Terms of Service

Effective Date / Last Updated: June 15, 2026

These Terms of Service (these "Terms") govern your access to and use of the websites, portals, platforms, applications, software tools, communications, forms, scheduling tools, telehealth workflows, SMS programs, business services, administrative services, management services organization services, professional corporation support services, provider collaboration services, white-label provider network services, and other products or services offered by Single Thread Health, LLC ("Single Thread Health," "Company," "we," "us," or "our").

1. Acceptance of Terms

By accessing or using the Services, requesting a demo, submitting a form, creating an account, logging into a portal, communicating with us, enrolling in SMS messages, scheduling a consultation, purchasing or paying for a service, executing an order form, or otherwise using any part of the Services, you agree to these Terms.

If you use the Services on behalf of a company, medical group, professional corporation, management services organization, healthcare practice, provider group, employer, client, or other legal entity, you represent and warrant that you have authority to bind that entity to these Terms. In that case, "you" and "your" refer to both you as an individual and that entity.

If you do not agree to these Terms, you may not access or use the Services. If you are a patient or prospective patient and you are experiencing a medical emergency, do not use the Services for emergency care. Call 911 or go to the nearest emergency department.

2. Who We Are and What These Terms Cover

Single Thread Health is the business name used by Single Thread Health, LLC. Our current contact information is: 8605 Santa Monica Blvd., Suite 68379, West Hollywood, CA 90069; hello@singlethreadhealth.com; (888) 811-9064.

Single Thread Health provides products and services designed to help healthcare companies, digital health organizations, medical groups, professional corporations, management services organizations, providers, APPs, collaborating physicians, PC owners, and related healthcare stakeholders build, operate, and scale compliant healthcare operations. Our Services may include MSO/PC formation support, MSO-friendly professional corporation structure support, back-office and administrative operations, white-label infrastructure, provider collaboration workflows, provider network support, compliance-oriented operational tools, technology platforms, consultation workflows, and, if and when launched, direct-to-patient telehealth services.

These Terms apply to all visitors, users, business contacts, prospective customers, business customers, clients, professional users, providers, PC owners, collaborating physicians, advanced practice providers, patients, prospective patients, and others who access or use the Services unless a separate signed agreement states otherwise.

3. Relationship to Other Agreements, Policies, Consents, and Notices

These Terms are supplemented by, and should be read together with, any applicable Privacy Policy, Notice of Privacy Practices, Business Associate Agreement, Master Services Agreement, Management Services Agreement, Statement of Work, Order Form, Service Agreement, Customer Agreement, Provider Agreement, Professional Services Agreement, Collaboration Agreement, PC-owner agreement, telehealth consent, informed consent, patient financial responsibility agreement, prescription or pharmacy terms, lab terms, or other written agreement or notice that applies to a particular product, service, customer, patient, provider, or workflow.

If a separate written agreement signed by Single Thread Health and a customer or provider conflicts with these Terms, the signed written agreement will control for the subject matter of that agreement. If a Notice of Privacy Practices issued by a medical group or provider conflicts with these Terms regarding protected health information, that Notice of Privacy Practices will control for that medical group or provider's use and disclosure of PHI. If a Business Associate Agreement applies, the Business Associate Agreement will control with respect to PHI as required by HIPAA.

These Terms do not modify any signed Master Services Agreement, Management Services Agreement, Business Associate Agreement, professional corporation documents, provider collaboration documents, or patient-provider agreement unless the applicable agreement expressly says that these Terms are incorporated or control.

Our Privacy Policy is available at https://www.singlethreadhealth.com/privacy-policy. Your use of the Services is subject to that Privacy Policy. The Privacy Policy includes additional information about SMS opt-in data, mobile information, PHI, consumer health data, and privacy rights.

4. Definitions

  • APP: means an advanced practice provider, including a nurse practitioner, physician assistant or physician associate, clinical nurse specialist, nurse midwife, registered nurse, or other clinician or professional, as applicable under state law and the relevant workflow.

  • Business Customer: means a company, medical group, professional corporation, management services organization, healthcare practice, digital health company, telehealth company, provider organization, or other business or professional entity that uses or purchases the Services.

  • Clinical Services: means medical, professional, clinical, telehealth, diagnosis, treatment, prescription, care coordination, or related healthcare services provided by licensed providers or professional entities.

  • Content: means information, text, images, photographs, videos, messages, forms, files, documents, medical history, intake responses, clinical data, provider credentials, feedback, or other content submitted, posted, uploaded, transmitted, or otherwise made available through the Services.

  • Medical Group: means a professional corporation, professional limited liability company, medical practice, physician organization, or other professional entity or provider group that provides or arranges Clinical Services.

  • MSO: means a management services organization or administrative services organization that provides non-clinical business, management, technology, administrative, staffing, operational, billing, marketing, or similar support services to healthcare businesses or professional entities.

  • PC: means a professional corporation, professional limited liability company, professional association, or similar professional entity formed or used to provide Clinical Services where required or permitted by state law.

  • PHI: means protected health information as defined by HIPAA, when applicable.

  • Provider: means a licensed healthcare professional, including a physician, APP, collaborating physician, medical director, PC owner, nurse, pharmacist, therapist, or other licensed professional, as applicable.

  • Services: means all websites, portals, software, applications, platforms, tools, products, services, communications, SMS programs, telehealth workflows, administrative services, MSO/PC services, provider collaboration services, white-label services, business services, patient services, and other offerings made available by or on behalf of Single Thread Health.

5. Eligibility, Age, Geography, and Authority

The Services are intended for users located in the United States unless we expressly state otherwise. You may not use the Services if you are prohibited from doing so under applicable law, if you are located in a jurisdiction where the Services are not authorized, or if your use would require Single Thread Health, a Medical Group, a Provider, or a Business Customer to violate applicable law.

Unless a specific service expressly permits use by minors and includes required parental, guardian, or legally authorized representative consent, the Services are intended for adults who are at least 18 years old. By using the Services, you represent that you are at least 18 years old or that you are using the Services through a parent, guardian, or legally authorized representative where expressly permitted.

