General Information Disclaimer
All content provided on ayah.health (including text, graphics, blog posts, images, and general information) is published strictly for educational and informational purposes. It is not, and should not be treated as, a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or another qualified health provider with any questions you may have regarding a medical condition. Browsing this website or reading its content does NOT constitute a formal doctor-patient relationship.
Establishment of Physician-Patient Relationship
Browsing this website, creating an account, or receiving an automated message does not by itself establish a physician-patient relationship or confirm acceptance into a program. Clinical care begins when the clinician accepts your request and undertakes your care, subject to applicable law. These terms do not diminish duties arising from care actually provided.
Wellness Membership Terms
The Ayah Health Wellness Program offers physician-led lifestyle support for adults 18 and older who are physically in Texas or Florida during care. Enrollment requires review and acceptance by Dr. Akram. The fit review is free; completing an intake does not obligate you to enroll or pay.
$150 initially, then $99 per month until cancelled. After acceptance, the one-time $150 payment covers the first visit and personalized plan. The $99 monthly membership begins one calendar month after that payment and covers a monthly check-in and updated personalized plan. The actual first renewal date is shown before payment.
Renewals continue whether or not you complete a check-in. You must separately agree to the program agreement and recurring-payment terms before payment; reading this page, submitting an intake, or consenting to care does not authorize charges.
- Cancellation: Cancel through Account Settings in your patient portal before your next renewal to stop future charges. Access continues through the period already paid for. If you cannot access the cancellation control, contact [email protected] or send the care team a portal message. Keep your cancellation confirmation and contact us if it does not arrive. Simply stopping check-ins, deleting the app, or withdrawing recording consent does not cancel membership.
- Refunds: Refund requests are reviewed by Dr. Akram case by case. Cancellation does not automatically refund an already-paid period. This does not limit any refund, billing-dispute, or other consumer right required by law. Contact us promptly about an incorrect charge.
- Program completion: If Dr. Akram graduates you from the program, future membership billing stops. If another type of care is needed, the clinician will explain the recommendation; continued membership does not guarantee that a particular treatment will be provided.
- Separate costs: Labs, imaging, medications, outside consultations, and other services not expressly included are separate. Any recommended test and its cost should be discussed before you decide. Membership is not health insurance and does not cover hospital or emergency services.
- Your plan: Staff assign and may change your wellness track after clinical review. An AI-guided conversation supports information gathering; the clinician reviews your assessments and earlier care and approves the plan. No particular outcome, prescription, test, or improvement in a score is guaranteed.
The service-specific agreement presented before enrollment records your applicable price, first renewal date, and billing terms. A later website edit does not retroactively change an accepted charge or authorize a different subscription. We will communicate material changes and obtain new consent where required. See wellness care consent for clinical scope and limitations.
Your Right to a Good Faith Estimate
If you are uninsured or are not using insurance to pay for care, you have the right to a written Good Faith Estimate of expected charges for scheduled nonemergency services under applicable federal rules. Ask us for an estimate before scheduling or paying. Posted membership prices do not replace an individualized estimate when one is required.
If a provider's bill is at least $400 more than that provider's estimate, you may qualify for the federal patient-provider dispute process. Generally, you must start that process within 120 calendar days of the initial bill. Keep a copy of your estimate and bill. See CMS medical bill rights or call 1-800-985-3059 for eligibility and instructions. Asking for an estimate does not require you to obtain care.
Using the Patient Platform
Provide accurate information, protect your sign-in credentials, and use only accounts you are authorized to access. Submit documents only when you are entitled to share them. Do not upload malicious files, interfere with the service, or attempt to access another person's records. Tell the care team if you suspect unauthorized access or find an error in your record.
Messages, check-ins, uploads, and automated replies are not monitored continuously. A submission confirmation means the system received information, not that a clinician has reviewed it. For urgent needs, obtain timely medical care rather than waiting for a portal reply; for an emergency, call 911. Outages may delay communication. Contact the practice if a nonurgent submission fails.
Public marketing pages use Google Analytics and browser storage for site usage information and preferences. They are not a secure channel for medical information. Use the patient portal for health details and avoid placing medical information in ordinary email or public website fields. Our privacy notice explains how we handle protected health information.
AI Assistance & Clinical Recording
Ayah Health uses AI to assist with intake, wellness check-ins, and drafting clinical notes and plans. An optional AI scribe can transcribe a clinic or telehealth conversation to help update a note, with separate permission from every participant. AI can make mistakes and is not a clinician. It does not independently diagnose, prescribe, authorize treatment, or make clinical decisions. The treating clinician must review and approve clinical documentation and plans. See our Care, Wellness & AI Consent, including the right to decline or stop recording without losing access to care.
Prescription & Medication Disclaimers
Submitting an intake request or consultation does NOT guarantee that a prescription or lab order will be issued. Prescriptions are issued strictly at the sole clinical discretion of Dr. Ahsan Akram in accordance with medical necessity and standard of care guidelines.
Zero Controlled Substance Policy: Ayah Health does not evaluate or prescribe DEA Schedule II–V controlled substances (including opioids, stimulants like Adderall, benzodiazepines, or sedatives) under any circumstances.
Geographic Limitation
Ayah Health telehealth and wellness care is available only while the patient is physically in Texas or Florida. Tell the care team your actual location at each encounter, including when you travel. The clinician must be authorized to provide the requested service where you are located; online access does not make care available in every jurisdiction.
No Warranty; Limitation of Liability
This website and its general content are provided on an "as is" and "as available" basis, without warranties of any kind, either express or implied, including but not limited to accuracy, completeness, timeliness, or fitness for a particular purpose. Ayah Health PLLC makes reasonable efforts to keep website content current but does not guarantee that all information is free of errors or omissions.
These website limitations concern general educational content, not a waiver of professional duties. Nothing in these terms waives liability for professional negligence, your privacy or consumer rights, or any other right or remedy that cannot lawfully be waived. Consent to care and acknowledgment of technology risks do not release Ayah Health or its clinicians from duties imposed by applicable law.
Third-Party Links & Services
We may link to or use services such as PushHealth, laboratories, payment processors, and app stores. Independent third-party services have their own terms and privacy practices. A link is not a guarantee of their content or availability. This does not remove Ayah Health's responsibilities for its own care, lawful disclosures, or oversight of service providers where required by law.
Changes to This Disclaimer
The effective date identifies this version. We may update website information and terms prospectively and will provide notice or obtain agreement where required. Posting a revision does not by itself authorize new charges, recording, or uses of health information requiring separate permission. Accepted service-specific agreements and legally required rights continue to apply.
Governing Law
These website terms are governed by applicable federal law and Texas law, subject to mandatory protections and healthcare requirements that apply where you receive care, including Florida law when applicable. Nothing here requires arbitration, restricts a legally available complaint, or deprives you of a forum or protection that applicable law requires. Questions about these terms may be sent to [email protected].