Terms and Conditions

Please read these Terms and Conditions ("Terms") carefully before using the taggehealth.com website or enrolling in any service offered by Tagge Precision Health, PLLC ("we," "us," or "our"), operated by Dr. Daniel Garth Tagge, M.D. By accessing our website or engaging our services, you agree to be bound by these Terms.

1. About Our Service

Tagge Precision Health, PLLC is a physician-led practice focused on Health Optimization Medicine, preventive health, and metabolomic-based optimization. Care is delivered virtually and, in the Charlotte metropolitan area, through in-home visits.

We offer services in two general forms: the Precision Health Assessment, a one-time physician consultation that produces a written Precision Health Plan, and ongoing care as a Concierge Longevity Medicine relationship, a longitudinal physician relationship focused on longevity, prevention, physiology, and health optimization. The Assessment does not guarantee ongoing care, and ongoing care cannot be purchased directly through this website. The current fees for each are published on this website; what a given service includes, its fee, and its billing schedule are confirmed to you in writing before any charge is made.

Ongoing care includes direct access to the physician between reviews, a written plan (the Precision Health Plan) maintained over time, and superbills for HSA/FSA and out-of-network reimbursement.

Laboratory testing, imaging, medications, and supplements are not included in a service fee. They are billed by the laboratory, imaging center, pharmacy, or dispensary that provides them, with no markup from the practice.

Services involving ongoing clinical care are available only to patients physically located in states where Dr. Tagge is licensed (currently North Carolina). Enrollment in services is at our discretion.

Care begins with an application. Dr. Tagge reviews each application and speaks with the applicant to assess fit; that conversation is information-only and does not by itself establish a physician-patient relationship. Accepted patients are enrolled privately in the Precision Health Assessment.

Concierge Longevity Medicine is not conventional primary care or urgent care. When clinically appropriate, Dr. Tagge may address general medical concerns, prescribe medications, order testing, make referrals, and manage preventive screening. The practice is not designed to provide urgent-care services, broad management of acute illness, coordination of complex chronic disease, or extensive specialist or referral coordination, and it does not replace a primary care physician. Patients who need substantial ongoing management of acute illness, complex chronic disease, or extensive specialist coordination should also have a primary care physician and other appropriate clinicians involved. You do not need to have a primary care physician to enroll; whether having one is important depends on your individual medical needs.

We do not provide emergency medical services, urgent care, or mental health services. If you are experiencing a medical emergency, call 911 or go to the nearest emergency room immediately.

2. Eligibility

To enroll in any service, you must be 18 years of age or older. For services involving clinical care, you must be physically located in a state where Dr. Tagge is licensed (currently North Carolina) at the time of each encounter.

You may not rely on our practice as your emergency care provider.

We reserve the right to decline to establish or continue a patient relationship with any individual at our professional discretion.

3. Not a Substitute for Emergency Care

If you are experiencing a medical emergency, including but not limited to chest pain, difficulty breathing, stroke symptoms, severe allergic reaction, or thoughts of harming yourself or others, call 911 or go to your nearest emergency room immediately. Do not attempt to contact us in an emergency.

4. Scope of the Physician-Patient Relationship

A physician-patient relationship is established formally when we create your patient account in our electronic health record and you complete a clinical encounter with Dr. Tagge.

Browsing our website, submitting an application, speaking with Dr. Tagge about fit, or completing payment alone does not by itself establish the physician-patient relationship.

In the course of your care, Dr. Tagge will review your health data, order and interpret laboratory tests, develop personalized health optimization protocols, and prescribe as indicated. Dr. Tagge does not serve as a comprehensive primary care provider. The scope of the relationship, including what the practice is not designed to provide, is described in Section 1.

Either party may end an established patient-physician relationship at any time by giving notice via the patient portal or by emailing care@taggehealth.com. We will provide you with copies of any records generated during the engagement upon termination.

5. Fees and Payment

Current fees are published on this website and confirmed to you in writing before you enroll. Ongoing care is billed either annually or in monthly installments of the same annual total; the Precision Health Assessment is a single fee. Fees are charged through our patient portal.

By enrolling, you authorize us to charge the applicable fee to your payment method on the schedule confirmed to you at enrollment.

All fees are charged in U.S. dollars. We do not bill insurance. Dr. Tagge has formally opted out of Medicare; no service provided by the practice is billed to Medicare, and Medicare will not reimburse you for it. Upon request, we may provide a superbill or receipt for you to submit to your insurance carrier or HSA/FSA administrator for potential reimbursement. We make no representations regarding what your insurer or plan administrator may or may not reimburse.

Laboratory testing is billed at the laboratory vendor's own price for the test, without markup from the practice. Laboratory and supplement costs are separate from any service fee and are disclosed before any order is placed.

6. Refund and Cancellation Policy

Ongoing care

You may cancel ongoing care at any time by written notice through the patient portal or by emailing care@taggehealth.com. Cancellation takes effect on the date your written notice is received unless you specify a later date.

If you paid annually, we refund the unused portion of the current term, prorated exactly to the day from the effective cancellation date. If you pay in monthly installments, all future scheduled payments stop as of the effective cancellation date; installments already paid for periods of care already provided are not refunded.

