Terms and Conditions

DRVITAMINIV, LLC

WEBSITE TERMS & CONDITIONS + PATIENT GENERAL CONSENT + INFORMED CONSENTS

Medical Director / Provider: Leonel Cordova, M.D.
Company: DrVitaminIV, LLC (“DrVitaminIV,” “we,” “us”)
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CLICK-TO-ACCEPT NOTICE

By clicking “I AGREE”, you confirm that you have read, understood, and accept all terms in this document (the “Agreement”), and you provide your legally binding electronic signature. If you click “I DO NOT AGREE,” you will not proceed with services.

1) IMPORTANT LIMITATIONS: NOT EMERGENCY CARE / NOT PRIMARY CARE

DrVitaminIV provides elective wellness and limited medical services, which may include telehealth evaluation, IV therapy, IM/SQ injectable therapies, labs, medically managed weight loss, hormone optimization, and related counseling/education. These services are not intended to substitute for a primary care physician (PCP) or specialty care.

We do not provide emergency medical services. If you have an emergency or potentially life-threatening condition, call 911 or go to the nearest emergency department immediately.

Examples of symptoms requiring urgent/emergency evaluation include, but are not limited to: chest pain, shortness of breath, fainting, stroke symptoms, severe allergic reaction/anaphylaxis, facial/lip/tongue swelling, difficulty breathing, severe abdominal pain, uncontrolled bleeding, suicidal thoughts, confusion, severe dehydration, or any rapidly worsening condition.

2) DEFINITIONS

  • “Practice/Provider” means Leonel Cordova, M.D., DrVitaminIV, LLC, and any clinicians involved in evaluation, prescribing, or care coordination through DrVitaminIV.
  • “Services” include telehealth or in-person evaluation, wellness services, IV/IM/SQ therapies, labs, prescriptions, counseling, follow-up, and related operations.
  • “Nurse(s)” means independent nursing contractors or third-party clinicians who may provide IV/IM/SQ administration and documentation at a location chosen by the patient.
  • “Off-Label” means use of an FDA-approved medication in a manner, indication, dose, or protocol not specifically described on its FDA labeling.

3) PATIENT ELIGIBILITY AND REPRESENTATIONS

By accepting this Agreement, you represent and warrant that:

  1. You are at least 18 years old, or you are the patient’s legal representative with authority to consent.
  2. You will provide accurate identification information and truthful medical information.
  3. You understand that prescribing is not guaranteed and is always at the clinician’s discretion based on medical appropriateness and safety.
  4. You agree not to use Services for unlawful purposes, fraud, diversion, prescription sharing, or misrepresentation.

4) PATIENT GENERAL CONSENT FOR TREATMENT AND CARE

You voluntarily request evaluation and/or treatment from Leonel Cordova, M.D. / DrVitaminIV. You understand and agree:

A) Scope of Care

Care may include treatment for minor medical conditions and elective wellness services (including IV therapy and injections), and is not intended to replace ongoing care with your PCP or specialists.

B) Exclusion of Chronic and Emergency Conditions

DrVitaminIV is not designed to manage unstable chronic disease, complex multi-system illness, or emergency/life-threatening situations. You agree to maintain care with a PCP and appropriate specialists for chronic or serious conditions.

C) Consent to Treatment / Clinical Discretion

You consent to evaluation and treatment within the Services offered. You understand the Practice/Provider may modify, delay, refer out, or decline treatment if medically inappropriate or unsafe.

D) No Guarantees

No results are guaranteed. Individual responses vary.

E) Personal Health Information

You consent to the use/disclosure of health information for treatment, payment, and healthcare operations as permitted by federal and state law.

F) Financial Responsibility

You agree you are financially responsible for Services/products received, including those not covered by insurance (this is a cash-based practice unless explicitly stated otherwise).

G) Right to Refuse / Discontinue

You may refuse or stop Services at any time, but you accept responsibility for the consequences of refusing recommended care or follow-up.

