Terms and Conditions

Telehealth Informed Consent & Patient Rights

Effective Date: 10/01/2025

Please read this Telehealth Informed Consent & Patient Rights document carefully. By proceeding with a scheduled telehealth session, you acknowledge and agree to the terms below. This consent is required before any telehealth services are provided.

1. What is Telehealth?

Telehealth involves the use of electronic communication technologies to allow you to receive services from a licensed genetic counseling professional without being in the same physical location. This may include video conferencing, secure messaging, and electronic transmission of health information.

2. Consent to Receive Telehealth Services

By checking the consent box during scheduling or beginning the telehealth session, you confirm that:
– You understand that the genetic counseling professional will not be physically present.
– You consent to the use of telehealth technology for your session.
– You understand that you may withdraw this consent at any time before or during the session by notifying the provider.

3. Patient Rights

You have the right to:
– Know the name and credentials of your licensed provider.
– Ask questions about any aspect of your telehealth session.
– Request an in-person appointment instead of telehealth, if available in your state.
– Request a copy of your records.
– Report any concerns or complaints about your experience.

4. Limits of Telehealth

Telehealth may not be appropriate for every condition. If your provider determines that telehealth is not suitable for your needs, you may be referred for in-person care or follow-up with your primary healthcare provider.

5. Privacy and Confidentiality

Your health information is protected under HIPAA. Tandem Genetics, LLC uses secure platforms to protect your information. However, you acknowledge that electronic communications carry some inherent privacy risks. You agree to participate from a private location and not record the session without explicit permission.

6. Fees and Billing

You understand that most services are self-pay unless otherwise indicated. You agree to the posted fee schedule and any applicable cancellation or no-show fees.

7. Emergency Situations

Telehealth is not for emergency medical situations. If you are experiencing a medical emergency, you should call 911 or go to the nearest emergency room.

8. Acknowledgment and Affirmative Consent

☐ By checking this box during scheduling and/or by proceeding to join a telehealth session, I confirm that I have read and understand this Telehealth Informed Consent & Patient Rights document. I agree to proceed with telehealth services and understand my rights.

Tandem Genetics – Terms of Service 

Last Updated: 10.20.2025

1. Introduction

Welcome to Tandem Genetics, LLC (“Tandem”). We provide coordination, scheduling, administrative services, and facilitation of genetic counseling and related healthcare services through independent licensed healthcare professionals (“Professionals”). Tandem itself does not provide direct medical care or practice medicine. All clinical care is delivered solely by the independent Professionals with whom you are connected.

By accessing or using our website, scheduling system, communication platforms, or any service facilitated by Tandem (collectively, the “Services”), you agree to these Terms of Service and our Privacy Policy.

If you do not agree, please do not use the Services.

You must be at least 18 years old to use the Services.

2. Tandem Is Not a Healthcare Provider

Tandem coordinates and supports telehealth genetic counseling but is not a medical group or healthcare provider. Any medical or genetic counseling services are provided by Professionals who operate independently and are solely responsible for the care they provide and for maintaining good standing with the federal, state and/or local organizations that accredit and license individuals of his or her profession in accordance with the practice standards of the American Board of Genetic Counseling (www.abgc.net), National Society of Genetics Counselors (www.nsgc.org), American College of Medical Genetics and Genomics (www.acmg.net), and/or other relevant professional organizations in the United States. Tandem does not control or supervise the clinical judgment of any Professional.

3. Patient-Provider Relationship

When you schedule and attend a consultation, you enter into a limited patient-provider relationship with the assigned Professional for that specific session. This relationship does not establish an ongoing physician-patient or counselor-patient relationship beyond the scope of the scheduled consultation. You should continue care with your primary healthcare provider.

4. State Licensing and Location Requirements

Telehealth laws require that the Professional must be licensed in the state where you are physically located at the time of the session. You agree to select your physical location accurately during scheduling. If you are located in a state where the assigned Professional is not licensed, the session may be rescheduled or canceled.