For telehealth or healthcare services, availability depends on the patient's location, provider licensure, clinical appropriateness, state law, service configuration, pharmacy availability, lab availability, payer requirements, and other factors. You may be asked to confirm your physical location at the time of a consultation or service request.

6. Description of the Services

Single Thread Health's offerings may include one or more of the following, depending on the applicable product, customer arrangement, state, workflow, and launch status:

  • MSO/PC formation support, including coordination, project management, documentation workflows, administrative support, and referrals or introductions to independent legal counsel where applicable.

  • MSO-friendly PC structure support, PC owner workflows, professional corporation administrative infrastructure, practice launch support, white-label operational services, and back-office services.

  • Provider collaboration workflows, including APP and collaborating physician matching, onboarding, documentation support, collaboration agreement workflows, medical director workflows, supervision or consultation logs, licensure tracking, credentialing workflows, audit logs, and compliance-oriented operations support.

  • White-label provider network or clinical infrastructure services that allow Business Customers or Medical Groups to deliver healthcare services under their own brand while Single Thread Health provides administrative, technology, staffing, operational, or support services.

  • Technology tools, portals, forms, data routing, intake workflows, customer relationship management workflows, scheduling, messaging, provider management, credentialing support, documentation repositories, analytics, reporting, operational dashboards, and other software-enabled services.

  • Direct-to-patient telehealth, consultation, hair-loss, dermatology-related, prescription-related, pharmacy, lab, care coordination, support, and related services if and when those services are launched and made available.

We may add, remove, suspend, modify, discontinue, or limit any Service at any time, subject to any applicable signed agreement. We do not guarantee that any Service will be available in every state, for every user, for every clinical condition, for every provider type, or for every customer use case.

7. No Legal Advice and No Guarantee of Regulatory Compliance

Single Thread Health is not a law firm and does not provide legal advice. Any templates, checklists, operational guidance, state summaries, compliance-oriented workflows, policy drafts, referrals, attorney introductions, implementation notes, or educational materials are for informational, administrative, or operational purposes only and are not a substitute for advice from qualified legal counsel.

Healthcare, telehealth, corporate practice of medicine, fee-splitting, kickback, patient privacy, marketing, SMS, pharmacy, laboratory, prescribing, reimbursement, professional licensing, scope-of-practice, professional entity, and provider collaboration laws vary by state and may change. Business Customers, Medical Groups, PC owners, Providers, and other professional users are responsible for obtaining legal advice and ensuring their own compliance.

We do not guarantee that any MSO/PC structure, professional corporation arrangement, collaboration relationship, provider agreement, policy, template, workflow, SMS campaign, patient consent, payer arrangement, pharmacy workflow, or telehealth model will satisfy all legal, regulatory, payer, accreditation, investor, or operational requirements.

8. No Practice of Medicine by Single Thread Health; Clinical Independence

Single Thread Health is an MSO, technology, administrative, and operational services provider. Single Thread Health does not itself practice medicine, diagnose, treat, prescribe, render clinical judgments, establish provider-patient relationships, own or operate a professional medical practice where prohibited, or control the independent medical judgment of licensed Providers or Medical Groups.

Clinical Services are provided by licensed Providers and, where applicable, Medical Groups, PCs, professional entities, pharmacies, laboratories, or other care partners. Providers are solely responsible for clinical decision-making, patient evaluation, diagnosis, treatment, prescribing, follow-up, documentation, medical records, scope-of-practice compliance, supervision or collaboration requirements, patient safety, and professional duties.

Business Customers, Medical Groups, PC owners, and Providers must not use the Services in a way that gives Single Thread Health control over clinical decision-making or requires Single Thread Health to engage in the practice of medicine or another licensed profession. Nothing in the Services is intended to interfere with provider independence or patient care.

9. Patient Telehealth and Direct-to-Patient Services Module

This Section applies if you use any direct-to-patient, telehealth, consultation, hair-loss, dermatology-related, prescription-related, pharmacy-related, lab-related, care coordination, patient support, or similar healthcare workflow offered through or supported by Single Thread Health. If such services are not currently available, this Section applies when they are made available.

9.1 No Emergency Services

THE SERVICES ARE NOT FOR MEDICAL EMERGENCIES. Do not use the Services for emergency care, urgent symptoms, life-threatening conditions, or situations requiring immediate attention. If you may have a medical emergency, call 911 or go to the nearest emergency department immediately. Examples of medical emergencies may include chest pain, trouble breathing, stroke symptoms, severe allergic reaction, suicidal thoughts, severe bleeding, loss of consciousness, serious injury, sudden severe pain, or any condition that you believe may require urgent evaluation.

9.2 No Patient-Provider Relationship from Website Use Alone

Viewing website content, submitting a form, sending a message, requesting information, or browsing educational materials does not create a provider-patient relationship with Single Thread Health, a Medical Group, or a Provider. A provider-patient relationship, if any, is created only when a licensed Provider or Medical Group accepts you for care through an applicable clinical workflow and applicable consents are completed.

Website content, marketing content, educational content, FAQs, product descriptions, and general information are not medical advice and should not be relied on as a substitute for professional medical advice, diagnosis, treatment, or in-person care.

9.3 Telehealth Consent

By using telehealth services, you consent to receive healthcare services through electronic communications, including video, audio, asynchronous intake forms, secure messaging, photographs, questionnaires, remote monitoring data, patient portal communications, phone, SMS, or other technology-enabled methods, as applicable to the service.

You understand that telehealth may involve benefits, such as convenience and expanded access, but also risks and limitations, including technology failures, delays, interruptions, limited ability to perform a physical examination, incomplete or inaccurate information, privacy or security risks, and the possibility that telehealth may not be appropriate for your condition. A Provider may determine that in-person care, emergency care, a specialist referral, additional testing, or a different care setting is needed.

