS: Complaints about physicians and other licensees and registrants of the Texas Medical Board may be reported for investigation to Texas Medical Board, Attention: Investigations, 333 Guadalupe, Tower 3, Suite 610, P.O. Box 2018, MC-263, Austin, Texas 78768-2018. Assistance is available at 1-800-201-9353. Additional information is available at tmb.state.tx.us.

AVISO SOBRE LAS QUEJAS: Las quejas sobre médicos y otros profesionales acreditados o inscritos ante el Consejo Médico de Texas pueden presentarse para investigación a Texas Medical Board, Attention: Investigations, 333 Guadalupe, Tower 3, Suite 610, P.O. Box 2018, MC-263, Austin, Texas 78768-2018. Para recibir ayuda con una queja, llame al 1-800-201-9353. Hay más información disponible en tmb.state.tx.us.

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Utah

You have received information about any separately charged telehealth fees and how those fees are paid; the persons or organizations that may receive your health information and the reasons for disclosure; your rights concerning health information; and the appropriate uses and limitations of telehealth, including its limitations during emergencies.

You understand that reasonable security and privacy safeguards are used, but technical failures and unauthorized access remain possible. You have been provided with the location of the telehealth website and relevant contact information. To the extent available, you may select your Provider and pharmacy.

You may access, supplement, and amend patient-provided health information as permitted by law; contact your Provider for follow-up care; request an electronic or paper copy of the medical record documenting the Services and consent; and request transfer of that record to another provider. See Utah Admin. Code r. 156-1-603.

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Virginia

You have received information about security measures used for telemedicine and the privacy risks that remain despite those measures. You understand that information may be lost because of technical failure and consent to patient-identifiable information being forwarded to a third party when necessary for treatment, payment, healthcare operations, or another purpose permitted by law. See Virginia Board of Medicine Guidance Document 85-12.

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Vermont

You may request consultation with a distant-site Provider and will receive one immediately or within a reasonable time after the initial consultation results are available.

Information about filing a complaint with the Vermont Board of Medical Practice is available at healthvermont.gov. Information about the Vermont Board of Osteopathic Physicians is available at sos.vermont.gov/osteopathic-physicians.