FISHTOWN MEDICINE – TERMS OF USE & COMMUNICATION CONSENT
​Last revised: December 6, 2025

These Terms of Use (“Terms”) describe your rights and responsibilities when interacting with or receiving care from Fruition Medicine PLLC d/b/a Fishtown Medicine (“Fishtown,” “we,” “us,” “our”). By creating an account, accessing our site, communicating with us, scheduling care, or receiving services, you agree to these Terms and all referenced policies.

Clinical services are available only to adults (18+) who are physically located in a U.S. state where our clinicians hold an active license at the time of the visit.

2.1 General Consent
By receiving services, you consent to diagnosis, treatment, and the use and disclosure of your protected health information (“PHI”) for treatment, payment, and healthcare operations as permitted by HIPAA and state law. If you withdraw consent, we must end the care relationship because PHI is required to deliver and document clinical care.

2.2 Telehealth Modalities
Telehealth may include video visits, audio-only calls, asynchronous messaging, remote monitoring, or other digital tools. You understand the potential risks and benefits. You may refuse or stop telehealth at any time.

2.3 When In-Person Evaluation Is Required
If an in-person exam, procedure, or imaging study is medically necessary, we will direct you to an appropriate local provider.

3.1 Use of AI Clinical Scribe
We use an AI-enabled clinical scribe during all visits. The scribe processes audio in real time to draft documentation. It does not make diagnoses or determine treatment. A clinician reviews and finalizes all notes.
Audio processing can be paused upon request, though pausing may reduce documentation completeness.

3.2 Clinic Recording of Telehealth Visits
We may record audio or video visits for documentation, training, quality improvement, compliance, and fraud prevention. These recordings are PHI and stored securely. External disclosure occurs only with your written authorization or when required by law.
Recording may be paused or stopped upon request, but in some cases this may limit our ability to provide or document care.

3.3 Patient Right to Record Visits
You may record any visit for personal use. You may store, replay, or process recordings (including with personal AI tools).
• You are responsible for complying with your state’s recording-consent laws.
• If mutual consent is required, you must notify us before recording; continued participation reflects our consent.
• Your personal recordings are not part of your medical record and may lose HIPAA protection once stored outside our systems.

3.4 Use of Personal AI Tools
You may use personal AI tools during visits. These tools are not HIPAA-covered unless you have a separate BAA with the vendor. We are not responsible for the privacy, accuracy, or security practices of external tools.

3.5 Right to an Observer
You may invite an observer to any visit, including a support person, advocate, trainee, or AI-based observer. Before the visit you must notify us, ensure the observer understands confidentiality, and authorize disclosure of PHI during the visit.
Observers may be asked to leave if they interfere with care or compromise safety.

3.6 Required Notice to Observers
Observers must be informed that they may not use or disclose PHI without permission, may not offer clinical advice unless licensed and acting within scope, and may report concerning conduct to the appropriate State Medical Board.

3.7 Effect on the Medical Record
The clinician’s finalized documentation is the authoritative medical record. Personal recordings or AI-generated summaries do not modify or replace the official record.

4.1 SMS Text Messaging
Opt-in allows us to send non-marketing, care-related text messages that may contain PHI. Standard carrier rates apply. SMS is not encrypted after delivery. Text STOP to opt out.

4.2 Phone Calls & Voicemail
You consent to care-related calls, which may include PHI. You are responsible for protecting your voicemail.

4.3 Email & Secure Portal
Clinical information is primarily sent through our secure portal. If you choose unencrypted email, you accept the associated privacy risks.

Information on our website or educational materials is general and not a substitute for professional medical judgment or individualized treatment.

Our HIPAA Notice of Privacy Practices (NPP), available at fishtownmedicine.com/privacy, describes how we use, disclose, and protect PHI and outlines your rights.

We do not provide emergency services.
Call 911 or go to the nearest emergency department for any medical or mental-health emergency.
For mental-health crises, call or text 988.
We may refer you to urgent care or specialists when needed.

Your existing payment, billing, refund, proration, Stripe, chargeback, fee-change, and Good-Faith Estimate policies remain unchanged and are incorporated here.

You agree to provide accurate health information, maintain updated contact and payment information, follow agreed care plans, and seek emergency help when advised.

You must maintain secure devices, updated software, and reliable internet/cellular service. We are not responsible for breaches originating from insecure personal devices.

Independent labs, imaging centers, pharmacies, EHR vendors, and communication platforms operate under their own terms. BAAs exist for HIPAA-covered vendors.
Cookie, tracking-pixel, and accessibility notices are maintained on our website.

We do not accept compensation for clinical recommendations. Fullscript commissions support platform costs and do not influence clinical judgment.

We do not prescribe Schedule II opioids.
Benzodiazepines and stimulants are prescribed only under strict clinical criteria.

We do not provide obstetric care, neonatal/pediatric care, chronic opioid or benzodiazepine management, transplant care, surgery, or disability determinations.

We do not bill Medicare, Medicaid, or private insurers and do not provide services to Medicare/Medicaid beneficiaries.

PHI is retained for at least seven years or as required by law, then securely destroyed.

Our services and site are not directed to individuals under 16.

We may terminate care with 30-day written notice for non-payment, disruptive behavior, or repeated non-adherence.

You agree to indemnify Fishtown Medicine for claims arising from misuse of services or violation of these Terms.

Neither party is liable for delays or failures caused by events beyond reasonable control.

Suggestions or testimonials may be used to improve services. PHI is never used publicly without permission.

Site and service content is owned or licensed by Fishtown and may be used only for personal, non-commercial purposes.

Services are provided “as-is” and “as-available.” Liability is limited to the amount paid for services giving rise to the claim.

Invalid provisions do not affect remaining terms. Failure to enforce rights is not a waiver.

We may update these Terms to reflect legal or operational changes. Continued use constitutes acceptance.

These Terms are governed by Pennsylvania law unless federal law applies. Disputes are resolved through binding arbitration in Philadelphia, PA except where prohibited by law.

We notify affected individuals of any breach of unsecured PHI within 60 days of discovery and maintain a comprehensive security program consistent with federal requirements.

AI tools assist with drafting educational materials and automating reminders. A licensed clinician reviews all patient-specific content before release.

Compliance Officer – Fishtown Medicine
2418 E York St., Philadelphia, PA 19125
Phone: 267-360-7927
Email: [email protected]