Terms of Service

Last Revised: December 16, 2025

Introduction

These Terms of Service (“Terms”) govern your use of our online interfaces and properties (e.g., websites and mobile applications) owned and controlled by Generations Health MI (referred to as “Practice”, “we,” “us,” and “our”), including www.generationshealthmi.com, and any future websites, as well as the services which may also be provided by Practice With Joy, Inc. (“Practice With Joy”), resources, and products available to Users through the foregoing (collectively, the “Services”).

The terms “you” and “your” mean you and any other person accessing the Services through your account. These Terms are issued collectively by Practice and Practice With Joy.

Your acceptance of, and compliance with, these Terms is a condition to your use of the Services and purchase of Products. By clicking “accept”, you acknowledge that you have read, understand, and accept all terms and conditions contained within these Terms. If you do not agree to be bound by these Terms, you are not authorized to access or use the Services.

Binding Arbitration and Waiver of Court

These Terms provide that all disputes between you and Practice and Practice With Joy that in any way relate to these Terms or your use of the Services will be resolved by binding arbitration. Accordingly, you agree to give up your right to go to court (including in a class action proceeding) to assert or defend your rights under these Terms. Your rights will be determined by a neutral arbitrator and not a judge or jury.

Please review the section below entitled Dispute Resolution; Arbitration Agreement for details.

Emergency Disclaimer

IF YOU ARE EXPERIENCING A MEDICAL EMERGENCY, YOU SHOULD DIAL 911 IMMEDIATELY.

The Services are not for medical emergencies. You should not disregard or delay seeking medical advice based on anything that appears or does not appear on the Services. If you believe you have an emergency, call 9-1-1 immediately. If you are experiencing suicidal or self-harm thoughts or tendencies, you should immediately call the National Suicide Hotline at 1-800-273-8255.

1. Services

Provider renders certain medical services to patients of the Services (collectively referred to as “Users”). Telehealth Services are provided by providers under the Practice (“Practice Providers”). Telehealth Services and all other non-clinical services are collectively referred to as the “Services.”

1.A Telehealth Services

We offer an online communication platform for Practice Providers and their patients to connect through synchronous and asynchronous telecommunications technologies (“Telehealth Services”).

Practice With Joy does not provide medical or legal advice and makes no representations regarding medical or legal issues associated with your care. All care and treatment decisions are solely between you and your Practice Provider.

Practice Providers deliver Telehealth Services to Users and are independently contracted or employed by Practice. Practice Providers—not Practice With Joy—are responsible for the quality and appropriateness of care rendered. You will never have a provider-patient relationship with Practice With Joy.

Telehealth Services are not intended to replace existing clinician relationships. Practice With Joy does not recommend or endorse any tests, medications, treatments, therapies, or procedures. You should continue to consult your primary care provider and other healthcare professionals as appropriate.

2. Availability of Services

Practice With Joy and Practice Providers operate subject to state and federal regulations. Services are available only to Users located within the United States and in states where the Services are offered at the time care is rendered.

Access to the Services is limited to individuals who are over the age of majority in their state of residence and legally able to consent to care.

3. Ordering and Purchasing Services

3.A Typographical Errors and Pricing

If a Service is listed at an incorrect price due to typographical or third-party error, we reserve the right to refuse or cancel orders at that price. If payment has already been processed, a refund will be issued to the original payment method.

4. Eligibility, Access, Security, and Restrictions

By using the Services, you represent that you are legally able to consent to their use or have appropriate authorization from a parent or legal guardian.

You agree not to violate or attempt to breach security measures, access unauthorized data, overload infrastructure, use automated scraping tools, or interfere with system operations. Unauthorized access may result in termination and legal action.

You are responsible for maintaining the confidentiality of your account credentials and for all activity occurring under your account.

Practice may record consultations or interactions for quality assurance or training purposes. By using the Services, you consent to such recordings.

5. Privacy Practices

Information you provide in connection with the Services is governed by our Privacy Policy, which is incorporated into these Terms by reference.

6. Electronic Communications

By using the Services, you consent to receive communications electronically. Electronic agreements, notices, disclosures, and signatures satisfy legal writing requirements.

