Membership, Payment, Cancellation, and Refund Policy

Membership provides ongoing medical management, including but not limited to:

• Initial and follow-up telehealth visits
• Medical evaluation
• Clinical decision-making
• Individualized treatment planning
• Prescription management
• Medication monitoring
• Laboratory review
• Secure messaging
• Care coordination
• Administrative support necessary to provide care
• When clinically appropriate, prescribed medications and routine treatment supplies

Membership fees compensate the Clinic not only for direct patient interactions, but also for the professional cognitive services required to provide safe, appropriate, and individualized medical care. Such services include, but are not limited to, independent medical judgment, clinical decision-making, review and interpretation of laboratory and diagnostic studies, review of outside medical records, prescription evaluation, treatment planning, documentation, communication with pharmacies and laboratories, coordination of care, clinically appropriate research, and other professional time devoted to a patient’s care, regardless of whether those services occur during a scheduled appointment or while the patient is directly interacting with the provider.

Enrollment does not guarantee that any medication will be prescribed.

By enrolling, you authorize Pacific Coastal Men’s Clinic to charge your selected payment method for recurring membership fees and other authorized charges.

Membership fees compensate the Clinic for providing ongoing physician-directed medical care. Monthly charges are not payment solely for medication, laboratory testing, telehealth visits, or any single component of treatment.

Patients may cancel membership at any time by notifying the Clinic.

Cancellation prevents future recurring charges after the effective cancellation date but does not entitle the patient to a refund for services already rendered or expenses already incurred.

Termination of membership does not automatically terminate the provider-patient relationship.

Refund requests are evaluated fairly and consistently based upon the patient’s stage of care.

Before Services Begin

If cancellation occurs before meaningful administrative or clinical work has begun and before expenses have been incurred on the patient’s behalf, a full refund will generally be issued.

After Clinical Services Begin

Once meaningful administrative work or professional clinical services have begun, including but not limited to provider review, consultation, medical evaluation, independent medical judgment, clinical decision-making, treatment planning, review and interpretation of laboratory or diagnostic studies, review of outside medical records, prescription management, documentation, care coordination, communication with pharmacies or laboratories, clinically appropriate research, or other professional cognitive services performed on the patient’s behalf, those services are considered earned and generally become non-refundable, regardless of whether they occur during a scheduled appointment or outside of direct patient interaction.

Medication Component of Care

When clinically appropriate, medications may be prescribed as part of the patient’s treatment program.

Once a prescription has been transmitted to a pharmacy, medication procurement has begun, medication has been compounded, dispensed, prepared, or shipped, the Clinic has incurred substantial non-recoverable expenses. Accordingly, refunds generally will not be issued for that portion of services already provided except where required by law or in the event of a documented pharmacy error.

Prescription medications may not be returned once dispensed.

Patients acknowledge that monthly membership fees support ongoing medical management.

Medication refill schedules, laboratory testing, provider review, and pharmacy processing frequently occur independently of monthly billing dates.

The timing of a payment does not determine whether professional services have been rendered or expenses have been incurred.

Membership fees compensate multiple components of patient care, including but not limited to provider services, clinical evaluation, prescription management, pharmacy coordination, medication procurement, laboratory review, shipping, administrative services, compliance, technology, and operational expenses.

These components are combined into a single membership fee rather than tracked, billed, or itemized separately.

If a refund is approved, the refundable amount may be determined after considering services rendered, professional cognitive services performed, and expenses incurred on the patient’s behalf.

Patients agree to contact Pacific Coastal Men’s Clinic before initiating a payment dispute or chargeback.

Chargebacks do not eliminate responsibility for legitimate charges associated with medical services rendered, professional cognitive services performed, or expenses incurred on the patient’s behalf.

The Clinic reserves all rights available under applicable law to recover unpaid balances and contest improper chargebacks.

The Clinic may, in appropriate circumstances and to the fullest extent permitted by law, provide a full or partial refund as a goodwill accommodation.

A goodwill refund does not establish a precedent or create an obligation to provide similar refunds in future situations.

Nothing in this Policy limits any rights that cannot legally be waived under applicable federal or Oregon law.