Costs incurred separately with third parties, or that cannot be cancelled once ordered, are not refundable (see Laboratory and other testing below).

Cancellation ends the financial arrangement. It does not end our clinical obligations to you during the transition of your care, which are separate: we will provide copies of any records generated during the engagement upon request and will help direct your care to whoever cares for you next.

One-time services

Fees for a scheduled consultation may be refunded if you cancel before the visit takes place, on the terms disclosed to you at booking. Once the visit has occurred, the fee is earned.

Laboratory and other testing

Laboratory testing fees are non-refundable once a lab requisition has been issued, as the laboratory's charges are incurred at that point.

7. Telehealth Acknowledgment

By using our services, you acknowledge and agree that:

• Telehealth services involve the electronic transmission of health information and carry inherent, though minimal, privacy risks.
• You are responsible for ensuring you are in a private, secure location during all telehealth consultations.
• Technical issues may occasionally disrupt sessions; we will make reasonable efforts to reschedule at no additional charge in such cases.
• Because clinical care is licensed by state, you must be physically located in a state where Dr. Tagge is licensed (currently North Carolina) at the time of each telehealth encounter.
• Telehealth is not appropriate for all medical conditions; we will advise you if your needs are outside the scope of what can be safely addressed via telehealth.

8. Prescription and Laboratory Services

In the course of your care, Dr. Tagge may, in his professional judgment, prescribe medications or order laboratory tests. Prescriptions are issued through licensed pharmacy partners. Laboratory tests are ordered through the practice's laboratory accounts and partners. You are responsible for any laboratory costs, which will be disclosed in advance.

We do not prescribe controlled substances as a standard component of our health optimization model. Any prescribing decisions are made solely at the professional discretion of Dr. Tagge.

9. No Guarantee of Outcomes

Our recommendations are based on Dr. Tagge's clinical judgment and current medical evidence. Medicine is a practice, not a guarantee. We do not guarantee specific health outcomes.

10. Communication and Response Times

Ongoing care includes direct call and text access to Dr. Tagge between scheduled reviews. You may call or text outside normal business hours. Messages are not continuously monitored, and no response time is guaranteed; when he is available, Dr. Tagge may assess an issue and help direct next steps.

The Practice does not provide emergency communication under any service and does not guarantee same-day, immediate, or around-the-clock response. For urgent medical concerns that cannot wait, contact an urgent care facility, or, in the case of emergency, call 911 or go to the nearest emergency room.

11. Privacy and Health Information

We comply with the Health Insurance Portability and Accountability Act (HIPAA) and applicable state privacy laws. Our full Notice of Privacy Practices is available on this website.

Patient health information is stored in our electronic health record system, whose vendor has executed a Business Associate Agreement with us. Email communication outside the patient portal should be limited to non-clinical matters (scheduling, billing) to protect patient privacy.

12. Intellectual Property

All content on our website, including text, graphics, logos, protocol frameworks, and educational materials, is the property of Tagge Precision Health, PLLC and is protected by applicable intellectual property laws. You may not reproduce, distribute, or create derivative works from our content without our express written permission.

13. Limitation of Liability

TO THE FULLEST EXTENT PERMITTED BY APPLICABLE LAW, TAGGE PRECISION HEALTH, PLLC AND DR. DANIEL GARTH TAGGE, M.D. SHALL NOT BE LIABLE FOR ANY INDIRECT, INCIDENTAL, SPECIAL, CONSEQUENTIAL, OR PUNITIVE DAMAGES ARISING FROM YOUR USE OF OUR WEBSITE OR SERVICES.

Our total liability to you for any claim arising out of or relating to these Terms or our services shall not exceed the total fees paid by you to us in the twelve (12) months preceding the claim.

Nothing in these Terms limits our liability for gross negligence, willful misconduct, or any liability that cannot be limited by law.

14. Indemnification

You agree to indemnify and hold harmless Tagge Precision Health, PLLC and Dr. Daniel Garth Tagge, M.D. from any claims, damages, losses, or expenses (including reasonable attorney's fees) arising from your use of our website or services, your violation of these Terms, or your violation of any rights of a third party.

15. Governing Law and Dispute Resolution

These Terms are governed by the laws of the State of North Carolina, without regard to its conflict of law principles. Any disputes arising under or in connection with these Terms shall be subject to the exclusive jurisdiction of the state and federal courts located in Mecklenburg County, North Carolina.

Before initiating any legal proceeding, you agree to first contact us at care@taggehealth.com to attempt to resolve the dispute informally.

16. Modifications to These Terms

We reserve the right to modify these Terms at any time. When we make material changes, we will update the effective date at the top of this page. Your continued use of our website or services after any change constitutes your acceptance of the updated Terms.

17. Severability

If any provision of these Terms is found to be invalid, illegal, or unenforceable, the remaining provisions shall continue in full force and effect.

18. Contact

Tagge Precision Health, PLLC Dr. Daniel Garth Tagge, M.D. Email: care@taggehealth.com Website: taggehealth.com

By completing payment for any service, you acknowledge you have read these Terms and agree to be bound by them.