Curate By-Appointment Care Agreement

This Membership Agreement (“Agreement”) is entered into between Curate Medical (“Practice,” “we,” or “us”) and you, the undersigned patient (“Patient,” “you”). This Agreement governs your participation in Curate Medical Appointment-Based Care Membership Program (“Program”) and outlines the terms and conditions under which services will be provided.

You acknowledge and agree that your membership is voluntary and does not create an obligation

on the part of Curate Medical to accept or continue care indefinitely. Either party may terminate

this membership under the conditions described in Section 6.

This Agreement is not an insurance policy, does not replace health insurance coverage, and

Curate Medical Group is not an insurance provider.

The Effective Date of this Agreement is the date of your enrollment.

1. Patient-Clinician Relationship

By your signature, you acknowledge that you are voluntarily becoming a patient of Curate

Medical. As a Curate Medical patient, those services described in Section 2 below will be made

available to you pursuant to the terms of this Membership Agreement.

2. Services

As a patient, you are eligible to receive a set of appointment-based menopause care, metabolic

and weight care, and breast cancer support care services as offered by your individual clinician

from among those listed in Exhibit A. You are eligible to receive access to your care team via

patient portal within two business days.

During the term of this Agreement, the Health Care Services provided by Curate Medical may be

subject to change by Curate Medical from time to time. Such changes, if any, shall be reflected in

Exhibit A.

If you have a pre-existing medical condition, please contact us first to learn how you may benefit

from Curate Medical’s services. Pre-existing medical conditions do not disqualify you from

enrolling in Curate Medical’s service.

A list of covered and non-covered services is attached as Exhibit A.

3. Fees and Payment

Curate Medical does not charge an initiation fee or ongoing membership fees for the

Appointment-Based Care Membership Program. By virtue of this agreement, members gain

access to schedule medical appointments and are billed to the card on file only for the services

they receive, based on the pricing table outlined in Exhibit A and as posted on joincurate.com.

Recipients of Medicare, Medicaid, an/or any government-sponsored insurance program are not

eligible for Membership services. You agree not to submit claims to any third party payor or any

government health care program for Covered Services rendered as part of Curate Medical

Membership to you under this Agreement. You agree to indemnify and hold harmless Curate

Medical against any costs, liabilities, or penalties incurred due to submission of such claims.

Failure to comply with payment terms may result in termination of the membership. Membership

services will not be rendered for patients with inactive or nonrenewed accounts.

By entering into this Membership Agreement, you acknowledge that Curate Medical does not

provide health insurance coverage and that this is not a contract for insurance. Curate Medical

provides only the Health Care Services specifically described herein and additional costs may be

incurred for laboratory, medical imaging, surgery, specialist care, emergency department visits,

and hospitalization required outside of Curate Medical’s services. Curate Medical encourages you

to obtain and maintain health insurance coverage. Curate Medical hereby disclaims any

responsibility or liability with respect to your decisions made thereto. All Fees paid are

non-refundable.

4. Your Medical Information

Your privacy is very important to us and you control the use of your personal information.

Curate Medical has put important safeguards in place to make sure your medical information is

protected and safe to maintain its confidentiality. Curate Medical seeks to work together with you

to give you the best health care possible. Having access to your medical information will help

your Curate Medical provider give you the best possible care because your provider will have the

most up-to-date information about your health. Therefore, as allowed by the Health Insurance

Portability and Accountability Act of 1996 (HIPAA) and to help us give you the right care, in the

right place and at the right time, your health plan and its contractors and agents (Health Plan)

may electronically share with us your health-related information (including your “protected

health information” as defined by HIPAA). Such shared health-related information may include

data such as visits to the provider or hospital, medical conditions, current and past prescriptions,

biometric data (height, weight, body fat percentage, etc.) and other health status-related

information.

5. Digital Communications

Curate Medical offers members the ability to send and receive emails and texts to and from their

care team. While Curate Medical takes all required precautions to protect your information and

the security of the emails and texts it sends, there are still risks.

Risks: Transmitting patient information by email or text has a number of risks. These risks

include but are not limited to the following:

● Email and texts can be circulated, forwarded, stored electronically and on paper, and

broadcast to unintended recipients.

● Email and text senders can readily misaddress an email or text.

● Email and texts can be intercepted, altered, forwarded or used without authorization or

detection.

● Emails and texts may not be secure, and therefore it is possible that the confidentiality

of such communications may be breached by a third party.

● Email and text service providers may have access to your emails and texts.

Conditions: Curate Medical is not liable for improper disclosure of confidential information that

is not caused by Curate Medical’s misconduct. You must acknowledge and consent to the

following conditions:

● Email and text are not appropriate nor should they be used for urgent or emergency

situations. Please call 911 in the event of a medical emergency.

● Per your request, Curate Medical may send emails or texts to you as necessary for your

diagnosis, treatment, billing, eligibility and other handling. You should not use email or

text for sensitive communications (e.g., AIDS/HIV, mental health, developmental

disability or substance abuse).

● You are responsible for informing Curate Medical, in writing, if you want to cease or

limit email or text communications with Curate Medical. You may do so at any time

without reason or explanation.

● You are responsible for protecting your email account or telephone password or other

means of access to your email or text. Curate Medical is not liable for breaches of

confidentiality involving your email or telephone accounts that are caused by you or any

third party.

