Terms | Medical Disclaimer

Last updated:  09/17/2026
Effective date:  2026-09-17

Emergency & Medical Disclaimer

SAPIA Medical is not an emergency or urgent care service, and telemedicine visits are not appropriate for time-sensitive or emergency medical conditions.

If You Are Experiencing a Medical Emergency

Call 911 or go to your nearest emergency room immediately. Do not use this website, email, patient messaging, or wait for a SAPIA Medical response.

Signs that warrant emergency care include, but are not limited to:

  • Chest pain or pressure
  • Signs of stroke (sudden numbness/weakness, slurred speech, vision changes, severe headache)
  • Severe allergic reaction (difficulty breathing, swelling of face/throat)
  • Uncontrolled bleeding
  • Severe abdominal or pelvic pain
  • Suicidal thoughts or a mental health crisis — call or text 988 (Suicide & Crisis Lifeline), available 24/7

Response Time

SAPIA Medical is a scheduled, concierge telehealth practice. Messages sent through our patient portal or website are not monitored continuously and should not be used to report a medical emergency. We strive to return patient messages within 24 business hours.

Scope of Care

SAPIA Medical provides care for perimenopause, menopause, hormone therapy, and medical weight management. We do not provide emergency, urgent, or in-person exam dependent care.

Website Terms of Use

Definitions

"Site" means the SAPIA Medical website located at https://www.sapiamedical.com, including all pages, subdomains, and content made available there.

"SAPIA," "we," "us," or "our" means Sapia Medical, PLLC, which operates the Site.

"You" or "user" means any person who accesses or uses the Site.

These Terms of Use are separate from, and do not replace, SAPIA's HIPAA Notice of Privacy Practices, Informed Consent forms, or any other clinical or patient facing document you may sign in connection with SAPIA's telehealth services. Those documents govern your care and your protected health information; these Terms govern only your use of this Site.

1. Acceptance of Terms

By accessing or using the Site, you agree to be bound by these Terms of Use (“Terms”). If you do not agree to these Terms, do not access or use the Site.

2. No Doctor-Patient Relationship Created by Site Use

Browsing the Site, submitting a contact or intake form, or scheduling an appointment through a linked third party platform does not, by itself, create a doctor patient relationship with SAPIA Medical, PLLC, or with any physician affiliated with SAPIA. A doctor patient relationship is established only as described in SAPIA's Physician Patient Relationship & Good Faith Examination Disclosure, provided separately at the time of a scheduled clinical encounter.

3. Not Medical Advice; No Emergency Use

Content on the Site is provided for general informational purposes only and is not medical advice. It is not a substitute for individualized evaluation, diagnosis, or treatment by a licensed physician, and you should not rely on it for that purpose.

The Site is not monitored for emergencies and messages submitted through the Site are not reviewed in real time. If you are experiencing a medical emergency, call 911 or go to the nearest emergency room. Do not use the Site to seek emergency care.

4. Eligibility

The Site and the services described on it are directed to, and intended for use by, adults age 18 and older. SAPIA does not treat patients under 18 and does not knowingly direct the Site to, or collect personal information from, individuals under 18. If you are under 18, do not use the Site to request services or submit personal information.

5. Third Party Links and Platforms

The Site may link to, or embed access to, third party services, including Healthie (for scheduling, secure messaging, and the patient portal) and diagnostic partners such as Quest Diagnostics, LabCorp, or Get Labs. SAPIA does not control these third party services and is not responsible for their content, availability, security, or privacy practices. Your use of a linked or embedded third party service is governed by that service's own terms of use and privacy policy, not by these Terms.

6. Intellectual Property

All text, images, graphics, logos, and other content on the Site (“Content”) are owned by or licensed to SAPIA and are protected by copyright, trademark, and other intellectual property laws. You may view and print Content for your own personal, non-commercial reference. You may not reproduce, distribute, publicly display, modify, or create derivative works from any Content without SAPIA's prior written consent.

7. User Conduct

When using the Site, you agree not to:

  • Use the Site for any unlawful purpose or in violation of these Terms;
  • Attempt to gain unauthorized access to the Site, its servers, or any connected system or network;
  • Interfere with or disrupt the Site's operation, including through malware, scraping, bots, or excessive automated requests;
  • Submit false, misleading, or another person's information through any form on the Site; or
  • Use the Site to transmit content that is defamatory, obscene, harassing, or infringing of another's rights.

8. Testimonials and No Guarantee of Results

Any testimonials, patient stories, or descriptions of outcomes appearing on the Site reflect individual experiences and do not constitute a guarantee, warranty, or prediction that any other individual will achieve similar results. Individual results vary based on medical history, adherence to treatment, and other factors outside SAPIA's control.

9. Privacy

This Terms of Use governs your general use of the Site. It does not describe how SAPIA collects, uses, or discloses protected health information; that is addressed in SAPIA's HIPAA Notice of Privacy Practices, made available separately.

10. Disclaimer of Warranties

THE SITE AND ITS CONTENT ARE PROVIDED “AS IS” AND “AS AVAILABLE,” WITHOUT WARRANTIES OF ANY KIND, WHETHER EXPRESS OR IMPLIED, INCLUDING WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, TITLE, NON-INFRINGEMENT, OR THAT THE SITE WILL BE UNINTERRUPTED, SECURE, TIMELY, OR ERROR FREE.

11. Limitation of Liability

TO THE MAXIMUM EXTENT PERMITTED BY LAW, SAPIA AND ITS OWNERS, MEMBERS, EMPLOYEES, CONTRACTORS, AND AFFILIATES ARE NOT LIABLE FOR ANY INDIRECT, INCIDENTAL, CONSEQUENTIAL, SPECIAL, OR PUNITIVE DAMAGES ARISING FROM OR RELATED TO YOUR ACCESS TO OR USE OF THE SITE.

12. Indemnification

You agree to indemnify, defend, and hold harmless SAPIA and its owners, members, employees, contractors, and affiliates from and against any claims, damages, liabilities, and expenses (including reasonable attorneys' fees) arising from your misuse of the Site or your violation of these Terms.

13. Changes to These Terms

SAPIA may revise these Terms at any time by posting an updated version on the Site with a revised effective date. Your continued use of the Site after a revision is posted constitutes your acceptance of the revised Terms.

14. Governing Law and Venue

These Terms are governed by the laws of the State of Washington, without regard to its conflict of laws principles. Any dispute arising from these Terms or your use of the Site will be brought exclusively in the state or federal courts located in Washington, and you consent to personal jurisdiction in those courts.

15. Severability

If any provision of these Terms is found unenforceable or invalid, that provision will be limited or eliminated to the minimum extent necessary, and the remaining provisions will remain in full force and effect.

16. Contact

Questions about these Terms may be directed to: Sapia Medical, PLLC — Admin@SapiaMedical.com — 522 W. Riverside Avenue Suite N, Spokane, WA 99201