5. Telehealth Informed Consent

Use of the Services includes telehealth delivery of care. A separate Telehealth Informed Consent & Patient Rights Form will be presented before your session. You must review and agree before any telehealth service begins.

6. Payment and Fees

Most Services are self-pay in U.S. dollars. Some limited insurance or benefit billing may be available. You agree to:

• • Pay fees at the time of scheduling unless otherwise specified.

  • Be responsible for any co-pays, deductibles, or denied claims when using insurance.

  • Pay cancellation fees: $50 for cancellations within 24 hours of your appointment; up to 50% of the Service fee for no-shows.

• Pay up to a 5% payment processing fee 

In most cases, Tandem does not accept payment from health insurance providers for payment of Services, nor does it submit health insurance paperwork or claims, although exceptions may apply for specific workflows and relationships,at the sole discretion of Tandem.  Tandem does not guarantee that the fees charged for Services through Tandem will be reimbursed by your insurance provider. If you desire to file a claim with your insurance to pay the fees, you must contact your insurer directly. Obtaining any reimbursement of the fees will be your sole responsibility. In the event you are able to submit a claim to your insurer, you authorize Tandem to release whatever information is necessary to your insurer for your insurer to process the claim.  You understand and agree that if Tandem’s contracted Professionals order genetic testing on your behalf, you are solely responsible for any and all additional expenses for genetic testing and/or other services due to the laboratory for your testing needs.  Tandem will make reasonable attempts to inform you about the expected costs of testing prior to testing; however, Tandem Genetics cannot guarantee the costs of tests billed by any laboratory. 

You agree that you are solely responsible for accepting and using healthcare services from Tandem-affiliated Professionals, and you agree to defend, indemnify and hold harmless Tandem and its officers, directors, employees, consultants, affiliates, subsidiaries and agents (collectively, the “Tandem Entities”) from and against any and all claims, liabilities, damages, losses and expenses, including reasonable attorneys’ fees and costs, arising out of or in any way connected with (i) your access to, use of, or alleged use of the Service, or (ii) your violation of these Terms or any representation, warranty or agreements referenced herein, or any applicable law or regulation. We reserve the right, at our own expense, to assume the exclusive defense and control of any matter otherwise subject to indemnification by you (and without limiting your indemnification obligations with respect to such matter), and in such case, you agree to cooperate with our defense of such claim.  Individuals who receive Services through Tandem are individually bound by the Tandem’s Terms and Policies regardless of who pays for Services or if they were referred from third-party entities.  All individuals have the right to decline utilization of Services through Tandem and to decline Services from any individual Professional. If individuals decline Services through Tandem but are required to receive Services based on policies of third-party entities, individuals must work with third-parties to determine alternate service providers.  Tandem is not obligated to refer or guide you to alternate or competing service providers. 

7. Communication and Use of Email/SMS

You may receive appointment confirmations, reminders, and follow-ups via email, SMS, or phone. Standard carrier rates may apply. You acknowledge that email and SMS are not fully secure. By providing your contact information, you consent to receive communications related to your care. You may withdraw consent by emailing Privacy@TandemGenetics.com.

8. Use of Website and Content

Content on Tandem’s website is for informational purposes only and should not be considered medical advice. You agree not to misuse or attempt to disrupt the Services.

9. Use by Foreign Residents

While foreign residents may, from time to time, seek Services through Tandem to aid in their other U.S.-based treatment needs, by accepting Services through Tandem, you accept that neither Tandem nor any contracted Professionals make any representations that Services meet practice standards, regulations, or legislation of any other nations. 