By signing this Membership Agreement, you acknowledge that you have received and read the

above information. In addition, you agree to any instructions that Curate Medical may impose

regarding the sending and receipt of email or text communications containing patient

information.

Recommendations and Instructions: If you wish to send and receive emails or texts from Curate

Medical regarding your care and treatment, you:

● Should limit or avoid use of public computers and public networks.

● Should promptly inform Curate Medical of changes in your email address or telephone

number.

● Before sending emails or texts containing personal health information to Curate Medical,

you should:

o Ensure the email or text is addressed to the intended recipient.

o List the key topic in the email subject line.

o Put your name in the body of the email or text.

o Take precautions to preserve the confidentiality of your emails or texts. Once

Curate Medical sends an email or text from its network, it has no control over its

confidentiality or security.

The preferred mechanism for patients to communicate securely with Curate Medical by visiting

the Curate Medical Patient Portal.

6. Term and Termination

This Membership Agreement shall begin upon the Effective Date and shall continue for one year

to the first anniversary date. This Agreement will automatically renew on the first anniversary

date and all subsequent anniversary dates thereof.

Notwithstanding the above, in order to terminate this Membership Agreement you may cancel via

your patient payment portal or by contacting Curate Medical. The date of termination shall be the

last day of the month that follows the month in which the Membership Cancellation Form was

received. Upon cancellation, after payment is received for all services received prior to the

termination of this Membership Agreement, you will not be responsible for any further payments.

If you cancel your membership and wish to rejoin in the future, Curate Medical reserves the right

to charge a re-enrollment fee or to require a waiting period before re-enrollment.

Curate Medical may terminate this Membership Agreement at any time, subject to any

professional obligations, for any reason including but not limited to non-payment, abusive

behavior, or conduct that is deemed inappropriate, unsafe, or incompatible with the therapeutic

relationship. Notice of termination will be provided in writing.

In the event of Curate Medical's closure, provider illness, or other force majeure events (e.g.,

natural disaster, pandemic, governmental shutdown), services may be temporarily suspended or

permanently terminated without liability, and no refund will be issued beyond the current paid

period.

7. Curate Medical Terms

If any term, provision, covenant or condition of this Membership Agreement is held by a court of

competent jurisdiction to be invalid, void or unenforceable, the remaining provisions will remain

in full force and effect and will in no way be affected, impaired or invalidated.

This Membership Agreement will be governed by and construed in accordance with the laws of

the state in which the medical office of your Curate Medical physician is located. By signing the

Membership Agreement, you agree to have any dispute arising out of the Membership Agreement

decided by neutral binding arbitration rather than by a jury or court trial. Any dispute will be

submitted to arbitration in the county in the state where you receive services covered by the

Membership Agreement. The decision in arbitration shall be conclusive and binding on you and

Curate Medical. All arbitration provisions shall be governed by, construed and enforced in

accordance with the Federal Arbitration Act.

This Membership Agreement is non-transferable. You may not assign or transfer your

membership to any other individual or entity. You agree to indemnify and hold harmless Curate

Medical Group, its physicians, employees, and contractors from and against all claims, damages,

losses, and expenses arising out of or resulting from your actions or omissions.

If you have a complaint, please contact Curate Medical directly in any of the following ways:

Email: support@joincurate.com

Phone:1.352.656-7570

Mail: 530 W University Ave, Gainesville, FL 32601

Exhibit A

Covered Healthcare Services

Medical Services: Medical Services under this agreement are those medical services that your

provider is permitted to perform under the laws of the state in which your provider practices and

are consistent with your provider’s training and experience.

a. Appointment-based care for the following services are available to current members,as

appropriate in the sole discretion of Curate Medical:

● Menopause care

● Metabolic & Weight Care

● Breast Cancer Support Care

b. Pricing Schedule

● New Patient Appointment: $350.00

● Follow up Appointment: $250.00

● Cancellation Fee (if less than 48 hours in advance): $50.00

Covered Non-Medical, Personalized Services. Your provider shall also provide you with the

following non-medical services (“Non-Medical Services”) in the course of care:

a. Electronic Communication Access. Member shall be given secure messaging channel

access to which non-urgent communications can be addressed as follow up to completed

appointments. Such communications shall be dealt with by the provider or staff member

of Curate Medical in a timely manner. Member will agree that in acute situations, when

Member cannot speak to their provider immediately in person or by telephone, that

Member shall call 911 or go to the nearest emergency medical assistance provider, and

follow the directions of emergency medical personnel.

b. Minimal Wait Appointments. Reasonable effort shall be made to assure that Member is

scheduled with a member of Curate Medical’s clinical team in a timely manner as clinical

needs arise for above listed services, and based on provider availability.

c. Response Times. Curate Medical shall make reasonable efforts to address clinical

concerns in a responsive manner during office hours, within 2 business days of receipt of

patient messages.

d. Care Coordination. Curate Medical shall coordinate the care plan as determined by their

clinical provider during the appointment, including the services to which the Member has

been referred. The member understands that fees paid under this Agreement do not

include and do not cover specialist’s fees or fees due to any medical professional other

than Curate Medical.

Non-Covered Healthcare Services

The following services are not included as part of this Membership agreement with Curate

Medical.

○ Primary Care

○ Medical Care between Appointments

○ In-Person Care

○ Laboratory Services

○ Imaging Services

○ Emergency Services

○ Disability Evaluations

○ Surgical Services