1. About Summit

Summit Metabolic Health PLLC, founded by Paul Anthony Miranda, MD, board-certified Family Medicine physician. Licensed in Tennessee, Florida, Georgia, Washington, and Ohio. Services only available to residents of these states.

2. Scope of Services — Not Emergency Care

Summit Metabolic Health does not provide emergency medical services. Call 911 for emergencies. Patients are encouraged to maintain a relationship with a primary care provider.

3. Eligibility

Must be 18+, a legal resident of a licensed state, have completed clinical intake, and have no active contraindications. Enrollment does not guarantee any specific prescription.

4. Telehealth Consent

Services may involve delays; technology failures are possible; telehealth is not appropriate for urgent or emergency conditions; patients retain the right to refuse and seek in-person care. A separate Telehealth Informed Consent is required at intake.

5. Subscription Plans and Billing

Cash-pay subscription, charged monthly in advance on the enrollment anniversary. Phases: Onboarding, Active, Maintenance. Medication is billed separately by the compounding pharmacy. Failed payments: 7-day collection window before suspension. No insurance, Medicare, or Medicaid claims submitted; HSA/FSA reimbursement is not guaranteed.

6. Cancellation and Refund Policy

Cancel via support@summitmetabolic.health or the patient portal, with 5 business days’ notice before the next billing date. Monthly fees are non-refundable once a billing cycle begins; onboarding fees are non-refundable once intake is completed; shipped medication is non-refundable.

7. Referral Credit Program

Referrer receives a $33 credit applied to each of the next 3 consecutive monthly invoices ($99 total value) when a referred person enrolls and completes 30 days as an active subscriber. Credits are non-transferable, non-refundable, and have no cash value; referrer must be an active subscriber when each credit applies; the referred patient must be new. Summit may modify or discontinue the program with 30 days’ notice. This is not compensation for a medical recommendation.

8. Prescribing, Clinical Decisions, and Standard of Care

The physician has sole clinical authority. Patients must disclose their full, accurate medical history; incomplete disclosure releases Summit from liability. Lab work may be required for continued prescribing.

9. Compounded Medications and Pharmacy

Medications, when prescribed, are filled through an independent licensed 503A compounding pharmacy — a separate business from Summit Metabolic Health. Compounded medications are not FDA-approved drug products. Summit does not manufacture, compound, ship, or guarantee the quality of medication — that responsibility rests with the dispensing pharmacy. Patients may also request prescriptions be sent to their own pharmacy, or choose a coaching-only pathway. Summit cannot assist with prior authorizations.

10. Privacy and HIPAA

Summit is a HIPAA Covered Entity. Non-encrypted SMS and personal email are not HIPAA-secure channels and should not be used to send protected health information.

11. Educational Content and Intellectual Property

The Ten Commandments of GLP-1 Success program and all written content are proprietary intellectual property of Summit Metabolic Health PLLC, provided under a personal, non-transferable license.

12. Limitation of Liability

Total aggregate liability is capped at 3 months’ subscription fees preceding the claim, to the extent permitted by law.

13. Dispute Resolution

Governed by Tennessee law. Disputes proceed through good-faith mediation first, then binding arbitration in Hamilton County, TN under AAA rules. Class action claims are waived.

14. Modifications

Summit may modify these Terms at any time. Material changes will be emailed 30 days before taking effect.

15. Contact

Website: www.summitmetabolichealth.com · Patient Portal: Healthie · Email: support@summitmetabolic.health