10. Limitations of Services

Services such as genetic risk assessments that are accessed through Tandem, are limited by the family medical history information that is known and reported by you or your patient.  You accept that Tandem and Professionals are not responsible for genetic risks or management options not discussed due to inaccuracies or incomplete information from you, and/or due to the targeted nature of certain consultations, regardless of whether such inaccuracies are by intent, error, misunderstanding, or lack of information. Tandem will distribute records from the consultation, if applicable, to you and/or referring provider, usually within one week following the appointment, to the e-mail, fax or mailing address provided. Distribution of consultation records may be delayed for various reasons including if additional information is being investigated, or if Services are not paid in full.  You and/or referring provider is presumed to have received documents upon the date of e-mail or fax or within three business days of physical mailings. Consultation records typically include a summary of the medical history that is relevant to the indication for referral, as stated on the intake forms ,a risk assessment of the relevant information, and a plan based on your stated preferences.  It is your responsibility to obtain and review the records.  If any family medical history information is missing or inaccurate, or there are any omissions or errors in the documents, it is your responsibility to contact Tandem within two weeks of completion of the documents to advise Tandem and/or the Professional of errors as timely as possible because errors in family medical history information could negatively affect or alter the risk assessment and plan and could lead to errors in medical care. 

You agree that all communications with Tandem are conducted in the English language.  If Services are desired in other languages, Tandem and contracted Professionals are not obligated to accommodate the request, and if provided, foreign language interpreter services are provided through a third-party interpreter service.   You are responsible for any and all expenses associated with the third-party interpreter services.   If you have any medical records, in other languages and intend to share such documents with Tandem for the purposes of a genetic consultation and risk assessment, you agree to provide certified translated copies of such documents prior to the scheduled consultation at your sole expense.  Tandem and Professionals are not responsible for any errors in Services based on errors in translation or interpretation services if you do not provide translated records.

You acknowledge that practice recommendations, genetic technologies, testing options, and medical knowledge change over time.  As such, risk assessments and testing and treatment options may differ at a future date such as during subsequent pregnancies or stages of life.  It is recommended that you seek a new genetic consultation to be informed about genetic knowledge, practice recommendations and/or testing options during subsequent pregnancies, and/or at other intervals, depending upon the indications for referral.  You are solely responsible for scheduling a Service for review and re-evaluation of information that could be pertinent to your medical management. Neither Tandem nor performing Professionals offer any Service through which they independently review your healthcare information or notify you of new options or medical policy and practice changes that may be relevant to your care. 

There is no guarantee that you will be treated as a patient by Tandem’s contracted Professionals, if, for example, your medical condition cannot be properly evaluated by a contracted Professional.  If you have a consultation with a Tandem-affiliated Professional, you have a right to request copies of your medical records in accordance with applicable law.  Such requests must be received in writing and can be sent to MedicalRecords@TandemGenetics.com, or by mail to 1223 Wilshire Bl, #1451, Santa Monica, CA  90403.  Requests must include your full name, date of birth, phone number, address and a detailed request as to the specific records that you seek, as well as an original hand written signature and/or notarized or electronically verified signature. Tandem agrees to provide records to designated individual(s) within 21 days of receipt of complete request

11. Limitation of Liability

Tandem is not responsible for medical outcomes or decisions made by Professionals. To the fullest extent allowed by law, Tandem’s liability is limited to the amount you paid for the specific Service, or $50, whichever is greater.

IN NO EVENT WILL THE TANDEM ENTITIES BE LIABLE TO YOU, YOUR ASSIGNS OR HEIRS, FOR ANY INDIRECT, INCIDENTAL, SPECIAL, CONSEQUENTIAL OR PUNITIVE DAMAGES ARISING OUT OF OR RELATING TO YOUR ACCESS TO OR USE OF, OR YOUR INABILITY TO ACCESS OR USE, THE SERVICE, OR ANY MATERIALS OR CONTENT ON THE SERVICE, WHETHER BASED ON WARRANTY, CONTRACT, TORT (INCLUDING NEGLIGENCE), STATUTE OR ANY OTHER LEGAL THEORY, WHETHER OR NOT THE TANDEM ENTITIES HAVE BEEN INFORMED OF THE POSSIBILITY OF SUCH DAMAGE. YOU AGREE THAT THE AGGREGATE LIABILITY OF THE TANDEM ENTITIES TO YOU FOR ANY AND ALL CLAIMS ARISING OUT OF RELATING TO THE USE OF OR ANY INABILITY TO USE THE SERVICE (INCLUDING ANY MATERIALS OR CONTENT AVAILABLE THROUGH THE SERVICE), OR OTHERWISE UNDER THESE TERMS, WHETHER IN CONTRACT, TORT OR OTHERWISE, IS LIMITED TO THE GREATER OF (I) THE PRICE YOU PAID FOR THE SERVICE GIVING RISE TO LIABILITY OR (II) $50 USD. SOME JURISDICTIONS DO NOT ALLOW THE EXCLUSION OR LIMITATION OF LIABILITY FOR CONSEQUENTIAL OR INCIDENTAL DAMAGES. ACCORDINGLY, THE ABOVE LIMITATION MAY NOT APPLY TO YOU.