5) TELEMEDICINE CONSENT (WHEN APPLICABLE)

You understand you are requesting a telemedicine consultation with Leonel Cordova, M.D., conducted remotely using electronic communication technologies.

  1. Limitations: Certain physical exams or tests may not be possible by telehealth.
  2. Risks: Risks include technological failures, confidentiality/security risks, delays, and the possibility of misdiagnosis or inadequate treatment due to limited information.
  3. Benefits: Benefits may include easier access, reduced travel costs/time, and convenience.
  4. Privacy: Reasonable efforts will be used to protect confidentiality, but no system can guarantee absolute security.
  5. Location & Emergency Plan: You agree to provide your current physical location at the start of telehealth and confirm you can access emergency services if needed.
  6. Right to Stop: You may refuse or terminate telehealth at any time without affecting future access to care, subject to Practice policies.
  7. Billing: Telehealth may be billed similarly to an in-person visit, and you are responsible for applicable fees.

6) INFORMED CONSENT: MEDICALLY MANAGED WEIGHT LOSS THERAPY (WHEN APPLICABLE)

You acknowledge that you are voluntarily entering a medically managed weight loss program with Leonel Cordova, M.D. / DrVitaminIV, LLC. You understand that any program involving calorie restriction, exercise, and/or medications carries risks.

A) Risks and Side Effects (Non-Exhaustive)

You understand risks may include, but are not limited to:

  • Cardiovascular (heart/blood pressure): palpitations, irregular beats, rapid heartbeat; may be mild but can be serious, including heart attack or stroke. Some medications may raise blood pressure. If you are on blood pressure medications, you are required to monitor blood pressure daily as directed and discontinue/seek care if elevated BP, increased HR, or palpitations occur.
  • Sudden Death: Morbid obesity and comorbidities increase baseline risk. Rare instances have occurred during supervised weight reduction; no definitive cause-and-effect has been established, but the risk cannot be excluded.
  • Reduced Potassium / Electrolyte Disturbance: inadequate intake, dehydration, diuretics, or noncompliance can cause low potassium and serious heart irregularities. Rapid calorie increase or binge eating after dieting can cause bloating, fluid retention, electrolyte disturbances, gallbladder attacks, and abdominal pain.
  • Gall Bladder Disease: rapid weight loss may precipitate gallstones/cholecystitis; may require urgent surgery. Symptoms include RUQ pain, nausea, and vomiting.
  • Pancreatitis: may be associated with gallstones/sludge/duct obstruction; symptoms include LUQ pain, nausea, fever; may be severe and life-threatening; risk may increase with binge eating after dieting, alcohol abuse, certain medications, and age.
  • Psychiatric: rare hysterical or psychotic reactions may occur with some medications or discontinuation.
  • Screening for higher-risk patients: men >40 and post-menopausal women, and patients with CV risk factors should consider cardiac evaluation (ECG, stress test, etc.) per cardiologist discretion. If you have risk factors, you acknowledge you have been advised accordingly and will follow recommendations.
  • Common side effects: dry mouth, palpitations, “speedy” feeling, headaches, sleeplessness, rash, fever, nausea, vomiting, allergic reactions, decreased insulin sensitivity, flushing, fatigue, lightheadedness, abdominal cramping, joint pain, fluid retention, and additional side effects discussed during your evaluation.
  • Drug interactions: possible if other medications are taken; you will consult your prescriber before starting new medications.
  • Certain conditions may worsen: including glaucoma, hypertension, and heart disease.
  • Pregnancy (females): if pregnant, inform immediately; restricted diet/medications may harm fetus; you must take precautions to avoid pregnancy during program.

B) BMI Criteria / Off-Label Use

You understand weight management medications are commonly indicated for BMI ≥30, or BMI ≥27 with comorbidities. Prescribing outside these criteria may be off-label and not FDA-approved for that use, with different risk/benefit considerations. If you do not meet the criteria, you acknowledge:
a) you have made a true effort to lose weight through diet/exercise over the past 6 months without achieving goals; and/or
b) inability to lose weight causes significant distress; and
c) you voluntarily request treatment and agree to hold harmless DrVitaminIV to the fullest extent permitted by law for off-label use.