We may request additional information to verify your account. Failure to provide requested information may result in suspension or termination of access.

7. Consent to Receive Calls and Text Messages

By providing your mobile number, you consent to receive calls and text messages related to the Services. Message and data rates may apply. You may opt out by replying “STOP,” though doing so may limit your access to certain Services.

8. Intellectual Property and Use Restrictions

All Services, Content, and related materials are owned by Practice With Joy or Practice and protected by intellectual property laws. You are granted a limited, non-exclusive, revocable license to use the Services for personal, non-commercial purposes only.

Unauthorized reproduction, modification, distribution, or commercial use of Content is strictly prohibited.

Feedback you provide may be used by Practice With Joy without compensation or restriction.

9. Accuracy and Functionality

We make no guarantees regarding accuracy, completeness, or uninterrupted operation of the Services. Content may be updated or modified at any time without notice.

10. Third-Party Links

Links to third-party sites are provided for convenience only. We do not control or endorse third-party content and are not responsible for your use of such sites.

11. User Information and Conduct

You agree not to submit unlawful, harmful, misleading, or infringing content. You may not impersonate others, harvest data, introduce malware, or record sessions without authorization.

De-identified and anonymized information may be used for analytics, research, and educational purposes and will not be sold or commercially marketed.

You agree to indemnify and hold harmless Practice With Joy and Practice Providers from claims arising from your use of the Services or submitted content.

12. Copyright Infringement (DMCA)

We respond to valid DMCA notices. Copyright complaints should include required identifying information and be sent to:

Email: info@generationshealthmi.com

13. CAN-SPAM and TCPA Compliance

Communications comply with CAN-SPAM and TCPA requirements. If you believe a communication is non-compliant, contact privacy@generationshealthmi.com.

14. Disclaimer of Warranties

THE SERVICES ARE PROVIDED “AS IS” AND “AS AVAILABLE” WITHOUT WARRANTIES OF ANY KIND, EXPRESS OR IMPLIED. YOU ASSUME ALL RISK ASSOCIATED WITH USE OF THE SERVICES.

15. Limitation of Liability

To the maximum extent permitted by law, Practice With Joy and Practice shall not be liable for indirect, incidental, consequential, or punitive damages. Maximum liability shall not exceed $500.

16. No Third-Party Rights

These Terms do not create rights for any third parties.

17. Assignment

You may not assign these Terms without written consent. Practice With Joy may assign freely.

18. Dispute Resolution and Arbitration

Disputes will be resolved by binding arbitration governed by the Federal Arbitration Act and AAA rules. Class actions are waived. Venue and governing law are as specified in the arbitration agreement.

19. Force Majeure

We are not liable for failures caused by events beyond our reasonable control.

20. Indemnification

You agree to defend and indemnify Practice With Joy, Practice, and affiliates from claims arising from your use of the Services or violation of these Terms.

21. Waiver

Failure to enforce any provision does not constitute a waiver.

22. Revisions and General Terms

We may update these Terms at any time. Continued use constitutes acceptance. If any provision is unenforceable, the remainder remains in effect.

Copyright and Trademark

Contact Us

Email: info@generationshealth.com

Privacy Policy

Last Updated: March 30, 2026

Notice of Privacy Practices

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN ACCESS THIS INFORMATION PURSUANT TO FEDERAL REGULATIONS. PLEASE REVIEW IT CAREFULLY.

At Generations Health (“Practice”), we understand that medical information about you and your health is personal. We are committed to protecting medical information about you. We create a record of the care and services you receive directly from one of our physicians. We need this record to provide you with quality care and to comply with certain legal requirements. This Notice of Privacy Practices (“Notice”) applies to all the records of your care generated by Practice.

This Notice will tell you about the ways in which Practice may use and disclose your protected health information (“PHI”). This Notice also describes your rights and certain obligations Practice has regarding the use and disclosure of PHI.

Regulatory Requirements

Practice is required by law to maintain the privacy of your PHI, to provide individuals with notice of Practice’s legal duties and privacy practices with respect to PHI, and to abide by the terms described in the Notice currently in effect.