12. Dispute Resolution and Arbitration

In the interest of efficient resolution, you agree that any dispute with Tandem will be resolved through binding arbitration in Los Angeles County, California. You waive the right to a jury trial or class action, except as otherwise required by law. This does not apply to disputes directly with Professionals regarding clinical care.

13. Modifications to These Terms

We may update these Terms from time to time. The “Last Updated” date will reflect changes. Your continued use of Services after updates means you accept the revised Terms.

14. Contact

For questions about these Terms, email: Legal@TandemGenetics.com

Tandem Genetics, LLC – Institutional Provider Portal Terms of Service

Effective Date: 10.01.2025

1. Eligibility and Account Registration

The Portal is intended solely for licensed healthcare institutions, providers, and authorized staff. You must designate an Authorized Administrator for your Institution who is responsible for managing user accounts, permissions, and access.
Each individual user must have unique login credentials. Sharing accounts is prohibited.

2. HIPAA and Confidentiality Obligations

You acknowledge that the Portal may contain Protected Health Information (PHI). Your Institution is responsible for ensuring that all users comply with HIPAA, state privacy laws, and Tandem’s policies when accessing, using, or transmitting PHI. Tandem maintains administrative, physical, and technical safeguards designed to protect PHI in accordance with HIPAA.

3. Permitted Use

The Portal is provided solely for clinical, administrative, and operational purposes related to genetic counseling and patient care.  You agree not to:

·         Use the Portal for unauthorized purposes or for illegal activity

·         Attempt to access accounts, systems, or data for which you do not have explicit permission

·         Reverse engineer, copy, distribute, or create derivative works based on the Portal

4. Institutional Responsibilities

Ensure that all users are trained on privacy, security, and Portal policies.
Promptly deactivate accounts of employees or contractors who no longer require access.
Immediately report suspected unauthorized access, breaches, or misuse of the Portal.

5. Security

You must safeguard login credentials and immediately notify Tandem of any suspected compromise.
Tandem may temporarily suspend access in the event of a security incident, suspected breach, or policy violation.

6. Data Use, Retention, and Ownership

Tandem owns the Portal software and platform, but all patient data remains the property of your Institution and/or the patients. Tandem may use de-identified or aggregated data for operational improvement, analytics, and research purposes in compliance with HIPAA. Data retention follows HIPAA and applicable state requirements.

7. Fees and Billing

Access to the Portal may require subscription fees or service charges as outlined in a separate agreement.
Institutional users are responsible for ensuring timely payment of all fees.

8. Termination

Tandem may suspend or terminate Portal access for:

• Violation of these Terms
• Unauthorized access or use of PHI
• Failure to pay fees

Upon termination, your Institution is responsible for securely downloading and/or retaining any data required for legal or operational purposes.

9. Disclaimers and Limitation of Liability

Tandem provides the Portal “as is” and does not warrant uninterrupted access or error-free operation.
Tandem is not responsible for your Institution’s internal policies, training, or HIPAA compliance beyond providing a secure platform. In no event will Tandem be liable for indirect, incidental, or consequential damages arising from Portal use.