You may withdraw consent to telehealth where permitted by law, but withdrawal may affect your ability to receive Services. You may be asked to provide additional telehealth consents or state-specific consents before receiving Clinical Services.

9.4 Your Location, Identity, Information, and Medical Records

You agree to provide accurate, current, and complete information, including your legal name, date of birth, contact information, physical location, medical history, allergies, medications, photographs, symptoms, pregnancy or breastfeeding status where relevant, insurance or payment information, pharmacy preference, and any other information requested for a clinical workflow. You agree to promptly update inaccurate or changed information.

You authorize applicable Medical Groups, Providers, pharmacies, laboratories, EHR vendors, health information exchanges, e-prescribing networks, patient identity verification vendors, and other care partners to use and disclose information as permitted for treatment, payment, health care operations, care coordination, patient safety, prescription fulfillment, lab testing, quality assurance, legal compliance, and related healthcare purposes.

Medical records are maintained by the applicable Medical Group or Provider, and may also be supported by Single Thread Health or its service providers under applicable agreements. Requests for medical records should be directed to the Medical Group, Provider, or contact channel identified for the applicable service.

9.5 Prescriptions, Medications, Pharmacies, and Labs

Providers are solely responsible for determining whether any prescription, treatment, referral, lab test, or follow-up is medically appropriate. Completing an intake or consultation does not guarantee that a prescription, medication, device, refill, lab order, referral, or specific treatment will be provided.

Prescription medications may have risks, side effects, contraindications, warnings, interactions, and limitations. You agree to read all medication information, labeling, pharmacy instructions, and provider instructions. You must contact your Provider, pharmacist, or emergency services as appropriate if you experience concerning symptoms or adverse effects.

Pharmacies, labs, shipping providers, payment processors, and other third parties may be independent entities with their own terms, policies, professional obligations, and operational limitations. We are not responsible for delays, denials, shortages, substitutions, shipping issues, pharmacy decisions, lab delays, payer decisions, or other matters outside our reasonable control.

9.7 Follow-Up and Continuity of Care

You are responsible for seeking follow-up care, monitoring your condition, reviewing messages, completing required check-ins, attending appointments, and contacting a Provider or in-person clinician if symptoms worsen, fail to improve, change, or require evaluation beyond the Services. The Services may not include continuous monitoring. Failure to respond to messages, complete intake requirements, pay fees, or provide requested information may delay or prevent care.

9.8 Insurance, Reimbursement, and Self-Pay

Unless expressly stated, the Services are not insurance and do not guarantee insurance coverage, reimbursement, network participation, payer credentialing, claims payment, prior authorization, or benefit determinations. You are responsible for understanding your financial obligations, including consultation fees, subscription fees, prescription costs, pharmacy costs, shipping, labs, taxes, and other charges not covered by insurance or a payer.

10. White-Label, Client-Branded, and Customer-Supported Services

Some Services may be provided in a white-label, co-branded, or client-branded environment. In those cases, a Business Customer, Medical Group, PC, Provider, or other partner may be the public-facing brand, sender, provider, or operator for part of a workflow, while Single Thread Health may provide back-office, administrative, operational, technology, staffing, messaging, or support services behind the scenes.

Different terms, privacy notices, Notices of Privacy Practices, patient consents, provider agreements, and customer policies may apply to white-label or client-branded services. If you are a patient or end user of a client-branded service, your relationship may be with the applicable Business Customer, Medical Group, Provider, or other entity, even if Single Thread Health supports the workflow.

Business Customers are responsible for ensuring that their own patient-facing, provider-facing, and customer-facing terms, policies, consent flows, SMS disclosures, privacy notices, and clinical notices accurately describe the roles of Single Thread Health, the Business Customer, Medical Groups, Providers, vendors, and care partners.

11. Business Customer and MSO/PC Client Responsibilities

Business Customers are responsible for their own operations, compliance, clinical model, providers, patients, data, communications, customers, and use of the Services. Without limiting any signed agreement, each Business Customer agrees to:

  • Comply with all applicable federal, state, and local laws, regulations, payer rules, licensing board requirements, scope-of-practice rules, telehealth requirements, corporate practice of medicine restrictions, fee-splitting restrictions, anti-kickback and self-referral restrictions, privacy and security laws, consumer protection laws, and professional standards.

  • Obtain and maintain all required licenses, registrations, professional entity approvals, permits, corporate approvals, payer authorizations, policies, patient consents, telehealth consents, marketing consents, SMS consents, privacy notices, Notices of Privacy Practices, Business Associate Agreements, vendor agreements, and other documents required for the customer's business model.

  • Ensure that Medical Groups, PCs, PC owners, Providers, collaborating physicians, APPs, medical directors, nurses, pharmacists, lab partners, and other professionals meet applicable licensing, credentialing, malpractice coverage, supervision, collaboration, and scope-of-practice requirements.

  • Not request, direct, or require Single Thread Health to make clinical decisions, interfere with provider independence, improperly influence medical judgment, practice medicine, provide legal advice, or engage in conduct that violates healthcare laws.

  • Provide accurate information and timely cooperation for implementation, credentialing, onboarding, technology configuration, reporting, documentation, audits, messaging campaign registration, and regulatory or payer inquiries.

  • Use the Services only for lawful, authorized, and documented purposes and only for users, patients, providers, states, products, campaigns, and workflows that have been approved or configured under the applicable agreement.

  • Ensure that any phone numbers, email addresses, patient data, provider data, or contact information uploaded to, used with, or processed through the Services were obtained lawfully and may be used for the intended purpose.

  • Not upload, transfer, or use SMS opt-in data or mobile numbers for messaging unless the Business Customer has obtained legally sufficient consent for the specific sender, program, purpose, and channel. Consent to one brand's messaging program is not consent to a different brand's messaging program.

  • Not use the Services for spam, unauthorized marketing, misleading health claims, disallowed SMS content, controlled substance diversion, unlicensed practice, illegal products, age-restricted products without required age gates, or other prohibited uses.

