UPLIFT MEDICAL STAFFING, DOING BUSINESS AS UPLIFT CONCIERGE CARE
Patient Service Agreement, Informed Consent & Liability Waiver
State of California

1. PARTIES

This Agreement is entered into between UpLift Medical Staffing, doing business as UpLift Concierge Care ("Company") and the patient or authorized representative signing below ("Patient"). By completing this booking and signing this agreement, Patient agrees to all terms outlined herein.

2. AUTHORIZATION FOR CARE

Patient voluntarily authorizes UpLift Medical Staffing d/b/a UpLift Concierge Care and its licensed healthcare providers to perform the requested services as selected during the booking process. Services are provided by licensed, insured professionals and are limited to the scope of the selected service.

3. INFORMED CONSENT & ACKNOWLEDGMENT OF RISKS

Patient acknowledges that all healthcare services carry inherent risks. No specific outcome or result is guaranteed. Services are not a substitute for primary care, emergency care, or hospital treatment. Providers will exercise professional judgment but results may vary based on individual health conditions.

4. MEDICAL HISTORY DISCLOSURE

Patient agrees to disclose all relevant medical history including current medications, allergies, prior surgeries, chronic conditions, and any other health information that may affect the delivery of care. Failure to disclose accurate information releases the Company and its providers from any liability arising from complications related to undisclosed information.

5. SCOPE OF SERVICES & PROVIDER LIMITATIONS

Services are limited to the specific service booked and do not include diagnosis, prescription, or treatment outside the provider's licensed scope of practice. Providers are not the Patient's primary care physician and do not replace ongoing medical care. Virtual consultation services are informational in nature and do not establish a formal patient-provider relationship unless otherwise specified.

6. EMERGENCY PROTOCOL

In the event of a medical emergency during a visit, the provider will immediately contact 911 and remain with the Patient until emergency services arrive. The Company is not liable for outcomes resulting from emergencies that occur during or after a visit.

7. IDENTITY VERIFICATION

Patient agrees to provide a valid government-issued photo ID prior to services being rendered. Patient certifies that all information provided is accurate and truthful. Providing false identification is grounds for immediate termination of services and may result in legal action.

8. MINOR PATIENT CONSENT

If the Patient is under the age of 18, a parent or legal guardian must complete and sign this agreement. The signing guardian certifies they have legal authority to authorize care for the minor.

9. PAYMENT AGREEMENT

Pricing will be communicated by the Company prior to the appointment. Full payment is required before services are rendered. All sales are final once services have been rendered.

10. CANCELLATION POLICY

Cancellations must be made at least 24 hours prior to the scheduled appointment. Late cancellations may be subject to a cancellation fee. No-shows without notice may be charged the full service fee.

11. CONFIDENTIALITY & HIPAA COMPLIANCE

The Company is committed to protecting Patient's personal and medical information in compliance with HIPAA. Patient information will not be shared with third parties without written consent, except as required by law.

12. NON-DISCLOSURE & MUTUAL CONFIDENTIALITY

Both parties agree to maintain confidentiality of all information shared during the course of services. The Company agrees to sign an NDA upon written request. Patient agrees not to publicly disclose proprietary information about the Company's providers, processes, or internal operations.

13. RIGHT TO REFUSE TREATMENT

Patient retains the right to refuse any treatment at any time. The Company is not liable for results stemming from refused treatment.

14. INDEMNIFICATION

Patient agrees to indemnify and hold harmless UpLift Medical Staffing d/b/a UpLift Concierge Care, its owners, employees, contractors, and affiliated providers from any claims, damages, or expenses arising from inaccurate medical history, failure to follow provider instructions, or undisclosed pre-existing conditions.

15. LIMITATION OF LIABILITY

To the fullest extent permitted by California law, the Company's total liability shall not exceed the total amount paid by Patient for the specific service in dispute.

16. ARBITRATION CLAUSE

Any dispute arising out of or relating to this Agreement shall be resolved through binding arbitration in the State of California in accordance with AAA rules. Patient waives the right to a jury trial and agrees not to participate in any class action lawsuit against the Company.

17. GOVERNING LAW

This Agreement shall be governed by the laws of the State of California. Any proceedings not subject to arbitration shall be conducted in Los Angeles County, California.

18. NON-SOLICITATION OF PROVIDERS

Patient agrees not to directly solicit, recruit, hire, bribe, or engage in any private arrangement with any UpLift Medical Staffing provider — including but not limited to nurses, therapists, caregivers, and consultants — outside of the Company's booking platform, without the prior written consent of UpLift Medical Staffing.

Patient acknowledges that UpLift Medical Staffing invests significant resources in recruiting, training, and credentialing its providers. Any violation of this clause — including but not limited to direct hiring, private payment arrangements, or solicitation of any kind — shall result in a $10,000 non-solicitation fee payable immediately to UpLift Medical Staffing, in addition to any other legal remedies available under California law.

19. ENTIRE AGREEMENT

This Agreement constitutes the entire agreement between the parties and supersedes all prior discussions or representations regarding the subject matter herein.