C) Alcohol / Illicit Drugs Prohibited

You acknowledge that alcohol and illicit drug use are prohibited during the program. Stimulants (cocaine/amphetamines) combined with certain medications can cause serious injury or death. Alcohol can worsen side effects and reduce results.

D) No Guaranteed Results / Follow-Up Required

Weight loss varies by patient and depends on adherence and lifestyle changes. No specific weight loss is promised. You understand that follow-up and lab monitoring may be required for safety and continuation.

E) Authorization

You authorize the Practice/Provider and staff to evaluate you for admission into a weight management program and treat you accordingly, including ordering bloodwork if necessary. You affirm you are competent and consenting voluntarily.

F) Alternatives

You acknowledge alternatives include: diet/exercise alone, other medications, commercial programs (e.g., Weight Watchers), and bariatric surgery.

7) RISKS AND BENEFITS ACKNOWLEDGMENT: WEIGHT LOSS (WHEN APPLICABLE)

You recognize potential benefits of weight loss may include decreased risk of heart attack, adult-onset diabetes, arthritis/musculoskeletal issues, improved emotional well-being, and decreased risk of certain cancers. You understand benefits are not guaranteed and outcomes vary.

8) INFORMED CONSENT: INJECTABLE VITAMINS, NUTRIENTS, AND OTHER PRODUCTS (WHEN APPLICABLE)

You understand you may receive injectable vitamins/nutrients/other products as a medical procedure primarily intended to support wellness/quality of life and not necessarily medical necessity.

A) Procedure Description

Administration may be IV/IM/SQ using sterile technique, at sites such as the arm, lateral thighs, or buttocks, at doses and frequencies prescribed.

B) Potential Benefits (Not Guaranteed)

  1. Immediate absorption and high bioavailability
  2. Consistent dosing
  3. Rapid onset of perceived effects
  4. Enhanced energy levels
  5. Immune support
  6. Reduction in deficiency symptoms (when deficiencies exist)
  7. Convenience
  8. Customizable approach
  9. Supports overall well-being (skin/hair/mental clarity/sleep)
  10. Possible mental health support in some individuals

C) Risks and Side Effects (Non-Exhaustive)

  1. Injection site reactions (pain, swelling, redness, itching)
  2. Allergic reactions up to anaphylaxis
  3. Infection
  4. Dosage concerns (over/under dosing; rare serious toxicity)
  5. Hematoma/bleeding
  6. Rare embolism
  7. Nerve damage
  8. Systemic side effects (nausea, dizziness, headaches, flu-like symptoms)
  9. Medication interactions
  10. Tissue damage/necrosis with repeated injections
  11. Dependency/over-reliance
  12. Discoloration

D) Alternatives

Oral supplements, topical applications, sublingual/buccal, intranasal sprays, IV drips, dietary changes, powders/drink mixes, suppositories, pellet therapy, transdermal patches, and/or no treatment.

9) INFORMED CONSENT: TESTOSTERONE REPLACEMENT THERAPY AND HORMONE IMBALANCE CORRECTION (WHEN APPLICABLE)

You consent to evaluation and potential treatment by Leonel Cordova, M.D. / DrVitaminIV, LLC, and associated providers for symptoms/conditions including andropause, testosterone replacement, manipulation of hormone levels (including DHEA/estradiol), growth hormone abnormalities (IGF-1), vitamin D-3 issues, nutritional deficiencies, overweight/obesity, B12 injections, and other clinically appropriate interventions.

A) Off-Label / Non-FDA Approved Use

You acknowledge that some treatments offered (including testosterone, growth hormone stimulators, bioidentical hormone therapy, B12, NAD+, semaglutide, tirzepatide, thyroid optimization, and others) may be considered off-label and not FDA-approved for wellness optimization, anti-aging, or weight loss unless medically necessary.