Rights

You have the following rights regarding your PHI:

Restrictions

You may request that Practice restrict the use and disclosure of your PHI. To request restrictions, you must make your request in writing to our Privacy Officer using the applicable Practice form. In your request, you must tell us (1) what information you want to limit; (2) whether you want to limit our use, disclosure or both; and (3) to whom you want the restrictions to apply, for example, disclosures to your spouse.

Alternative Communications

You have the right to request that communications of PHI to you from Practice be made by particular means or at particular locations. For instance, you might request that communications be made at your work address, instead of your home address. Your requests must be made in writing using Practice’s form and sent to the Privacy Officer. Practice will accommodate your reasonable requests.

Inspect and Copy

Generally, you have the right to inspect and copy your PHI that Practice maintains, provided you make your request in writing to Practice’s Privacy Officer. If you request copies of your PHI, we may impose a reasonable fee to cover copying and postage. If we deny access to your PHI, we will explain the basis for denial and your opportunity to have your request and the denial reviewed by a licensed health care professional (who was not involved in the initial denial decision) designated as a reviewing official. If Practice does not maintain the PHI you request and if we know where that PHI is located, we will tell you how to redirect your request.

Amendment

If you believe that your PHI maintained by Practice is incorrect or incomplete, you may ask us to correct your PHI. Your request must be made in writing, and it must explain why you are requesting an amendment to your PHI. We can deny your request if your request relates to PHI: (i) not created by Practice; (ii) not part of the records Practice maintains; (iii) not subject to being inspected by you; or (iv) that is accurate and complete. If your request is denied, we will provide you a written denial that explains the reason for the denial and your rights to: (i) file a statement disagreeing with the denial; (ii) if you do not file a statement of disagreement, submit a request that any future disclosures of the relevant PHI be made with a copy of your request and Practice’s denial attached; and (iii) complain about the denial.

Accounting of Disclosures

You generally have the right to request and receive a list of the disclosures of your PHI we have made at any time during the six (6) years prior to the date of your request (provided that such a list would not include disclosures made prior to April 14, 2003). The list will not include disclosures made at your request, with your authorization, and does not include certain uses and disclosures to which this Notice already applies, such as those: (i) for treatment, payment and health care operations; (ii) made to you; (iii) for Practice’s patient list; (iv) for national security or intelligence purposes; or (v) to law enforcement officials. You should submit any such request to Practice’s Privacy Officer. Practice will provide the list to you at no charge, but if you make more than one request in a year you will be charged a fee of the costs of providing the list.

Right to Copy of Notice

You have the right to receive a paper copy of this notice upon request. To obtain a paper copy of this notice, please contact the Privacy Officer at the address and contact information stated at the end of this notice.

How We May Use and Disclose Medical Information About You

Practice may use or disclose your PHI for the purposes described below without obtaining written authorization from you. In addition, Practice and the members of its medical and allied health professional staff who participate in the organized health care arrangement described below may share your PHI with each other as necessary to carry out their treatment, payment and health care operations related to the organized health care arrangement.

For Treatment

Practice may use and disclose PHI while providing, coordinating or managing your medical treatment, including the disclosure of PHI for treatment activities of another health care provider.

For Payment

Practice may use and disclose PHI to bill and collect payment for the health care services provided to you. For example, Practice may need to give PHI to your health plan to be reimbursed for the services provided to you. Practice may also disclose PHI to its business associates, such as billing companies, claims processing companies and others that assist in processing health claims. Practice may also disclose PHI to other health care providers and health plans for the payment activities of such providers or health plans.

For Health Care Operations

Practice may use and disclose PHI as part of its operations, including for quality assessment and improvements, such as evaluating the treatment and services you receive and the performance of staff and physicians in caring for you, patient surveys, provider training, underwriting activities, compliance and risk management activities, planning and development, credentialing and peer review activities, and health care fraud and abuse detection or compliance, and management and administration. Practice may disclose PHI to doctors, nurses, technicians, students, attorneys, consultants, accountants and others for review and learning purposes, to help make sure Practice is complying with all applicable laws, and to help Practice continue to provide quality health care to its patients.