Business Customers remain responsible for their own patients, providers, content, claims, pricing, refunds, taxes, marketing statements, clinical protocols, operations, state launches, and compliance decisions, except to the extent expressly assumed by Single Thread Health in a signed agreement.

12. Provider, PC Owner, Collaborating Physician, and APP Responsibilities

If you use the Services as a Provider, PC owner, collaborating physician, medical director, supervising physician, APP, nurse, pharmacist, or other healthcare professional, you agree that you are solely responsible for your professional conduct and compliance with applicable laws and standards. You represent and warrant that:

  • You hold all licenses, registrations, certifications, credentials, DEA registrations if applicable, board approvals, privileges, malpractice coverage, and other qualifications required for the services you provide and the states in which you provide them.

  • You will provide accurate credentialing, licensure, NPI, sanctions, malpractice, disciplinary, resume, availability, specialty, and professional information, and will promptly update any changes.

  • You will not provide care, supervision, collaboration, medical direction, prescribing, or professional services outside your lawful scope of practice, license, state authority, collaboration arrangement, supervision arrangement, payer requirements, or professional competence.

  • You will exercise independent clinical judgment and will not rely on Single Thread Health, a Business Customer, or any software workflow as a substitute for your own professional duties.

  • You will maintain required medical records, clinical documentation, supervision logs, collaboration documentation, prescribing records, adverse event documentation, patient communications, and other professional records.

  • You will comply with HIPAA, state privacy laws, confidentiality obligations, telehealth laws, prescribing laws, pharmacy rules, lab rules, reporting obligations, controlled substance laws if applicable, professional board rules, and patient safety standards.

  • You will not share account credentials, allow unauthorized use, falsify records, backdate documentation, sign documents you have not reviewed, approve care outside your competence, or participate in any arrangement that you know or should know is unlawful.

  • You will promptly notify the appropriate parties of any license restriction, discipline, sanction, exclusion, malpractice claim, impairment issue, criminal matter, conflict of interest, suspected privacy incident, patient safety issue, or other event that may affect your eligibility to participate in a Service or collaboration relationship.

Provider matching, collaboration, PC ownership, medical director, or other professional opportunities are not guaranteed. Any professional relationship is subject to credentialing, mutual agreement, applicable law, signed agreements, customer requirements, Medical Group requirements, payer requirements, and ongoing performance and compliance review.

13. Accounts, Authentication, and Security

You may need to create an account or authenticate through a portal or third-party service to access certain Services. You agree to provide accurate and complete account information, maintain the confidentiality of your credentials, use strong passwords and multi-factor authentication where available, and promptly notify us of unauthorized access, suspected compromise, or security incidents.

You are responsible for all activity that occurs under your account, credentials, devices, or authorized users. You may not share credentials, allow unauthorized persons to access the Services, use another user's account, impersonate another person, or attempt to bypass access controls. Business Customers are responsible for managing their authorized users and promptly disabling access for users who no longer need access.

We may suspend, restrict, or terminate access if we suspect unauthorized use, security risk, fraud, legal violation, policy violation, account compromise, non-payment, or misuse of the Services.

14. Information You Provide; User Content; Accuracy

You are responsible for Content you submit or make available through the Services. You represent and warrant that you have all rights, permissions, consents, authorizations, and legal bases necessary to provide the Content and to allow us to process it for the purposes described in these Terms, the Privacy Policy, and any applicable agreement.

You agree that information you provide will be accurate, current, complete, and not misleading. This is especially important for patient intake information, medical history, provider credentialing information, licensure status, collaboration records, patient contact information, billing information, SMS consent information, and compliance documentation.

You retain ownership of your Content, subject to the rights granted in these Terms and applicable agreements. You grant Single Thread Health and its service providers a non-exclusive, worldwide, royalty-free right to host, store, reproduce, display, transmit, process, use, disclose, and otherwise handle Content as necessary to provide, operate, secure, support, improve, document, and comply with the Services and applicable agreements. This license is limited by HIPAA, Business Associate Agreements, confidentiality obligations, privacy laws, and applicable patient or provider rights where applicable.

15. Limited License to Use the Services; Restrictions

Subject to these Terms and any applicable agreement, we grant you a limited, revocable, non-exclusive, non-transferable, non-sublicensable license to access and use the Services solely for your lawful internal business, professional, patient, or personal purposes, as applicable to the Service and your role.

You may not copy, modify, translate, adapt, create derivative works from, sell, lease, lend, sublicense, distribute, publish, frame, mirror, scrape, harvest, reverse engineer, decompile, disassemble, attempt to derive source code from, or otherwise exploit the Services except as expressly permitted by us in writing or by applicable law.

You may not use the Services to build a competing product, benchmark the Services for publication without permission, remove proprietary notices, access data not intended for you, use automated tools without permission, or exceed rate limits or access restrictions.

16. Acceptable Use and Prohibited Conduct

You agree not to use the Services to engage in, facilitate, attempt, or encourage any prohibited conduct, including:

  • Violating any law, regulation, contract, professional rule, payer rule, privacy obligation, intellectual property right, or third-party right.

  • Practicing medicine, prescribing, supervising, collaborating, credentialing, billing, marketing, or operating a healthcare business without required authority, licenses, consents, or agreements.

  • Uploading or transmitting unlawful, false, misleading, fraudulent, defamatory, abusive, harassing, obscene, discriminatory, hateful, threatening, exploitative, or harmful content.

  • Submitting false patient information, false provider credentials, false consent records, false SMS opt-ins, false licensure information, false medical records, or misleading health claims.

  • Sending or causing unauthorized email, SMS, robocalls, telemarketing, spam, phishing, unsolicited advertising, or messages that violate TCPA, CAN-SPAM, CTIA, 10DLC, carrier, or other messaging rules.

  • Using the Services for gambling, illegal substances, federally illegal drug products, high-risk financial services, sexually explicit content, hateful content, firearms, tobacco, vape, alcohol, or other disallowed messaging or content categories except where expressly approved, lawful, and supported by all required controls.