B) Authorization and Monitoring

You authorize evaluation and treatment and consent to bloodwork before/during treatment when necessary. You understand close monitoring is required, including hormone levels and other labs, and therapy may be modified/discontinued for safety.

C) Alternatives to Testosterone Replacement

You understand alternatives include:

  1. no hormone treatment,
  2. lifestyle approach (weight loss/nutrition),
  3. alternative medications to increase testosterone vs. prescription testosterone.

D) Safety and Controversy Disclosure

You understand there is controversy in medical literature regarding testosterone therapy and cardiovascular events (strokes, heart attacks, blood clots). Studies vary; some show correlation, others do not.

E) Preventive Care / Screening Responsibility

You agree to remain up to date on age-appropriate screenings (e.g., colonoscopy, cardiac screening, DRE/prostate screening when applicable, and other preventive care) through your PCP. DrVitaminIV is not responsible for providing comprehensive preventive care outside the scope of Services.

F) Proceeding Without Screening Results

If you elect to start or continue treatment without completing recommended screenings, you accept that risk and agree not to hold DrVitaminIV responsible for adverse outcomes that could have been identified through routine preventive screening outside the scope of Services. You agree to notify DrVitaminIV promptly of abnormal screening results.

10) ACKNOWLEDGMENT OF NON-MEDICAL NECESSITY AND OFF-LABEL USE (GENERAL)

You acknowledge and agree:

  1. Off-Label Definition: Off-label refers to an FDA-approved medication used for a purpose/dose not specified on the label.
  2. Absence of Medical Necessity: Some Services may not be deemed “medically necessary” and may be elective.
  3. Variable Evidence: Some treatments may not be supported by strong scientific literature and may be considered experimental or based on anecdotal outcomes.
  4. No Guarantee: Positive outcomes reported by others do not guarantee your results.
  5. Monitoring: You agree to follow monitoring recommendations and report adverse effects promptly.
  6. Informed Choice: You choose to proceed after discussion of risks, benefits, and alternatives.

11) PATIENT ACKNOWLEDGMENT: NURSES PROVIDING SERVICES AS INDEPENDENT CONTRACTORS (AT HOME OR PATIENT-SELECTED LOCATION)

DrVitaminIV may facilitate access to independent nursing contractors (“Nurses”) who provide IV/IM/SQ therapy services at the location you choose.

  1. Independent Contractors / No Agency: You acknowledge Nurses are independent contractors and are not employees or agents of Leonel Cordova, M.D., or DrVitaminIV, LLC. Nurses are responsible for their own acts/omissions within their professional services.
  2. Selection of Nurses: You may select from a list of independent providers or hire your own nurse/service. In all cases, the Nurse is not an employee/agent/representative of DrVitaminIV. Any nursing services are provided under a separate relationship between you and the Nurse.
  3. Compensation: Nurses may require payment prior to services. Payments may be made directly to the Nurse, or DrVitaminIV may collect and remit payment as an administrative convenience; this does not create an employment relationship.
  4. Physician Standing Orders: Nurses perform services under standing orders/protocols issued by the Provider. Nurses are authorized only to administer treatments approved and outlined by the Provider and may not deviate without prior authorization. Off-protocol services are outside DrVitaminIV responsibility and must be arranged independently.
  5. Limitation of Liability Regarding Nurses: To the fullest extent permitted by law, you agree that DrVitaminIV/Provider is not responsible for negligence, mismanagement, or adverse events arising from services performed by independent Nurses, and you agree to hold DrVitaminIV/Provider harmless from claims arising from Nurse acts/omissions.
  6. Governing Law: Florida law governs this section.

12) SELF-ADMINISTERED MEDICATION AGREEMENT AND RELEASE OF LIABILITY (WHEN APPLICABLE)

You acknowledge you have received instructions/educational materials for at-home injections and that injection risks were discussed, including local/systemic reactions, rash, bruising, and other adverse effects.