10. Governing Law and Dispute Resolution

These Terms are governed by the laws of the State of California, without regard to conflicts of law principles. 
Any dispute arising under these Terms will first attempt resolution through negotiation; if unresolved, disputes will be resolved by binding arbitration in Los Angeles County, California, unless otherwise required by law.

11. Modifications

Tandem may update or modify these Terms at any time. Institutions will receive email notification of material changes. Continued access constitutes acceptance of the revised Terms.

12. Contact Information

For questions regarding these Terms or the Portal, please contact:

Tandem Privacy Officer
Tandem Genetics, LLC
1223 Wilshire Blvd, #1451
Santa Monica, CA 90403
Email: Privacy@TandemGenetics.com
Phone: 310-922-5025

Institution Acknowledgment

☐ By clicking “Accept” and/or by proceeding to log into the Portal, I acknowledge that I have read, understood, and agree to abide by these Terms of Service for institutional use.

Tandem Genetics – Privacy Policy 

Effective Date: 10.01.2025

Tandem Genetics, LLC (“Tandem,” “we,” “us,” or “our”) is committed to protecting your privacy. This Privacy Policy explains how we collect, use, disclose, and safeguard your personal information, including information that may be protected under the California Consumer Privacy Act (CCPA) and California Privacy Rights Act (CPRA), as well as how we handle data that may be considered Protected Health Information (PHI) under HIPAA.

1. Scope of This Policy

This Policy applies to information collected through our scheduling platform, website, communication tools, and support channels. Clinical data handled by licensed professionals during telehealth sessions is governed by our HIPAA Notice of Privacy Practices.

2. Types of Information We Collect

We may collect the following types of information:
– **Personal Information** (name, contact details, location for licensing compliance)
– **Health Intake Information** (when submitting forms for scheduling)
– **Session Metadata** (appointment timestamps, provider assignment, acceptance of policies)
– **Payment Information** (self-pay billing details; processed securely via third-party processors like Stripe)
– **Technical Data** (device type, browser type, IP address for fraud prevention and session integrity)

3. How We Use Information

We use your information to coordinate appointments, verify provider licensing eligibility based on location, deliver communications related to your session, process payments, and improve service reliability.

4. CPRA/CCPA Rights (California Residents)

California residents may have the following rights under CPRA:
– Right to Know what personal information is collected
– Right to Request Deletion (with HIPAA and medical record retention exceptions)
– Right to Correct Inaccurate Data
– Right to Limit Use of Sensitive Personal Information
– Right to Non-Discrimination for Exercising Privacy Rights

Requests may be submitted to Privacy@TandemGenetics.com.

5. Analytics and Tracking Technologies

Tandem Genetics does not deploy marketing tracking pixels or analytics cookies such as Google Analytics, Meta Pixel, HubSpot tracking, or HotJar heatmaps. However, third-party infrastructure (e.g., Stripe for payment, scheduling or communications vendors) may use cookies or metadata tracking as part of their service delivery. These third-party technologies are not used by Tandem for advertising or user profiling.

6. Data Retention

We retain appointment metadata and consent acceptance logs for compliance oversight. Medical record retention follows state law and HIPAA-determined retention schedules, typically ranging from 6 to 10 years.

7. Contact for Privacy Requests

To exercise your privacy rights or ask questions, contact:

Tandem Privacy Officer
Email: Privacy@TandemGenetics.com
Phone: 310-922-5025
Address: 1223 Wilshire Blvd, #1451, Santa Monica, CA 90403

Tandem Genetics – Privacy Policy, CPRA Rights, and Cookie/Tracking Disclosure

Effective Date: 10.01.2025

Tandem Genetics, LLC (“Tandem,” “we,” “us,” or “our”) is committed to protecting your privacy. This document combines our Privacy Policy, California privacy rights under CPRA, and disclosures about cookies and third-party tracking technologies. It applies to all users of our website, scheduling platform, and telehealth services.