  • Interfering with security, probing or scanning systems, introducing malware, attempting unauthorized access, overloading systems, disrupting service, or circumventing authentication or monitoring.

  • Using the Services to identify, recruit, solicit, or circumvent providers, PC owners, collaborating physicians, APPs, customers, or partners outside authorized workflows or in violation of a signed agreement.

  • Using the Services in a way that creates a patient safety risk, privacy risk, cybersecurity risk, professional misconduct risk, or risk of harm to patients, providers, customers, or Single Thread Health.

17. Electronic Communications and E-SIGN Consent

By using the Services, you consent to receive communications from us electronically, including by email, portal message, in-product message, SMS or MMS where you have opted in, telephone, web forms, and other electronic methods. Electronic communications may include account notices, security notices, service updates, legal notices, consent forms, patient communications, appointment reminders, operational messages, invoices, payment notices, and other communications related to the Services.

You consent to the use of electronic signatures, electronic records, electronic consent, electronic contracting, and electronic delivery of notices to the extent permitted by the Electronic Signatures in Global and National Commerce Act, the Uniform Electronic Transactions Act, and similar laws. You agree that electronic signatures and records have the same legal effect as paper signatures and records.

You are responsible for maintaining a current email address, mobile number, mailing address, and account information, and for regularly checking communications. You may withdraw consent to certain electronic communications where legally permitted, but withdrawal may affect your ability to use the Services.

18. SMS Messaging Terms and Conditions

This Section is intended to serve as the public SMS Messaging Terms and Conditions for the Single Thread Health SMS Program. It should be published in the Terms of Service or on a standalone SMS Terms page and linked from every SMS opt-in call-to-action.

18.1 Program Name and Description

The Single Thread Health SMS Program provides transactional, informational, administrative, account, appointment, intake-status, consultation, care-coordination, prescription-status, order-status, support, security, and service-related messages from Single Thread Health. If we send marketing or promotional text messages, those messages will relate directly to Single Thread Health products or services and will be sent only with consent where required by law.

18.2 Opt-In

By providing your mobile phone number and opting in through our website, forms, portal, intake workflow, scheduling workflow, customer support workflow, written agreement, or other opt-in process, you consent to receive SMS and MMS messages from or on behalf of Single Thread Health at the mobile number you provided. Consent to receive marketing text messages is not a condition of purchasing any goods or services.

18.3 Message Frequency

Message frequency varies based on your interaction with Single Thread Health, your account activity, requests, appointments, consultations, care or service workflow, support needs, and communication preferences.

18.4 Message and Data Rates

Message and data rates may apply depending on your mobile carrier and plan.

18.5 Opt-Out Instructions

You may opt out of SMS messages at any time by replying STOP to any text message from Single Thread Health. After you send STOP, we may send a one-time confirmation that you have opted out. After that, you will not receive further SMS messages from that messaging program unless you re-enroll, reply START where supported, or otherwise provide renewed consent. You may also opt out by contacting us at hello@singlethreadhealth.com.

18.6 Rejoining Instructions

If you have opted out, you may rejoin by replying START where supported, re-enrolling through our website or forms, or otherwise providing renewed consent through a permitted opt-in process.

18.7 Help Instructions and Customer Care

For help, reply HELP to any SMS message or contact Single Thread Health at hello@singlethreadhealth.com or (888) 811-9064.

18.8 Carrier Disclaimer

Wireless carriers are not liable for delayed or undelivered messages. Delivery is subject to effective transmission from your wireless service provider or network operator.

18.9 Eligibility and Number Changes

You must be the account holder or have the account holder's permission to enroll a mobile number in the SMS program. If you change, transfer, or deactivate your mobile number, you agree to notify us so that we can update our records and avoid sending messages to the wrong person.

18.10 Privacy and No Sharing of Mobile Opt-In Data

Your information is handled in accordance with our Privacy Policy at https://www.singlethreadhealth.com/privacy-policy.

No mobile opt-in data or consent will be shared with third parties or affiliates. Mobile opt-in data includes your mobile telephone number, SMS opt-in status, SMS consent records, and related messaging consent information. No mobile information will be shared with partners, affiliates, third parties, or vendors for marketing or promotional purposes. SMS opt-in consent is not transferable to third parties.

We may use service providers to send and support SMS messages on our behalf. Such service providers may process mobile information only as necessary to provide messaging services to us, comply with law, maintain security, prevent fraud or abuse, support delivery and opt-out compliance, or support permitted treatment, payment, health care operations, care coordination, health information exchange, and related healthcare or service operations. They are not authorized to use mobile opt-in data for their own marketing or promotional purposes.

If mobile phone numbers or mobile contact information are part of PHI, a medical record, patient-care workflow, pharmacy workflow, lab workflow, provider collaboration record, or health information exchange workflow, we may use and disclose that information only as permitted by applicable law, applicable agreements, HIPAA where applicable, the applicable Notice of Privacy Practices, and the Privacy Policy. This permitted healthcare use does not allow sale, transfer, or sharing of SMS opt-in consent for third-party or affiliate marketing.

18.11 SMS Is Not for Emergencies

Do not use SMS messages for emergencies, urgent medical questions, or time-sensitive clinical issues. If you may have a medical emergency, call 911 or go to the nearest emergency department.

18.12 Health Information in SMS

Some SMS messages may include or imply health-related information, such as appointment reminders, intake status, prescription status, order status, or care coordination information. SMS messages may be visible to anyone with access to your device or phone plan. By opting in, you acknowledge these risks and authorize us to send messages consistent with your consent and applicable law.

18.13 Changes to SMS Terms

We may update these SMS Messaging Terms and Conditions from time to time. Any changes will be effective when posted or as otherwise stated. Your continued participation in the SMS program after changes become effective constitutes your acceptance of the updated terms to the extent permitted by law.

19. Privacy, HIPAA, PHI, BAAs, Notices of Privacy Practices, and Health Information Exchange

Our collection, use, disclosure, and protection of personal information is described in our Privacy Policy. Some information processed through the Services may be health-related, and some health information may be PHI under HIPAA. Depending on the facts and applicable agreements, Single Thread Health may act as a service provider, processor, business associate, subcontractor business associate, or other support entity for a Business Customer, Medical Group, Provider, or covered entity.