  1. If you self-inject or a designated person injects you, you agree that you should be attended to for at least 30 minutes by a responsible adult to assist in case of severe reaction.
  2. You agree to have epinephrine available if recommended, and/or call 911 immediately for systemic reaction or severe symptoms, and seek emergency management/transfer to the nearest emergency facility.
  3. You agree to inform Leonel Cordova, M.D., promptly of adverse reactions or side effects potentially related to prescribed medications.
  4. You acknowledge instruction on proper use/administration and agree to verify medication currency/expiration; if not current, you will request renewal.
  5. You understand you must maintain follow-up appointments as needed.
  6. You assume full responsibility for self-injection and release the Provider from liability for reactions, conditions, self-injection procedures, or injuries in conjunction with injection therapies, to the fullest extent permitted by law.

13) RELEASE OF LIABILITY FOR MISUSE OF PRESCRIBED MEDICATION

You acknowledge you have been prescribed medication and informed of risks of misuse, including allergic reactions, side effects, and adverse interactions.

You release and discharge the prescribing physician, dispensing pharmacy, and other parties involved in prescription/distribution from claims, damages, losses, or injuries arising from your misuse, including claims based on negligence, strict liability, breach of warranty, or other legal theory, to the fullest extent permitted by law.

You acknowledge you are solely responsible for the consequences of misuse, including using medication after expiration or beyond recommended dates of use, taking an inadequate dose, taking an excessive dose, improper storage, or otherwise deviating from instructions.

You agree to indemnify and hold harmless the released parties from claims arising from your misuse, including third-party claims, to the fullest extent permitted by law.

14) AGREEMENT TO DISCARD MEDICATION AFTER 28 DAYS OF OPENING MULTIDOSE VIAL (CDC-ALIGNED SAFETY POLICY)

You understand that medication provided from a multidose vial may be discarded after 28 days from first puncture/opening to reduce contamination risk, consistent with safety policy and CDC-aligned handling practices.

You understand a new vial may be used for subsequent treatments even if medication remains, and you agree to follow administration instructions and contact the Provider with questions.

15) PAYMENT TERMS, CREDIT CARD AUTHORIZATION, AND AUTOMATIC RECURRING CHARGES

You authorize Leonel Cordova, M.D., and DrVitaminIV/CMEDCARE (and payment processors) to charge your credit card for requested services/products and applicable fees.

You also authorize recurring charges for subscriptions/recurring services you agree to, at the frequency disclosed at purchase.

You understand you may cancel or modify recurring charges by contacting DrVitaminIV, and that cancellation/modification may terminate services/products.

You agree to keep payment information current and notify us of changes.

You acknowledge your payment info is stored/processed securely per applicable laws and is used only for authorized purposes.

16) REFUND POLICY (NO REFUNDS)

All products and services are non-refundable.

Medications are ordered specifically per patient and cannot be refunded. Home kits are non-refundable.

Once a vial is started/dispensed, it may be used only until the expiration date specified on your vial and/or chart, and subject to the 28-day multidose policy when applicable.

Recurring subscriptions are billed on the same day each month (or per the schedule at purchase). Subscriptions must be canceled before the next billing. To cancel, use: https://www.drvitaminiv.com/contact (include your name, DOB, and cancellation request). Once a subscription has billed, it cannot be canceled or refunded.

In-office expiration: ask your provider for the expiration date; typically 1–4 months depending on the medication. Expired medications are discarded and cannot be used.

17) ACKNOWLEDGMENT OF MALPRACTICE INSURANCE STATUS (FLORIDA DISCLOSURE)

You acknowledge the following notice:

“Under Florida law, physicians are generally required to carry medical malpractice insurance or otherwise demonstrate financial responsibility to cover potential claims for medical malpractice. YOUR DOCTOR HAS DECIDED NOT TO CARRY MEDICAL MALPRACTICE INSURANCE. This is permitted under Florida law, subject to certain conditions. Florida law imposes penalties against noninsured physicians who fail to satisfy adverse judgments arising from claims of medical malpractice.”