1. Scope

This Policy applies to information collected through our website, telehealth platforms, scheduling tools, and communication channels. Clinical data handled by licensed professionals during telehealth sessions is governed by our HIPAA Notice of Privacy Practices.

2. Types of Information Collected

We may collect:
– Personal Information (name, email, mailing address, phone number, date of birth, geographic location for licensing compliance)
– Health Intake Information (medical/family history, indications for genetic counseling)
– Session Metadata (appointment timestamps, provider assignment, consent acceptance)
– Payment Information (self-pay fees, billing data; processed securely via third-party payment processors)
– Technical Data (device type, browser type, IP address, system logs for fraud prevention and session integrity)

3. Uses of Information

Your information is used to:
– Schedule and coordinate telehealth appointments
– Ensure provider licensing compliance based on your location
– Deliver session reminders, documents, and consultation results
– Process payments and applicable refunds or adjustments
– Improve service reliability, user experience, and operational efficiency

4. California CPRA Rights

California residents may exercise the following rights under the California Privacy Rights Act (CPRA):
– Right to Know the personal information we collect, use, and share
– Right to Request Deletion (with exceptions for HIPAA retention requirements)
– Right to Correct inaccurate information
– Right to Limit Use of Sensitive Personal Information
– Right to Non-Discrimination for exercising privacy rights
To submit a request, contact Privacy@TandemGenetics.com.

5. Analytics and Tracking Disclosure

Tandem Genetics does not deploy marketing tracking pixels or third-party analytics for advertising purposes such as Google Analytics, Meta Pixel, HubSpot, or HotJar. However, third-party infrastructure services (e.g., Stripe for payments, scheduling platforms, or communication tools) may use cookies, session logs, or metadata tracking as part of their service delivery. These are used solely for operational purposes and not for profiling or advertising.

6. Cookies & Your Choices

Cookies are small data files stored on your device to improve website functionality and session management. You may disable cookies in your web browser at any time, but this may impact the ability to schedule or access services. We do not sell your personal information to third parties.

7. Data Retention

Appointment metadata, consent records, and transactional logs are retained for compliance and operational oversight. Medical record retention follows HIPAA and state requirements, generally ranging from 6 to 10 years.

8. Contact for Privacy Questions or Requests

To exercise your rights or for any questions regarding privacy or tracking disclosures, contact:

Tandem Privacy Officer
Tandem Genetics, LLC
1223 Wilshire Blvd, #1451
Santa Monica, CA 90403
Email: Privacy@TandemGenetics.com
Phone: 310-922-5025

HIPAA Notice of Privacy Practices

Effective Date: 10.01.2025

This Notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.

Our Responsibilities

Tandem Genetics, LLC (“Tandem”) is required by law to maintain the privacy of your protected health information (PHI), provide you with this Notice of our legal duties and privacy practices, and notify you if a breach occurs that may have compromised the privacy or security of your information.

How We May Use and Disclose Your Health Information

We may use or share your health information for the following purposes without your written authorization:
– Treatment: To connect you with independent licensed genetic counseling professionals.
– Payment: To process self-pay fees or limited insurance billing if applicable.
– Healthcare Operations: For scheduling, coordination, quality assurance, and compliance purposes.

Your Rights Regarding Your Health Information

You have the right to:
– Request an electronic or paper copy of your medical record.
– Ask us to correct your medical record.
– Request confidential communications.
– Ask us to limit what information we use or share.
– Get a list of those with whom we’ve shared information.
– Get a copy of this privacy notice at any time.
– File a complaint if you believe your privacy rights have been violated.

Contact for Requests or Complaints

To request records, exercise your rights, or file a complaint, contact:

Tandem Privacy Officer
Tandem Genetics, LLC
1223 Wilshire Blvd, #1451
Santa Monica, CA 90403
Email: Privacy@TandemGenetics.com
Phone: 310-922-5025

Changes to This Notice

We may update this Notice at any time. The revised Notice will be posted on our website and available upon request. The effective date of the Notice will be updated accordingly.