If HIPAA applies and we act as a business associate or subcontractor business associate, our use and disclosure of PHI will be governed by the applicable Business Associate Agreement and HIPAA. If a Medical Group or Provider issues a Notice of Privacy Practices, that Notice describes how the Medical Group or Provider may use and disclose PHI and how patients may exercise rights with respect to PHI.

You authorize the use and disclosure of information as permitted for treatment, payment, health care operations, care coordination, provider collaboration, medical records, prescription fulfillment, pharmacy operations, laboratory testing, electronic health records, health information exchange, identity verification, patient safety, quality assurance, security, fraud prevention, legal compliance, and other purposes permitted by applicable law and applicable agreements.

Nothing in these Terms authorizes us to sell or share SMS opt-in data or mobile opt-in consent with third parties or affiliates for marketing or promotional purposes. Mobile opt-in consent is not transferable.

20. Fees, Payments, Taxes, Subscriptions, and Refunds

Fees, payment terms, subscription terms, implementation fees, onboarding fees, professional services fees, usage fees, messaging fees, taxes, refund policies, cancellation terms, invoicing terms, and payment methods may be described in an Order Form, Statement of Work, checkout page, invoice, signed agreement, or other written disclosure. You agree to pay all fees and charges incurred under your account or agreement.

If you provide a payment method, you authorize us and our payment processors to charge that payment method for applicable fees, taxes, shipping, prescriptions, consultations, subscriptions, renewals, invoices, and other charges. You represent that you are authorized to use the payment method and that your payment information is accurate.

Unless a separate written policy or agreement states otherwise, fees are non-refundable once services have been performed, access has been provided, an implementation has begun, a consultation has occurred, a prescription has been submitted, a product has shipped, a lab order has been processed, or a billing period has started. We may issue credits or refunds at our discretion or as required by law.

Subscriptions, if offered, may automatically renew until canceled in accordance with the cancellation instructions provided at enrollment, checkout, or in the applicable agreement. Canceling a subscription may prevent future charges but will not necessarily refund prior charges. You remain responsible for charges incurred before cancellation.

Business Customers are responsible for taxes, duties, payer obligations, patient billing, refund policies, chargebacks, and customer-facing pricing unless expressly stated otherwise in a signed agreement.

21. Third-Party Services, Links, Vendors, Pharmacies, Laboratories, and Integrations

The Services may interoperate with or link to third-party websites, platforms, software, EHRs, CRMs, SMS providers, payment processors, identity verification services, credentialing databases, licensing boards, pharmacies, laboratories, shipping providers, cloud hosting providers, analytics tools, customer support tools, health information exchanges, e-prescribing networks, payer systems, and other services that are not owned or controlled by Single Thread Health.

Third-party services may be subject to their own terms, privacy policies, professional obligations, fees, availability, and limitations. We are not responsible for third-party services, third-party content, third-party outages, third-party errors, third-party decisions, pharmacy denials, lab delays, payer decisions, shipping failures, or data provided by third parties, except to the extent expressly required by a signed agreement or applicable law.

This Section does not authorize the sharing of mobile opt-in data or SMS consent with third parties, affiliates, partners, or vendors for marketing or promotional purposes. Service providers that process mobile information on our behalf may do so only for permitted operational, messaging, healthcare, legal, security, compliance, or support purposes as described in the SMS Terms and Privacy Policy.

22. Artificial Intelligence, Automation, Workflow Tools, and Decision Support

The Services may include automation, algorithms, rules engines, matching tools, triage logic, documentation templates, credentialing workflows, audit logs, analytics, artificial intelligence, machine learning, or other technology-enabled support features. These tools may help route information, identify missing information, draft administrative content, support operations, assist provider matching, or improve workflows.

Technology outputs are not legal advice, medical advice, a clinical diagnosis, a treatment decision, or a substitute for professional judgment. Business Customers, Medical Groups, Providers, and other professional users are responsible for reviewing outputs, confirming accuracy, maintaining appropriate human oversight, and making independent legal, clinical, professional, operational, and compliance decisions.

We do not guarantee that automated tools, matching tools, analytics, templates, or decision-support features will be complete, accurate, current, unbiased, appropriate for your use case, or compliant with every applicable law or professional standard.

23. Intellectual Property, Ownership, and Feedback

The Services, software, interfaces, technology, workflows, templates, forms, documentation, designs, graphics, text, logos, trademarks, service marks, trade names, content, know-how, processes, configurations, and all related intellectual property are owned by Single Thread Health or its licensors, except for Content owned by users, Business Customers, Medical Groups, Providers, or third parties.

You may not use Single Thread Health's name, logos, trademarks, service marks, trade dress, screenshots, materials, or branding without our prior written permission. We may use your name, logo, or marks only as permitted by a signed agreement or with consent.

If you provide suggestions, comments, ideas, feedback, improvements, feature requests, or other input about the Services, you grant Single Thread Health a perpetual, irrevocable, worldwide, royalty-free, sublicensable, transferable right to use, reproduce, modify, commercialize, and otherwise exploit that feedback without restriction or compensation, subject to confidentiality, privacy, and PHI restrictions where applicable.

24. Confidentiality

If you receive non-public information from or about Single Thread Health, a Business Customer, Medical Group, Provider, patient, PC owner, collaborating physician, APP, or other user through the Services, you agree to keep that information confidential and use it only for the authorized purpose for which it was provided. Confidential information may include business plans, pricing, contracts, provider information, patient information, PHI, credentials, technical information, security information, product plans, operational processes, and non-public documentation.

Business Customers, Providers, and professional users must maintain confidentiality and privacy protections required by HIPAA, state privacy laws, professional rules, signed agreements, and patient consents. You may not access, use, disclose, download, export, or retain confidential information except as authorized.