You affirmthat  any questions about this disclosure have been answered to your satisfaction, and you choose to proceed.

18) MY OBLIGATIONS AND REPRESENTATIONS

You confirm:

  • All your questions have been answered to your satisfaction.
  • You will administer medications exactly as prescribed when not administered in the clinic.
  • You will maintain regular care with a PCP for other conditions and seek appropriate specialty care.
  • You are seeking DrVitaminIV for specialized/elective care (weight loss, wellness, diet/exercise counseling, hormone optimization, IV/injectables) and not establishing comprehensive primary care.

19) LIMITATION OF LIABILITY

To the fullest extent permitted by law:

  1. The total liability of DrVitaminIV/Provider for any claim related to services/products (contract, tort, statute, or otherwise) is limited to the amount actually paid by you to DrVitaminIV for the specific service giving rise to the claim.
  2. DrVitaminIV/Provider is not liable for indirect, incidental, special, consequential, exemplary, or punitive damages, including lost profits, loss of chance, or emotional distress damages, except where prohibited by law.

20) INDEMNIFICATION

You agree to indemnify, defend, and hold harmless DrVitaminIV/Provider and their respective officers, directors, employees, contractors, affiliates, successors, and assigns from and against liabilities, losses, claims, damages, judgments, settlements, penalties, fines, interest, and costs/expenses (including reasonable attorneys’ fees) arising out of or related to:

  • your failure to disclose relevant medical information;
  • your noncompliance with instructions, dosing, follow-up, labs, or warnings;
  • misuse, sharing, diversion, improper storage, or improper administration of medications/supplies;
  • failure to seek emergency care when advised;
  • acts or omissions by third parties you select, including independent Nurses.

This indemnification does not apply to intentional or criminal acts by the Practice/Provider and is limited to the fullest extent permitted by law.

21) DISPUTE RESOLUTION: ARBITRATION, JURY TRIAL WAIVER, AND CLASS ACTION WAIVER

You agree that any dispute, claim, or controversy arising out of or relating to this Agreement, Services, communications, billing, or products will be resolved as follows:

  1. Informal Resolution: You will first provide written notice and allow at least 30 days to attempt a good-faith resolution.
  2. Binding Arbitration: If unresolved, disputes will be resolved by confidential binding arbitration in Miami-Dade County, Florida, under AAA rules oa r comparable forum, unless prohibited by law.
  3. Jury Trial Waiver: You waive the right to a jury trial.
  4. Class Action Waiver: You agree to bring claims only in an individual capacity and waive any class/collective/representative action to the fullest extent permitted by law.

22) GOVERNING LAW

This Agreement is governed by the laws of the State of Florida, without regard to conflict of law principles.

23) SEVERABILITY

If any provision of this Agreement is found unenforceable, the remainder will remain in full force and effect, and the unenforceable portion will be modified to the minimum extent necessary to make it enforceable.

24) ENTIRE AGREEMENT; UPDATES

This Agreement constitutes the entire agreement between you and DrVitaminIV regarding Services, consents, billing, and policies, and supersedes prior oral or written understandings on these topics. DrVitaminIV may update website policies/terms from time to time; updated terms apply as permitted by law and upon posting/acceptance for future Services.

25) ELECTRONIC RECORDS AND SIGNATURES

You consent to electronic records, electronic delivery of notices/communications, and electronic signatures. Clicking “I AGREE” constitutes your legal signature and acceptance.

26) ACCEPT / REJECT

By clicking “I have read and agree to the Terms and Conditions above: *” you acknowledge that you:

  • read and understood the entire Agreement,
  • had the opportunity to ask questions,
  • voluntarily consent to evaluation and treatment under these terms, and
  • accept the billing, refund, arbitration, limitation of liability, indemnification, independent contractor nurse, and malpractice disclosure terms.

 I understand that accepting these Terms is required to continue with booking and treatment.