As Required by Law and Law Enforcement

Practice may use or disclose PHI when required to do so by applicable laws and when ordered to do so in a judicial or administrative proceeding. Practice may also use or disclose PHI upon a properly documented and limited request from law enforcement agencies.

For Public Health Activities and Public Health Risks

Practice may disclose PHI to government officials in charge of collecting information about births and deaths, preventing and controlling disease, or notifying a person who may have been exposed to a communicable disease or may be at risk of contracting or spreading a disease or condition.

For Health Oversight Activities

Practice may disclose PHI to the government for oversight activities authorized by law, such as audits, investigations, inspections, licensure or disciplinary actions, and other proceedings, actions or activities necessary for monitoring the health care system, government programs and compliance with civil rights laws.

Coroners, Medical Examiners and Funeral Directors

Practice may disclose PHI to coroners, medical examiners and funeral directors for the purpose of identifying a decedent, determining a cause of death or otherwise as necessary to enable these parties to carry out their duties consistent with applicable law.

Research

Under certain circumstances, Practice may use and disclose PHI for medical research purposes. For example, a research project may involve comparing the health and recovery of all patients who received one medication with those who received another, for the same condition.

To Avoid a Serious Threat to Health or Safety

Practice may use and disclose PHI to law enforcement personnel or other appropriate persons to prevent or lessen a serious threat to the health or safety of a person or the public.

Specialized Government Functions

Practice may use and disclose PHI of military personnel and veterans under certain circumstances. Practice may also disclose PHI to authorized federal officials for intelligence, counterintelligence, and other national security activities, and for the provision of protective services to the president or other authorized persons or foreign heads of state or to conduct special investigations.

Disclosures to You or for HIPAA Compliance Investigations

Practice may disclose your PHI to you or to your personal representative and is required to do so in certain circumstances described below in connection with your rights of access to your PHI and to an accounting of certain disclosures of your PHI. Practice must disclose your PHI to the secretary of the United States Department of Health and Human Services (the "Secretary") when requested by the Secretary in order to investigate Practice’s compliance with privacy regulations issued under the federal Health Insurance Portability and Accountability Act of 1996.

Patient List; Marketing

Unless you object, Practice may use some of your PHI to maintain a list of patients it has served. This information may include your name, treatment facility, and the services Practice provided to you. This patient list and the information on it may be used for marketing purposes.

Disclosures to Individuals Involved in Your Health Care or Payment for Your Health Care

Unless you object, Practice may disclose your PHI to a family member, other relative, friend, or other person you identify as involved in your health care or payment for your health care.

Other Uses and Disclosures

Other types of uses and disclosures of your PHI not described above will be made only with your written authorization, which with some limitations; you have the right to revoke your authorization in writing. If you revoke your authorization, Practice will no longer use or disclose PHI about you for the reasons covered in your written authorization. Please understand that Practice is unable to recover any disclosures already made with your authorization, and that Practice is required to retain records of the care provided to you.

Right to File a Compliant

At Practice, we value the relationships we develop with our patients, our patients’ privacy, and the trust our patients’ have in us. As such, we make every effort to remedy any issues or concerns you may have. You may submit any complaint regarding your privacy rights to:

Generations Health

Phone: (989) 394-7118

Email: info@generationshealthmi.com

Mail: 212 S. Court Street, Standish MI 48658

You also have the right to file a complaint with the secretary of the Department of Health and Human Services, Office for Civil Rights. You will not be penalized for filing a complaint. You may contact the Office for Civil Rights at:

Office for Civil Rights-Midwest Region U.S. Department of Health and Human Services 233 N. Michigan Ave., Suite 240 Chicago, IL 60601 Customer Response Center: (800) 368-1019 Fax: (202) 619-3818 TDD: (800) 537-7697 Email: ocrmail@hhs.gov

PLEASE CONTACT THE OFFICE MANAGER IF YOU HAVE ANY QUESTIONS REGARDING THIS NOTICE OF PRIVACY PRACTICES OR YOUR PRIVACY RIGHTS.

Terms of Service & Privacy Policy