Confidentiality obligations do not restrict disclosures required by law, provided you give notice where legally permitted and cooperate to limit the disclosure, or disclosures authorized in writing by the party that owns or controls the information.

25. Aggregated, De-Identified, and Usage Data

Subject to applicable law, applicable Business Associate Agreements, and applicable signed agreements, we may collect, create, use, retain, disclose, and commercialize aggregated, anonymized, de-identified, statistical, or usage data derived from the Services, provided that such data does not identify and cannot reasonably be used to identify an individual patient, provider, Business Customer, or other person where legally required.

We may use such data for analytics, benchmarking, product development, security, quality improvement, reporting, research, operational insights, and service improvement. We will not use de-identified data in a way prohibited by applicable law or applicable agreements.

26. Service Availability, Support, Modifications, and Beta Features

We use reasonable efforts to provide and support the Services, but we do not guarantee uninterrupted, error-free, secure, or always-available access. The Services may be unavailable due to maintenance, upgrades, outages, security incidents, third-party failures, network problems, staffing limitations, regulatory limitations, force majeure events, or other circumstances.

Support may be provided through email, phone, portal, chat, ticketing, account teams, or other channels, depending on your role and applicable agreement. Support obligations in a signed agreement control over these general Terms.

We may release beta, pilot, pre-release, experimental, or trial features. Such features may be incomplete, unavailable, inaccurate, unsupported, changed without notice, or discontinued at any time. Beta features are provided for evaluation and should not be used for critical clinical, legal, compliance, or operational decisions unless expressly approved in writing.

27. Suspension and Termination

We may suspend, restrict, or terminate access to the Services, accounts, SMS programs, portals, or features at any time if we believe you have violated these Terms or any applicable agreement, failed to pay amounts due, created a security or legal risk, provided false information, misused the Services, violated patient or provider safety standards, infringed rights, or engaged in conduct that may harm Single Thread Health, patients, providers, customers, or third parties.

You may stop using the Services at any time, subject to payment obligations, contractual obligations, medical record retention requirements, patient care obligations, data export procedures, cancellation policies, and other obligations in applicable agreements.

Sections intended to survive termination, including payment obligations, privacy, PHI, confidentiality, intellectual property, disclaimers, limitations of liability, indemnification, dispute resolution, governing law, and miscellaneous provisions, will survive termination.

28. Copyright and Intellectual Property Complaints

We respect intellectual property rights. If you believe that content available through the Services infringes your copyright or other intellectual property rights, you may contact us at hello@singlethreadhealth.com with sufficient information to identify the work, the allegedly infringing material, your contact information, a statement of good-faith belief, a statement made under penalty of perjury that the information is accurate and that you are authorized to act, and your physical or electronic signature.

We may remove or disable access to allegedly infringing material and may terminate accounts of repeat infringers in appropriate circumstances. You may be liable for damages if you knowingly misrepresent that material is infringing.

29. Disclaimers

TO THE MAXIMUM EXTENT PERMITTED BY LAW, THE SERVICES ARE PROVIDED "AS IS," "AS AVAILABLE," AND WITH ALL FAULTS. SINGLE THREAD HEALTH DISCLAIMS ALL WARRANTIES, EXPRESS, IMPLIED, STATUTORY, OR OTHERWISE, INCLUDING WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, TITLE, NON-INFRINGEMENT, ACCURACY, AVAILABILITY, SECURITY, RELIABILITY, AND COURSE OF DEALING.

We do not warrant that the Services will meet your requirements, achieve any intended result, be uninterrupted, secure, error-free, accurate, complete, current, compatible with other systems, free from harmful components, or that defects will be corrected.

We do not warrant or guarantee legal compliance, regulatory approval, PC formation success, provider match availability, state launch success, payer reimbursement, licensing approval, credentialing approval, clinical outcomes, treatment success, patient acquisition, investor acceptance, pharmacy fulfillment, lab results timing, prescription availability, message deliverability, SMS campaign approval, or any particular business or medical result.

No information provided through the Services is legal advice, medical advice, clinical advice, financial advice, tax advice, or a substitute for professional judgment unless expressly provided by a licensed professional within a valid professional relationship and permitted by law.

30. Limitation of Liability

TO THE MAXIMUM EXTENT PERMITTED BY LAW, SINGLE THREAD HEALTH AND ITS AFFILIATES, OWNERS, OFFICERS, DIRECTORS, EMPLOYEES, CONTRACTORS, SERVICE PROVIDERS, LICENSORS, AND REPRESENTATIVES WILL NOT BE LIABLE FOR ANY INDIRECT, INCIDENTAL, SPECIAL, CONSEQUENTIAL, EXEMPLARY, PUNITIVE, OR ENHANCED DAMAGES, INCLUDING LOST PROFITS, LOST REVENUE, LOST DATA, LOSS OF GOODWILL, BUSINESS INTERRUPTION, COST OF SUBSTITUTE SERVICES, PERSONAL INJURY ARISING FROM NON-CLINICAL SERVICES, PRIVACY LOSS, SECURITY INCIDENTS OUTSIDE OUR REASONABLE CONTROL, OR DAMAGES ARISING FROM THIRD-PARTY SERVICES, EVEN IF ADVISED OF THE POSSIBILITY OF SUCH DAMAGES.

TO THE MAXIMUM EXTENT PERMITTED BY LAW, OUR TOTAL LIABILITY FOR ANY CLAIM ARISING OUT OF OR RELATING TO THE SERVICES OR THESE TERMS WILL NOT EXCEED THE GREATER OF: (A) THE AMOUNTS YOU PAID TO SINGLE THREAD HEALTH FOR THE SERVICE GIVING RISE TO THE CLAIM DURING THE THREE MONTHS BEFORE THE EVENT GIVING RISE TO LIABILITY; OR (B) $100. FOR BUSINESS CUSTOMERS WITH A SIGNED AGREEMENT, ANY LIABILITY CAP IN THE SIGNED AGREEMENT WILL CONTROL FOR CLAIMS SUBJECT TO THAT AGREEMENT.

Some jurisdictions do not allow certain disclaimers or limitations. In those jurisdictions, the disclaimers and limitations will apply to the greatest extent permitted by law. Nothing in these Terms limits liability that cannot be limited by law, or limits a licensed Provider's professional duties where such limitations are prohibited by law.

31. Indemnification

You agree to defend, indemnify, and hold harmless Single Thread Health and its affiliates, owners, officers, directors, employees, contractors, service providers, licensors, and representatives from and against any claims, demands, actions, losses, liabilities, damages, judgments, settlements, penalties, fines, costs, and expenses, including reasonable attorneys' fees, arising out of or relating to:

  • Your access to or use of the Services;

  • Your Content, data, workflows, products, services, patients, providers, or business operations;

  • Your violation of these Terms or any applicable agreement;

  • Your violation of law, professional standards, privacy obligations, patient rights, provider rights, intellectual property rights, or third-party rights;

  • Your clinical services, medical decisions, provider collaboration relationships, PC ownership arrangements, professional duties, patient care, prescriptions, lab orders, billing, marketing, or reimbursement activities;

  • Your unauthorized or unlawful SMS, email, telemarketing, or communications activities, including failure to obtain or document consent; and

  • Any claim that Single Thread Health's processing of Content or data as authorized by you violates law or third-party rights.

We reserve the right to control the defense of any matter subject to indemnification, in which case you agree to cooperate with us. You may not settle any claim in a way that imposes obligations on Single Thread Health without our prior written consent.

32. Dispute Resolution, Arbitration, Class Waiver, and Opt-Out

32.1 Informal Resolution

Before filing a claim, you and Single Thread Health agree to attempt to resolve the dispute informally by sending written notice describing the dispute, the relief requested, and contact information. Notices to Single Thread Health should be sent to hello@singlethreadhealth.com and to the mailing address listed in these Terms. The parties will attempt in good faith to resolve the dispute for at least 30 days after notice is received.

32.2 Binding Arbitration

Except for claims that may be brought in small claims court, claims for injunctive or equitable relief to protect intellectual property or confidentiality, claims that cannot be arbitrated as a matter of law, or claims excluded by a signed agreement, any dispute, claim, or controversy arising out of or relating to these Terms or the Services will be resolved by binding arbitration under the Federal Arbitration Act and the rules of the arbitration provider selected by Single Thread Health unless the parties agree otherwise.

The arbitration will be conducted by a neutral arbitrator. The arbitrator may award the same damages and relief that a court could award on an individual basis, subject to these Terms. Judgment on the arbitration award may be entered in any court with jurisdiction.

32.3 Class Action and Jury Trial Waiver

TO THE MAXIMUM EXTENT PERMITTED BY LAW, YOU AND SINGLE THREAD HEALTH AGREE THAT EACH MAY BRING CLAIMS AGAINST THE OTHER ONLY IN AN INDIVIDUAL CAPACITY AND NOT AS A PLAINTIFF, CLASS MEMBER, PRIVATE ATTORNEY GENERAL, OR REPRESENTATIVE IN ANY CLASS, COLLECTIVE, CONSOLIDATED, REPRESENTATIVE, OR PRIVATE ATTORNEY GENERAL ACTION. TO THE MAXIMUM EXTENT PERMITTED BY LAW, YOU AND SINGLE THREAD HEALTH WAIVE THE RIGHT TO A JURY TRIAL.

32.4 Arbitration Opt-Out

You may opt out of the arbitration provision by sending written notice to hello@singlethreadhealth.com within 30 days after you first become subject to these Terms. Your opt-out notice must include your full name, email address, phone number, mailing address, and a clear statement that you wish to opt out of arbitration. Opting out of arbitration does not opt you out of any other part of these Terms.

32.5 Regulatory and Professional Complaints

Nothing in these Terms prevents you from filing a complaint with a government agency, licensing board, professional board, privacy regulator, payer, law enforcement agency, or other regulator where such a right cannot be waived. Nothing in these Terms limits a patient's rights under applicable healthcare privacy laws or professional licensing laws.

33. Governing Law and Venue

These Terms are governed by the laws of the State of Delaware, without regard to conflict-of-law rules, except to the extent federal law controls or a signed agreement states otherwise. For claims not subject to arbitration, you and Single Thread Health consent to the exclusive jurisdiction and venue of the state and federal courts located in Delaware, unless applicable law requires a different venue.

34. Changes to These Terms

We may update these Terms from time to time. When we update the Terms, we will post the updated version with a new effective date or provide notice as required by law. Your continued use of the Services after updated Terms become effective means you accept the updated Terms to the extent permitted by law.

For material changes to SMS Messaging Terms, patient terms, subscription terms, arbitration terms, privacy practices, or other legally sensitive terms, we may provide additional notice or request additional consent where required by law or operationally appropriate.

35. Miscellaneous

These Terms, together with any applicable policies and agreements incorporated by reference, are the entire agreement between you and Single Thread Health regarding your use of the Services covered by these Terms. If any provision is found unenforceable, the remaining provisions remain in effect and the unenforceable provision will be modified to the minimum extent necessary to make it enforceable or severed if modification is not permitted.

Our failure to enforce a provision is not a waiver of our right to do so later. You may not assign or transfer these Terms or your account without our prior written consent. We may assign these Terms in connection with a merger, acquisition, reorganization, financing, sale of assets, or by operation of law, subject to applicable law and applicable agreements.

No assignment, merger, acquisition, reorganization, sale of assets, or other transaction transfers your SMS marketing consent, mobile opt-in consent, or consent to receive text messages to a third party or affiliate unless renewed consent is obtained where required by law and messaging rules.

Headings are for convenience only. The word "including" means "including without limitation." Notices may be sent electronically or by mail unless a signed agreement requires another method. Neither party is liable for delay or failure caused by events outside its reasonable control, except for payment obligations and obligations that cannot be excused by law.

36. Contact Information

Questions about these Terms may be directed to: