Policies

This page contains Daybreaker Health legal policies and notices.

Included Documents

  • Terms of Service
  • Privacy Policy
  • Telehealth Consent Form
  • HIPAA Notice of Privacy Practices


TERMS OF SERVICE

DAYBREAKER HEALTH, P.C.

Effective Date: April 1, 2025
Last Updated: April 1, 2025
Version: 1.0


PLAIN-LANGUAGE SUMMARY

These Terms of Service are a legal agreement between you and Daybreaker Health. By using our platform, you agree to these terms. Key points: (1) You must be 18+ and a US resident; (2) We provide a health optimization platform—physicians provide medical care; (3) This is NOT for emergencies—call 911; (4) Disputes are resolved through binding arbitration, not court; (5) Our liability is limited. Please read carefully.


IMPORTANT NOTICES

PLEASE READ THESE TERMS CAREFULLY BEFORE USING OUR SERVICES.

ARBITRATION NOTICE: These Terms contain a binding arbitration clause and class action waiver in Section 22. By agreeing to these Terms, you agree that disputes will be resolved through individual arbitration rather than in court, and you waive your right to participate in class actions. You may opt out within 30 days of first accepting these Terms.

MEDICAL DISCLAIMER: Daybreaker Health is a Medical Services Organization (MSO) that provides a technology platform and care coordination services. Clinical medical services are provided by independent physicians contracted through Qualiphy Medical Group. We do NOT provide emergency or urgent care. If you have a medical emergency, call 911 immediately.


TABLE OF CONTENTS

  1. Acceptance of Terms
  2. Eligibility & Account Requirements
  3. Description of Services
  4. Services Not Provided / Scope Limitations
  5. User Obligations & Representations
  6. Prohibited Uses
  7. Membership & Subscription Terms
  8. Additional Fees
  9. Refund Policy
  10. Telehealth Consent
  11. Medical Disclaimers
  12. Supplement Disclaimers
  13. Off-Label Prescribing Disclosures
  14. AI Coach Disclaimers
  15. Technology & Service Availability
  16. Intellectual Property
  17. Third-Party Services & Links
  18. Privacy & Data Use
  19. Account Termination
  20. Warranties Disclaimer
  21. Limitation of Liability
  22. Dispute Resolution: Binding Arbitration & Class Action Waiver
  23. Indemnification
  24. Governing Law
  25. Force Majeure
  26. Modifications to Terms
  27. General Provisions
  28. Accessibility
  29. Contact Information

1. ACCEPTANCE OF TERMS

1.1 Binding Agreement

These Terms of Service (“Terms”) constitute a legally binding agreement between you (“you,” “your,” or “User”) and Daybreaker Health, P.C., a California professional corporation (“Daybreaker,” “we,” “us,” or “our”).

By creating an account, accessing our mobile application, using our website at https://daybreakerhealth.com, or otherwise using any of our services, you:

  • Acknowledge that you have read and understood these Terms
  • Agree to be bound by these Terms
  • Represent that you have the legal capacity to enter into this agreement
  • Agree to comply with all applicable laws and regulations

1.2 Additional Agreements

By using our services, you also agree to:

  • Privacy Policy – How we collect, use, and protect your personal information
  • HIPAA Notice of Privacy Practices – How we use and disclose your Protected Health Information
  • Telehealth Consent Form – Authorization for telehealth services (required before first consultation)
  • Cookie Policy – Use of cookies and tracking technologies
  • SMS/Text Messaging Terms – Terms governing text message communications
  • End User License Agreement (EULA) – Terms governing use of our mobile application

These documents are incorporated by reference into these Terms.

1.3 Changes to Terms

We may modify these Terms at any time. See Section 26 for details on how changes are communicated and your options.

1.4 If You Do Not Agree

If you do not agree to these Terms, you may not access or use our services. Your continued use after any changes constitutes acceptance of the modified Terms.


2. ELIGIBILITY & ACCOUNT REQUIREMENTS

2.1 Age Requirement

You must be at least 18 years of age to use our services. By using our services, you represent and warrant that you are at least 18 years old.

If you are under 18, you may only use our services with the consent and supervision of a parent or legal guardian who agrees to be bound by these Terms on your behalf.

2.2 Geographic Restrictions

Our services are available only to residents of the United States. You must be physically located in one of the 50 US states at the time of each telehealth consultation. Physicians must be licensed in the state where you are located.

By using our services, you represent and warrant that:

  • You are a legal US resident
  • You will be physically located in a US state during telehealth consultations
  • You will accurately disclose your location

2.3 Account Creation

To use our services, you must create an account by providing:

  • Full legal name
  • Email address
  • Phone number
  • Date of birth
  • Physical address
  • Payment information

You agree to provide accurate, current, and complete information during registration and to update such information to keep it accurate, current, and complete.

2.4 Account Security

You are responsible for:

  • Maintaining the confidentiality of your account credentials
  • All activities that occur under your account
  • Notifying us immediately of any unauthorized access or use

We are not liable for any loss or damage arising from your failure to protect your account credentials.

2.5 One Account Per Person

Each person may maintain only one account. Accounts are non-transferable. You may not:

  • Create multiple accounts
  • Share your account credentials with others
  • Allow others to access your account
  • Transfer or assign your account to another person

2.6 Account Verification

We may verify your identity and eligibility at any time. Failure to provide requested verification may result in suspension or termination of your account.


3. DESCRIPTION OF SERVICES

3.1 Platform Overview

Daybreaker Health operates a subscription-based longevity and health optimization platform. We provide:

  • Technology Platform: Mobile application and web interface for accessing services
  • Care Coordination: Connecting you with physicians, labs, and pharmacies
  • Administrative Services: Scheduling, billing, and member support
  • AI Health Coaching: Personalized wellness recommendations based on wearable data (informational only, not medical advice)

3.2 Medical Services Organization (MSO) Model

Important: Daybreaker Health is a Medical Services Organization (MSO). We provide administrative, technology, and coordination services. We do NOT provide medical care directly.

Clinical medical services are provided by independent physicians contracted through Qualiphy Medical Group. These physicians:

  • Are licensed in the state(s) where you receive care
  • Maintain their own professional liability (malpractice) insurance
  • Exercise independent medical judgment
  • Are NOT employees of Daybreaker Health

3.3 Services Included in Membership

Your $99/month membership includes:

Health Domains:

  1. Movement – Fitness protocols, mobility assessments, exercise recommendations
  2. Nutrition – Dietary guidance, meal planning, metabolic optimization
  3. Sleep & Recovery – Sleep optimization, recovery protocols, stress management
  4. Prescriptions – Medication management, e-prescribing (consultation fees included; medication costs separate)
  5. Therapies – Therapeutic protocols and interventions
  6. Aesthetics – Skin health, anti-aging protocols
  7. Environment – Environmental health optimization
  8. Medical Care – Preventive care, health diagnostics, condition management

Included Services:

  • Unlimited messaging with care team
  • Telehealth physician consultations (video, phone, or asynchronous)
  • Monthly 20-minute coaching calls
  • AI-driven wearable coaching and health insights
  • Personalized health protocols
  • Lab ordering and interpretation (lab costs separate)
  • Membership community access
  • Mobile app access

3.4 What Is NOT Included

The following are not included in your membership and are billed separately:

  • Laboratory tests (Quest Diagnostics, LabCorp pricing)
  • Prescription medications (pharmacy pricing + shipping)
  • Supplements (member discount pricing)
  • Specialized treatments or procedures
  • Third-party services

4. SERVICES NOT PROVIDED / SCOPE LIMITATIONS

4.1 Emergency Care

WE DO NOT PROVIDE EMERGENCY MEDICAL CARE.

If you are experiencing a medical emergency, CALL 911 IMMEDIATELY or go to your nearest emergency room.

Examples of medical emergencies include but are not limited to:

  • Chest pain or pressure
  • Difficulty breathing
  • Severe bleeding
  • Loss of consciousness
  • Signs of stroke (sudden weakness, numbness, vision changes, difficulty speaking)
  • Severe allergic reactions
  • Severe abdominal pain
  • High fever with confusion
  • Suicidal or homicidal thoughts

4.2 Urgent Care

We do not provide urgent care services. If you have an urgent medical issue that is not life-threatening but requires same-day attention, please visit an urgent care facility or emergency room.

4.3 Other Excluded Services

Our platform does NOT provide:

  • Surgical procedures
  • Inpatient hospital care
  • In-person physical examinations (except at micro-clinics when available)
  • Dental or vision care
  • Mental health crisis intervention (call 988 Suicide & Crisis Lifeline)
  • Substance abuse treatment requiring detox or rehabilitation
  • Pediatric care (under 18 without parental consent)
  • Obstetric care (prenatal, labor, delivery)
  • Services requiring in-person evaluation that cannot be done via telehealth

4.4 Controlled Substances

During our first year of operation, we do NOT prescribe Schedule II-IV controlled substances. This includes but is not limited to:

  • Opioid pain medications (Oxycodone, Hydrocodone, Morphine)
  • Benzodiazepines (Xanax, Valium, Klonopin, Ativan)
  • Stimulants (Adderall, Ritalin, Vyvanse)
  • Sleep medications (Ambien, Lunesta)
  • Other DEA-scheduled medications

This policy may change in the future with appropriate protocols and compliance measures.

4.5 Limitations of Telehealth

Telehealth has inherent limitations. Some conditions require in-person evaluation. Your physician may:

  • Recommend in-person follow-up
  • Refer you to a specialist
  • Decline to provide certain treatments via telehealth
  • Require additional testing before prescribing

You agree to follow physician recommendations for in-person care when clinically indicated.


5. USER OBLIGATIONS & REPRESENTATIONS

5.1 Accurate Information

You agree to provide accurate, complete, and truthful information, including:

  • Personal identification information
  • Complete medical history
  • Current medications and supplements
  • Allergies and adverse reactions
  • Lifestyle factors (diet, exercise, sleep, alcohol, tobacco, drug use)
  • Family medical history
  • Current symptoms and health concerns

Providing false or misleading health information may result in inappropriate treatment and could endanger your health.

5.2 Updating Information

You agree to promptly update your information when:

  • Your health status changes
  • You start or stop medications
  • You experience side effects or adverse reactions
  • You receive care from other providers
  • Your contact information changes
  • You move to a different state

5.3 Following Medical Advice

You agree to:

  • Follow treatment plans and physician instructions
  • Take medications as prescribed
  • Attend recommended follow-up appointments
  • Obtain in-person care when recommended
  • Report concerns, side effects, or changes in condition promptly
  • Complete recommended laboratory tests

5.4 Your Location

You must be physically located in a US state where your treating physician is licensed at the time of each telehealth consultation. You agree to:

  • Accurately disclose your physical location
  • Notify us if you are traveling to a different state
  • Understand that services may not be available in all locations

5.5 Emergency Plan

You agree to:

  • Know how to contact emergency services (911)
  • Know the location of your nearest emergency room
  • Understand that our services are NOT for emergencies
  • Seek emergency care when appropriate, regardless of cost or convenience

You agree to comply with all applicable federal, state, and local laws in connection with your use of our services.


6. PROHIBITED USES

6.1 You May NOT:

Account Misuse:

  • Create false or misleading accounts
  • Create multiple accounts
  • Share account credentials
  • Transfer or sell your account
  • Access another person’s account without authorization

Platform Misuse:

  • Use the platform for any illegal purpose
  • Attempt to gain unauthorized access to our systems
  • Introduce viruses, malware, or other harmful code
  • Interfere with platform functionality or security
  • Scrape, data mine, or extract data from the platform
  • Reverse engineer, decompile, or disassemble the application
  • Circumvent security measures or access controls
  • Use bots, scripts, or automated tools without authorization

Service Misuse:

  • Seek prescriptions for controlled substances through deception
  • Provide false health information to obtain medications
  • Resell, distribute, or share medications obtained through our platform
  • Use services for purposes other than your own personal health
  • Seek care for conditions you know require in-person evaluation

Conduct:

  • Harass, threaten, or abuse our staff, physicians, or other members
  • Use offensive, discriminatory, or inappropriate language
  • Engage in fraudulent activity
  • Violate the privacy or rights of others

6.2 Consequences

Violation of these prohibitions may result in:

  • Immediate suspension or termination of your account
  • Forfeiture of membership fees
  • Reporting to law enforcement or regulatory authorities
  • Civil or criminal liability
  • Legal action to recover damages

7. MEMBERSHIP & SUBSCRIPTION TERMS

7.1 Membership Fee

The standard membership fee is $99 per month. Membership provides access to all included services described in Section 3.3.

7.2 Billing Cycle

  • Monthly Billing: Charged on the same date each month (or the last day of shorter months)
  • Annual Billing: If available, charged once per year with applicable discount

Your first billing date is the date you subscribe. Subsequent charges occur on the same calendar date.

7.3 Auto-Renewal

YOUR MEMBERSHIP AUTOMATICALLY RENEWS at the end of each billing period (monthly or annually) unless you cancel.

By subscribing, you authorize us to charge your payment method on file for each renewal period until you cancel.

7.4 Renewal Notice

We will send you an email reminder at least 7 days before your renewal date. This reminder will include:

  • Renewal date
  • Amount to be charged
  • How to cancel if you do not wish to renew

7.5 Payment Methods

We accept:

  • Credit cards (Visa, Mastercard, American Express, Discover)
  • Debit cards
  • FSA/HSA cards (for eligible services)

You agree to provide a valid payment method and maintain current payment information.

7.6 Failed Payments

If your payment fails:

  1. We will attempt to charge your payment method again
  2. You will receive notification of the failed payment
  3. You will have a 7-day grace period to update your payment method
  4. After the grace period, your account may be suspended
  5. Continued non-payment may result in account termination

7.7 Price Changes

We may change membership pricing with 30 days’ advance notice to existing members. Price changes apply to the billing period following the notice period.

If you do not agree to a price change, you may cancel before it takes effect.

7.8 Cancellation

How to Cancel:

Cancellation Terms:

  • Cancellation is effective at the end of your current billing period
  • You retain access to services until the end of the paid period
  • No partial-month refunds for unused time
  • You may reactivate at any time (may be subject to current pricing)

7.9 FTC Click-to-Cancel Compliance

In compliance with the FTC’s “click-to-cancel” rule, cancellation is as easy as sign-up. You can cancel:

  • Through the same method you used to subscribe
  • Without speaking to a retention agent (unless you choose to)
  • Without navigating through excessive steps or screens

8. ADDITIONAL FEES

8.1 Services Billed Separately

The following services are not included in your membership fee and are billed separately:

Service Approximate Cost Notes
Laboratory Tests $50-$500+ Quest/LabCorp pricing; varies by test
Prescription Medications Variable Pharmacy pricing + shipping
Supplements Member discount pricing Third-party products
Micro-Clinic Visits TBD When available
Specialized Treatments Variable As quoted

8.2 Lab Costs

Laboratory tests are ordered through Quest Diagnostics, LabCorp, or other partners. Costs vary based on:

  • Tests ordered
  • Your location
  • Your insurance (if using insurance for labs)

You will be informed of estimated costs before tests are ordered.

8.3 Prescription Costs

Prescription medications are filled through partner pharmacies. Costs depend on:

  • Medication type and quantity
  • Pharmacy pricing
  • Shipping costs
  • Insurance coverage (if applicable)

We do not control prescription pricing. You are responsible for all prescription costs.

8.4 FSA/HSA Eligibility

Service FSA/HSA Eligible
Membership fees ✅ Yes
Telehealth consultations ✅ Yes
Laboratory tests ✅ Yes
Prescription medications ✅ Yes
Supplements ❌ Generally No*
Merchandise ❌ No

*Some supplements may be eligible with a Letter of Medical Necessity. Consult your FSA/HSA administrator.

8.5 Taxes

You are responsible for any applicable sales tax, use tax, or other taxes imposed by governmental authorities on your purchases.


9. REFUND POLICY

9.1 No Refunds for Services Rendered

We do not provide refunds for:

  • Membership fees for periods during which you had access to services
  • Telehealth consultations that have occurred
  • Laboratory tests that have been processed
  • Prescriptions that have been filled
  • Supplements that have been shipped

9.2 No Partial-Month Refunds

If you cancel your membership mid-billing-cycle, you will:

  • Retain access until the end of the current billing period
  • NOT receive a refund for the unused portion

9.3 Exceptions

We may provide refunds in the following limited circumstances:

  • Billing Error: If we charged you in error (e.g., duplicate charge)
  • Technical Failure: If a technical issue on our end prevented you from accessing services
  • Service Not Provided: If we failed to provide a scheduled consultation

Refund requests must be submitted within 30 days of the charge.

9.4 Dissatisfaction

Dissatisfaction with services or results is not grounds for a refund. Health outcomes vary, and we do not guarantee specific results. If you are dissatisfied, you may cancel your membership prospectively.

9.5 Chargebacks

If you dispute a charge with your bank or credit card company:

  • We will provide transaction records and service documentation
  • Your account may be suspended pending resolution
  • Fraudulent chargebacks may result in account termination and collection action

Before your first telehealth consultation, you must review and sign our Telehealth Consent Form. This form explains:

  • How telehealth works
  • Technology requirements
  • Benefits, risks, and limitations
  • Emergency protocols
  • Your rights and responsibilities

Your continued use of telehealth services constitutes ongoing consent. You may withdraw consent at any time by notifying us in writing.

10.3 State-Specific Requirements

Telehealth consent requirements vary by state. We comply with the telehealth laws of each state where we provide services, including California, Colorado, and New York.


11. MEDICAL DISCLAIMERS

11.1 No Guarantee of Results

WE DO NOT GUARANTEE ANY SPECIFIC HEALTH OUTCOMES.

Health outcomes depend on many factors, including genetics, lifestyle, adherence to treatment, and individual response. Results vary from person to person.

Marketing statements such as “transform your health” or “turn back your biological clock” describe goals and aspirations—not guaranteed outcomes.

11.2 Not a Substitute for In-Person Care

Our telehealth services supplement but do not replace in-person medical care. You should maintain a relationship with a primary care physician for:

  • Annual physicals
  • Vaccinations
  • In-person examinations when needed
  • Emergency and urgent care

11.3 Physician Independence

The physicians providing medical services through our platform are:

  • Independent contractors of Qualiphy Medical Group
  • NOT employees of Daybreaker Health
  • Exercising their own independent medical judgment
  • Responsible for their own clinical decisions

Daybreaker Health does not direct, control, or interfere with physicians’ clinical decisions.

11.4 Daybreaker’s Role

Daybreaker Health provides:

  • Technology platform
  • Administrative services
  • Care coordination
  • Member support

Daybreaker Health does NOT:

  • Practice medicine
  • Diagnose conditions
  • Prescribe medications
  • Make clinical treatment decisions

11.5 Limitations of Remote Care

Remote/telehealth care has limitations:

  • Physical examination is limited to visual observation
  • Some diagnoses require in-person evaluation
  • Some treatments cannot be provided via telehealth
  • Technical issues may affect care delivery

You agree to seek in-person care when recommended by your physician or when clinically indicated.

11.6 Second Opinions

You have the right to seek second opinions from other healthcare providers. Our physicians’ assessments and recommendations are based on the information available to them and may differ from other providers’ opinions.


12. SUPPLEMENT DISCLAIMERS

12.1 FDA Disclaimer

THESE STATEMENTS HAVE NOT BEEN EVALUATED BY THE FOOD AND DRUG ADMINISTRATION. PRODUCTS RECOMMENDED THROUGH OUR PLATFORM ARE NOT INTENDED TO DIAGNOSE, TREAT, CURE, OR PREVENT ANY DISEASE.

12.2 Supplements Are Not Medications

Dietary supplements:

  • Are NOT FDA-approved drugs
  • Are NOT tested by the FDA for safety or efficacy before marketing
  • May not have the same quality controls as pharmaceuticals
  • May vary in purity, potency, and quality

12.3 Third-Party Products

Supplements recommended or sold through our platform are manufactured by third parties. Daybreaker Health:

  • Does NOT manufacture supplements
  • Does NOT independently test supplements for purity or potency
  • Does NOT guarantee supplement quality
  • Is NOT responsible for third-party manufacturing practices

12.4 Potential Risks

Supplements may:

  • Interact with prescription medications
  • Cause allergic reactions
  • Have side effects
  • Be contraindicated for certain conditions
  • Affect medical test results

Always inform your physician about all supplements you take. Consult your physician before starting any new supplement.

12.5 Your Responsibility

You are responsible for:

  • Reviewing supplement ingredients and labels
  • Disclosing all supplements to your physicians
  • Reporting any adverse reactions
  • Purchasing supplements from reputable sources

13. OFF-LABEL PRESCRIBING DISCLOSURES

13.1 What Is Off-Label Prescribing?

“Off-label” prescribing means using an FDA-approved medication for a purpose, population, or dosage not specifically approved by the FDA. Off-label prescribing is legal and common in medical practice.

13.2 Off-Label Medications We May Prescribe

Our physicians may prescribe medications off-label for longevity and health optimization purposes, including but not limited to:

GLP-1 Agonists (e.g., Semaglutide, Tirzepatide):

  • FDA-approved for: Type 2 diabetes, obesity (BMI ≥30 or ≥27 with comorbidities)
  • Off-label use: Metabolic optimization in individuals not meeting obesity criteria
  • Known risks: Nausea, vomiting, diarrhea, constipation, pancreatitis (rare), gallbladder disease, thyroid tumors (in animal studies)

Peptides (e.g., BPC-157, CJC-1295, Ipamorelin):

  • FDA status: Generally NOT FDA-approved for human use
  • Off-label use: Recovery, healing, longevity optimization
  • Known risks: Limited human safety data, potential for contamination, unknown long-term effects

Hormone Therapy (e.g., Testosterone, Estrogen, DHEA):

  • FDA-approved for: Hormone deficiency states
  • Off-label use: Optimization in individuals with “normal” levels
  • Known risks: Cardiovascular effects, prostate issues (testosterone), breast cancer risk (estrogen), mood changes

Before prescribing off-label medications, your physician will:

  • Explain the FDA-approved use vs. the prescribed use
  • Discuss known risks, benefits, and alternatives
  • Inform you of limited long-term safety data (where applicable)
  • Obtain your informed consent

You may decline off-label medications without penalty.

13.4 Your Rights

You have the right to:

  • Know when a medication is being prescribed off-label
  • Ask questions about risks and benefits
  • Decline off-label treatment
  • Request alternative on-label medications (if available)
  • Seek second opinions

14. AI COACH DISCLAIMERS

14.1 AI Coach Purpose

Our AI health coach analyzes your wearable data, lab results, and health information to provide personalized wellness recommendations for:

  • Sleep optimization
  • Activity and exercise
  • Recovery and stress management
  • Nutrition guidance
  • Health trend identification

14.2 NOT Medical Advice

THE AI COACH DOES NOT PROVIDE MEDICAL ADVICE, DIAGNOSES, OR TREATMENT RECOMMENDATIONS.

The AI coach provides:

  • ✅ Informational wellness guidance
  • ✅ General health education
  • ✅ Lifestyle recommendations
  • ✅ Data visualization and trends

The AI coach does NOT provide:

  • ❌ Medical diagnoses
  • ❌ Clinical treatment decisions
  • ❌ Prescription recommendations
  • ❌ Emergency medical guidance

14.3 Human Oversight

  • All clinical decisions are made by licensed physicians, NOT AI
  • Physicians review AI-generated insights before clinical use
  • You can always request human review of any AI recommendation

14.4 Accuracy Limitations

AI recommendations are based on:

  • Data you provide (which may be incomplete or inaccurate)
  • Wearable device data (which may have accuracy limitations)
  • Algorithms (which have inherent limitations)

AI recommendations may be:

  • Inaccurate or inappropriate for your specific situation
  • Based on general population data that may not apply to you
  • Affected by data quality issues

14.5 Your Responsibility

You are responsible for:

  • Verifying AI recommendations with your physician before acting on them
  • Not relying solely on AI for health decisions
  • Seeking professional medical advice for health concerns
  • Understanding that AI is a tool, not a substitute for medical care

15. TECHNOLOGY & SERVICE AVAILABILITY

15.1 Service Provided “As Is”

Our platform and services are provided on an “AS IS” and “AS AVAILABLE” basis. We do not guarantee:

  • Uninterrupted access to the platform
  • Error-free operation
  • Compatibility with all devices
  • Availability in all locations
  • That the service will meet your expectations

15.2 Planned Maintenance

We may temporarily suspend access for maintenance. When possible, we will provide advance notice of planned maintenance.

15.3 Technical Failures

We are NOT liable for:

  • Video or audio failures during consultations
  • App crashes or errors
  • Internet connectivity issues
  • Server outages or downtime
  • Third-party service failures (Qualiphy platform, Terra API, wearable syncing)
  • Data loss due to technical issues
  • Delays in care due to technical problems

15.4 Backup Procedures

If video fails during a consultation:

  • Your physician may continue via phone call
  • The consultation may be rescheduled
  • We will make reasonable efforts to ensure you receive care

15.5 Device Requirements

You are responsible for maintaining:

  • Compatible device (iOS 15+ or Android 12+)
  • Reliable internet connection (minimum 5 Mbps for video)
  • Updated app version
  • Working camera and microphone (for video consultations)

15.6 Changes to Platform

We may modify, update, or discontinue features of the platform at any time. Material changes that negatively affect your use of the service will be communicated in advance when feasible.


16. INTELLECTUAL PROPERTY

16.1 Daybreaker’s Ownership

Daybreaker Health owns all right, title, and interest in:

  • The Daybreaker name, logo, and trademarks
  • The mobile application and website
  • All software, code, and algorithms
  • All content (text, images, graphics, videos)
  • AI models and health coaching algorithms
  • User interface and design elements

16.2 Limited License

Subject to your compliance with these Terms, we grant you a limited, non-exclusive, non-transferable, revocable license to:

  • Access and use the platform for personal, non-commercial purposes
  • View and download content for personal use

This license terminates upon termination of your account or violation of these Terms.

16.3 Restrictions

You may NOT:

  • Copy, modify, or create derivative works of the platform or content
  • Reverse engineer, decompile, or disassemble the application
  • Remove copyright, trademark, or proprietary notices
  • Use our trademarks without written permission
  • Sell, resell, or commercially exploit the platform
  • Frame or mirror the website without permission

16.4 User-Generated Content

If you submit content (reviews, testimonials, forum posts, feedback):

  • You retain ownership of your content
  • You grant Daybreaker a perpetual, royalty-free, worldwide, non-exclusive license to use, reproduce, modify, display, and distribute your content
  • You represent that your content is original and does not infringe third-party rights
  • We may use your content in marketing (with your consent for identifiable information)
  • We may remove content that violates these Terms or is otherwise objectionable

16.5 DMCA Compliance

If you believe content on our platform infringes your copyright, please send a DMCA takedown notice to:

Email: legal@daybreakerhealth.com

Mail:
DMCA Agent
Daybreaker Health, P.C.
260 Craig Way
San Luis Obispo, CA 93405

Your notice must include:

  • Identification of the copyrighted work
  • Identification of the infringing material and its location
  • Your contact information
  • Statement of good faith belief that use is not authorized
  • Statement under penalty of perjury that information is accurate
  • Your physical or electronic signature

17.1 Third-Party Service Providers

Our platform integrates with third-party services, including:

Service Purpose
Qualiphy Telehealth physician services
Terra API Wearable data integration
Quest/LabCorp Laboratory testing
Partner pharmacies Prescription fulfillment
Stripe Payment processing
Supabase Database hosting

17.2 Third-Party Terms

Third-party services are governed by their own terms of service and privacy policies. By using our platform, you agree to comply with applicable third-party terms. Key third-party policies:

17.3 No Endorsement

Links to external websites are provided for convenience only. We do not:

  • Endorse or control external websites
  • Guarantee accuracy or completeness of external content
  • Accept responsibility for external sites’ privacy practices

17.4 Third-Party Liability

We are NOT liable for:

  • Actions or omissions of third-party service providers
  • Quality of services provided by third parties
  • Errors or failures by labs, pharmacies, or wearable devices
  • Third-party data breaches or privacy violations

18. PRIVACY & DATA USE

18.1 Privacy Policy

Our collection, use, and disclosure of personal information is governed by our Privacy Policy, available at https://daybreakerhealth.com/privacy-policy.

By using our services, you consent to our data practices as described in the Privacy Policy.

18.2 HIPAA Notice

Our use and disclosure of Protected Health Information (PHI) is governed by our HIPAA Notice of Privacy Practices, provided separately.

By using our services, you consent to:

  • Collection of personal information as described in our Privacy Policy
  • Use of PHI for treatment, payment, and healthcare operations
  • Electronic communication and record-keeping
  • Data sharing with service providers as described in our Privacy Policy

18.4 Marketing Communications

We may send you marketing communications with your consent. You may opt out at any time by:

  • Clicking “unsubscribe” in marketing emails
  • Texting STOP to opt out of SMS marketing
  • Adjusting preferences in app settings
  • Contacting care@daybreakerhealth.com

19. ACCOUNT TERMINATION

19.1 Your Right to Cancel

You may cancel your membership and close your account at any time. See Section 7.8 for cancellation procedures.

19.2 Our Right to Suspend or Terminate

We may suspend or terminate your account, with or without notice, for:

With Cause (Immediate):

  • Violation of these Terms
  • Providing false or fraudulent information
  • Abusive behavior toward staff or physicians
  • Non-payment after grace period
  • Fraudulent activity
  • Illegal use of services
  • Court order or legal requirement

Without Cause (30 Days’ Notice):

  • At our sole discretion, with 30 days’ advance written notice
  • For business reasons (discontinuing services, inability to provide services in your state)

19.3 Effect of Termination

Upon termination:

  • Your access to the platform is revoked immediately (for cause) or at end of notice period (without cause)
  • No refund for unused membership time
  • Your medical records are retained per our retention policy (minimum 7 years)
  • You may request export of your data before termination
  • Pending prescriptions may be completed or transferred at physician discretion

19.4 Survival

The following sections survive termination:

  • Section 9 (Refund Policy)
  • Section 11 (Medical Disclaimers)
  • Section 16 (Intellectual Property)
  • Section 20 (Warranties Disclaimer)
  • Section 21 (Limitation of Liability)
  • Section 22 (Arbitration)
  • Section 23 (Indemnification)
  • Section 24 (Governing Law)

20. WARRANTIES DISCLAIMER

20.1 “AS IS” Disclaimer

THE PLATFORM AND SERVICES ARE PROVIDED “AS IS” AND “AS AVAILABLE” WITHOUT WARRANTIES OF ANY KIND, EITHER EXPRESS OR IMPLIED.

20.2 Disclaimer of Implied Warranties

TO THE FULLEST EXTENT PERMITTED BY LAW, WE DISCLAIM ALL IMPLIED WARRANTIES, INCLUDING BUT NOT LIMITED TO:

  • MERCHANTABILITY – That the services are of merchantable quality
  • FITNESS FOR A PARTICULAR PURPOSE – That the services are suitable for your specific needs
  • NON-INFRINGEMENT – That the services do not infringe third-party rights
  • ACCURACY – That information provided is accurate, complete, or current
  • RELIABILITY – That the platform will operate without interruption or error
  • RESULTS – That you will achieve any specific health outcomes

20.3 No Warranty of Health Outcomes

WE DO NOT WARRANT OR GUARANTEE ANY SPECIFIC HEALTH RESULTS. Health outcomes depend on many factors beyond our control.

20.4 Third-Party Disclaimers

We do not warrant:

  • The quality or accuracy of third-party services (labs, pharmacies, wearables)
  • Compatibility with your devices or third-party applications
  • Continued availability of third-party integrations

20.5 State Law Variations

Some states do not allow disclaimer of implied warranties. If you are in such a state, some of the above disclaimers may not apply to you, and you may have additional rights.


21. LIMITATION OF LIABILITY

21.1 Liability Cap

TO THE MAXIMUM EXTENT PERMITTED BY LAW, DAYBREAKER HEALTH’S TOTAL LIABILITY FOR ALL CLAIMS ARISING OUT OF OR RELATED TO THESE TERMS OR YOUR USE OF THE SERVICES SHALL NOT EXCEED THE GREATER OF:

(A) THE AMOUNT YOU PAID TO DAYBREAKER HEALTH IN THE TWELVE (12) MONTHS PRECEDING THE CLAIM; OR

(B) FIVE HUNDRED DOLLARS ($500).

21.2 Exclusion of Damages

IN NO EVENT SHALL DAYBREAKER HEALTH BE LIABLE FOR:

  • INDIRECT DAMAGES – Damages not directly caused by our actions
  • INCIDENTAL DAMAGES – Costs incurred as a side effect
  • CONSEQUENTIAL DAMAGES – Downstream effects of service issues
  • PUNITIVE DAMAGES – Damages intended to punish
  • SPECIAL DAMAGES – Unusual damages specific to your situation
  • EXEMPLARY DAMAGES – Damages to make an example

21.3 Specific Exclusions

We are NOT liable for:

  • Lost Profits or Revenue – Business losses from service issues
  • Lost Data – Data loss due to technical failures
  • Personal Injury or Death – Arising from your use of services (except as required by law)
  • Health Outcomes – Failure to achieve desired health results
  • Third-Party Actions – Actions of Qualiphy physicians, labs, pharmacies, or other third parties
  • Technology Failures – Platform outages, app crashes, connectivity issues
  • Wearable Data Inaccuracies – Incorrect data from connected devices
  • AI Recommendations – Following AI coach guidance that proves unhelpful
  • Missed Diagnoses – Conditions not identified via telehealth
  • Prescription Issues – Side effects, interactions, or outcomes from medications
  • Supplement Issues – Effects from supplements recommended through platform
  • Force Majeure Events – Events beyond our reasonable control

21.4 Basis of the Bargain

You acknowledge that:

  • These limitations of liability are a fundamental part of the agreement
  • Daybreaker would not provide services without these limitations
  • These limitations allocate risk between the parties
  • The pricing of services reflects this risk allocation

21.5 State Law Variations

Some states do not allow limitation or exclusion of liability for certain damages. If you are in such a state, some limitations may not apply to you. In such cases, our liability is limited to the maximum extent permitted by applicable law.

21.6 Essential Purpose

These limitations apply even if any remedy fails of its essential purpose.


22. DISPUTE RESOLUTION: BINDING ARBITRATION & CLASS ACTION WAIVER

PLEASE READ THIS SECTION CAREFULLY. IT AFFECTS YOUR LEGAL RIGHTS, INCLUDING YOUR RIGHT TO FILE A LAWSUIT IN COURT AND TO HAVE A JURY TRIAL.

22.1 Agreement to Arbitrate

You and Daybreaker Health, P.C. (“Daybreaker,” “we,” “us,” “our”) agree that any dispute, claim, or controversy arising out of or relating to:

(a) These Terms of Service and any prior versions;

(b) Your use of the Daybreaker platform, mobile application, website, or services;

(c) Any communications or interactions with Daybreaker (including via email, SMS, phone, or app);

(d) Your membership, subscription, billing, or payments;

(e) Any privacy, data security, or breach of personal information;

(f) Any marketing or advertising practices;

(g) Any services provided or not provided;

(h) Any alleged breach of contract, tort, statute, regulation, ordinance, or other legal theory (whether based in contract, tort, statute, fraud, misrepresentation, or any other legal theory);

shall be resolved through binding individual arbitration administered by the American Arbitration Association (“AAA”) under its Consumer Arbitration Rules, rather than in court.

22.2 Exceptions to Arbitration

The following are NOT subject to this arbitration agreement:

  1. Small Claims Court: You may assert claims in small claims court if your claims qualify and remain in small claims court;

  2. Intellectual Property: Either party may seek equitable relief in court for infringement or misuse of intellectual property rights (trademark, copyright, trade secret, patent);

  3. Emergency Injunctive Relief: Either party may seek emergency injunctive relief in court to prevent irreparable harm pending arbitration.

22.3 CLASS ACTION WAIVER

YOU AND DAYBREAKER AGREE THAT EACH MAY BRING CLAIMS AGAINST THE OTHER ONLY IN YOUR OR ITS INDIVIDUAL CAPACITY AND NOT AS A PLAINTIFF OR CLASS MEMBER IN ANY PURPORTED CLASS, CONSOLIDATED, OR REPRESENTATIVE PROCEEDING.

The arbitrator may not:

  • Consolidate more than one person’s claims
  • Preside over any form of class, consolidated, or representative proceeding

If this class action waiver is found to be unenforceable, then the entirety of this arbitration provision shall be null and void (but all other provisions of these Terms remain in effect).

22.4 Informal Resolution First

Before filing arbitration, you must:

  1. Send a written Notice of Dispute to:

    Daybreaker Health, P.C.
    Attn: Legal Department – Dispute Notice
    260 Craig Way
    San Luis Obispo, CA 93405
    Email: legal@daybreakerhealth.com

  2. The Notice must include:

    • Your full name
    • Your Daybreaker account email address
    • Detailed description of your claim
    • Relief sought (including damages amount, if any)
  3. Allow 60 days for informal resolution attempts

  4. If unresolved after 60 days, either party may file arbitration with AAA

22.5 Arbitration Procedures

AAA Rules: Arbitration is conducted under AAA Consumer Arbitration Rules (available at www.adr.org). If conflict between AAA Rules and this Agreement, this Agreement controls.

Arbitrator Authority: The arbitrator has exclusive authority to resolve all disputes, including:

  • Arbitrability (whether a claim is subject to arbitration)
  • Scope and enforceability of this arbitration clause
  • Whether this Agreement was validly formed

Substantive Law: The arbitrator shall apply the substantive law of the State of California (without reference to conflict of laws principles), except that the Federal Arbitration Act (9 U.S.C. §§ 1-16) governs interpretation and enforcement of this arbitration provision.

Hearing Location: Arbitration shall take place:

  • In the county where you reside (if in California); OR
  • Via videoconference (if you reside outside California or prefer remote); OR
  • In San Luis Obispo County, California (if you choose in-person and reside outside California)

Discovery: Limited to what is necessary and relevant to the dispute. The arbitrator has discretion to limit discovery.

22.6 Arbitration Costs

For claims under $10,000: Daybreaker will pay all AAA filing, administration, and arbitrator fees.

For claims $10,000-$75,000: You pay AAA filing fee; Daybreaker pays administration and arbitrator fees.

For claims over $75,000: Fees allocated per AAA Consumer Arbitration Rules.

Attorneys’ Fees: If you prevail and the arbitrator awards you more than Daybreaker’s last written settlement offer (or if Daybreaker made no offer), Daybreaker will pay your reasonable attorneys’ fees and costs.

22.7 Confidentiality

All arbitration proceedings (existence, disclosures, hearings, rulings, awards) are confidential and may not be disclosed except:

  • As required by law or court order
  • To enforce the arbitration award
  • To Daybreaker’s insurers, auditors, or legal/financial advisors (under confidentiality obligations)

22.8 Arbitrator’s Decision

The arbitrator’s decision is final and binding on all parties, with very limited right to appeal under the Federal Arbitration Act. Either party may enter judgment on the award in any court of competent jurisdiction.

22.9 OPT-OUT RIGHT

You may opt out of this arbitration agreement within 30 days of first accepting these Terms.

To opt out, send written notice to:

Daybreaker Health, P.C.
Attn: Arbitration Opt-Out
260 Craig Way
San Luis Obispo, CA 93405
Email: arbitration-optout@daybreakerhealth.com

The opt-out notice must include:

  • Your full name
  • Your Daybreaker account email address
  • Statement: “I opt out of the arbitration agreement in Daybreaker’s Terms of Service”
  • Date
  • Your signature (electronic or handwritten)

If you opt out:

  • All other Terms still apply
  • You and Daybreaker are NOT bound to arbitrate disputes
  • Either party may sue in court

If you do NOT opt out within 30 days, you are bound by this arbitration agreement.

22.10 Bilateral Obligation

This arbitration provision applies equally to you and Daybreaker. Daybreaker also waives its right to bring class, consolidated, or representative actions against you.

22.11 Survival

This arbitration provision survives:

  • Termination of your account
  • Termination of your membership
  • Expiration or termination of these Terms
  • Bankruptcy or insolvency of either party

22.12 Changes to Arbitration Provision

We may change this arbitration provision only with 30 days’ advance notice posted on our website and emailed to your account email address. Changes apply only to disputes arising after the effective date.

If you reject changes, you may opt out within 30 days by following the opt-out procedure. Continued use after 30 days constitutes acceptance.

22.13 Severability

If any part of this arbitration provision (except the class action waiver) is found invalid or unenforceable, the remainder remains in effect.

If the class action waiver (Section 22.3) is found invalid or unenforceable, then this entire arbitration provision shall be null and void (but all other Terms remain in effect).


23. INDEMNIFICATION

23.1 Your Indemnification Obligation

You agree to indemnify, defend, and hold harmless Daybreaker Health, P.C., and its officers, directors, employees, contractors, agents, affiliates, and successors (“Daybreaker Parties”) from and against any and all claims, damages, losses, liabilities, costs, and expenses (including reasonable attorneys’ fees) arising out of or related to:

(a) Your breach of these Terms;

(b) Your violation of any law, regulation, or third-party right;

(c) Your use or misuse of the services;

(d) Any information you provide (including false or misleading information);

(e) Your infringement of any intellectual property or other rights;

(f) Any dispute between you and a third party;

(g) Your negligence or willful misconduct.

23.2 Procedure

If a claim is made:

  • We will notify you promptly
  • You will cooperate fully in the defense
  • We reserve the right to assume exclusive defense and control (at our expense) of any matter subject to indemnification
  • You will not settle any claim without our prior written consent

23.3 Survival

This indemnification obligation survives termination of your account and these Terms.


24. GOVERNING LAW

24.1 California Law

These Terms and any dispute arising out of or related to these Terms or your use of the services shall be governed by and construed in accordance with the laws of the State of California, without regard to conflict of laws principles.

24.2 Federal Arbitration Act

Notwithstanding the above, the Federal Arbitration Act (9 U.S.C. §§ 1-16) governs the interpretation and enforcement of the arbitration provision in Section 22.

24.3 Venue for Non-Arbitrable Claims

For any claims not subject to arbitration (e.g., small claims court, intellectual property injunctions), you and Daybreaker consent to exclusive jurisdiction and venue in the state or federal courts located in San Luis Obispo County, California, or if you reside outside California, in the county where you reside.


25. FORCE MAJEURE

25.1 Definition

Neither party shall be liable for failure or delay in performing obligations due to circumstances beyond reasonable control (“Force Majeure Events”), including but not limited to:

  • Acts of God (earthquake, flood, fire, hurricane, tornado)
  • Pandemics, epidemics, or public health emergencies
  • War, terrorism, civil unrest, or armed conflict
  • Government actions, regulations, embargoes, or sanctions
  • Internet service provider failures
  • Power outages or utility failures
  • Strikes, labor disputes, or work stoppages
  • Third-party service outages (Supabase, Railway, Terra API, Qualiphy)
  • Cyberattacks or security incidents
  • Supply chain disruptions

25.2 Obligations During Force Majeure

  • Affected party must notify the other party promptly
  • Obligations are suspended during the Force Majeure Event
  • Affected party must use reasonable efforts to resume performance

25.3 Extended Force Majeure

If a Force Majeure Event continues for more than 30 days, either party may terminate the affected services without penalty.


26. MODIFICATIONS TO TERMS

26.1 Right to Modify

We reserve the right to modify these Terms at any time.

26.2 Material Changes

For material changes (changes that significantly affect your rights or obligations), we will provide:

  • 30 days’ advance notice via email to your account email address
  • In-app notification
  • Posting of updated Terms on our website

Material changes include changes to:

  • Pricing
  • Arbitration provisions
  • Limitation of liability
  • Scope of services
  • User obligations

26.3 Non-Material Changes

For non-material changes (formatting, clarifications, administrative updates), changes are effective immediately upon posting. We will update the “Last Updated” date.

26.4 Your Options

If you do not agree to material changes:

  • You may cancel your account within 30 days without penalty
  • Continued use after the effective date constitutes acceptance

26.5 Version History

Previous versions of these Terms are available upon request. Contact legal@daybreakerhealth.com.


27. GENERAL PROVISIONS

27.1 Entire Agreement

These Terms, together with the Privacy Policy, HIPAA Notice, Telehealth Consent Form, and any other documents incorporated by reference, constitute the entire agreement between you and Daybreaker Health regarding your use of the services. These Terms supersede all prior agreements, understandings, and communications.

27.2 Severability

If any provision of these Terms is found to be invalid, illegal, or unenforceable, the remaining provisions shall continue in full force and effect. The invalid provision shall be modified to the minimum extent necessary to make it valid and enforceable while preserving the parties’ intent.

Exception: If the class action waiver in Section 22.3 is found invalid, the entire arbitration provision is void.

27.3 Waiver

Our failure to enforce any provision of these Terms shall not constitute a waiver of that provision or any other provision. Any waiver must be in writing and signed by Daybreaker.

27.4 Assignment

  • You may not assign or transfer these Terms or your rights hereunder without our prior written consent
  • Daybreaker may assign or transfer these Terms, in whole or in part, without restriction (including in connection with a merger, acquisition, or sale of assets)

27.5 No Third-Party Beneficiaries

These Terms are for the benefit of you and Daybreaker only. There are no third-party beneficiaries, except:

  • Qualiphy physicians are intended third-party beneficiaries of the liability limitation provisions
  • Daybreaker Parties are intended third-party beneficiaries of the indemnification provisions

27.6 Survival

Provisions that by their nature should survive termination shall survive, including: Intellectual Property, Disclaimers, Limitation of Liability, Arbitration, Indemnification, and Governing Law.

27.7 Headings

Section headings are for convenience only and have no legal effect.

27.8 Electronic Signatures

Electronic signatures and electronic records are valid and enforceable under the Electronic Signatures in Global and National Commerce Act (ESIGN Act) and applicable state laws (UETA).

27.9 Notice Procedures

To Daybreaker:

To You:

  • Email to the address on file with your account
  • In-app notification
  • Push notification (if enabled)

27.10 Relationship of Parties

The relationship between you and Daybreaker is that of independent contractors. Nothing in these Terms creates a partnership, joint venture, employment, or agency relationship.

27.11 Language

These Terms are in English. If translated, the English version controls.

27.12 Export Control

You agree to comply with all US export control laws and regulations. You may not use or export the services in violation of US law.


28. ACCESSIBILITY

28.1 Commitment

Daybreaker Health is committed to ensuring digital accessibility for people with disabilities. We are continually improving the user experience for everyone and applying relevant accessibility standards.

28.2 Standards

We strive to conform to Web Content Accessibility Guidelines (WCAG) 2.1 Level AA.

28.3 Accommodations

If you need accommodations or have difficulty accessing any part of our platform, please contact us:

Email: accessibility@daybreakerhealth.com

Phone: (805) 549-4172

We will work with you to provide the information or service you need through an alternative communication method.


29. CONTACT INFORMATION

General Inquiries & Member Support

Email: care@daybreakerhealth.com
Phone: (805) 549-4172

Email: legal@daybreakerhealth.com

Mail:
Legal Department
Daybreaker Health, P.C.
260 Craig Way
San Luis Obispo, CA 93405

Privacy Inquiries

Email: privacy@daybreakerhealth.com

Arbitration Opt-Out

Email: arbitration-optout@daybreakerhealth.com

Accessibility

Email: accessibility@daybreakerhealth.com


ACKNOWLEDGMENT

By creating an account, clicking “I Agree,” or using Daybreaker Health services, you acknowledge that:

  • You have read and understood these Terms of Service
  • You agree to be bound by these Terms
  • You consent to electronic communications and electronic signatures
  • You understand the arbitration agreement and class action waiver
  • You have had the opportunity to review the Privacy Policy, HIPAA Notice, and Telehealth Consent Form

Daybreaker Health, P.C.
260 Craig Way
San Luis Obispo, CA 93405
(805) 549-4172
care@daybreakerhealth.com


These Terms of Service were last updated on April 1, 2025.


APPENDIX: CHANGE LOG FROM CURRENT TERMS

Removed (High-Risk Items)

Item Removed Risk Level Reason
“Netherlands law” governing law 🔴 CRITICAL Copy-paste error; wrong jurisdiction
No medical disclaimers 🔴 CRITICAL Marketing copy implied guaranteed outcomes
Weak/missing account provisions 🟡 IMPORTANT Inadequate user obligations
Item Added Risk Level Purpose
Mandatory arbitration clause 🔴 CRITICAL Prevent class actions; industry standard
Class action waiver 🔴 CRITICAL Essential liability protection
30-day opt-out for arbitration 🔴 CRITICAL Enforceability requirement
Limitation of liability ($500/12mo fees) 🔴 CRITICAL Cap exposure
Medical disclaimers (no guaranteed outcomes) 🔴 CRITICAL Prevent health claims liability
AI coach disclaimers 🔴 CRITICAL AI is informational, not medical
Off-label prescribing disclosures 🔴 CRITICAL GLP-1, peptide, hormone liability
Supplement FDA disclaimers 🔴 CRITICAL FDA compliance
Emergency care exclusion 🔴 CRITICAL Prevent emergency liability
Technology failure disclaimers 🟡 IMPORTANT Limit tech liability
MSO model explanation 🟡 IMPORTANT Segregate clinical liability
Auto-renewal/cancellation terms 🟡 IMPORTANT FTC compliance
Indemnification clause 🟡 IMPORTANT Cost recovery
Force majeure 🟡 IMPORTANT Pandemic/disaster protection

Key Differences from Competitors

Feature Daybreaker Wild Health Parsley Function Calibrate Levels
Arbitration ✅ AAA ✅ AAA ✅ JAMS ✅ AAA ✅ AAA ✅ AAA
30-Day Opt-Out
Class Waiver
Liability Cap 12mo/$500 12mo fees 12mo/$500 12mo/$500 12mo fees 6mo/$250
Governing Law California Delaware New York Delaware Delaware Delaware
Off-Label Disclosure N/A N/A
AI Disclaimers N/A

ATTORNEY REVIEW FLAGS

  1. Section 22 (Arbitration): Verify enforceability in all 50 states; monitor state law challenges
  2. Section 21 (Limitation of Liability): Confirm caps are enforceable under state consumer protection laws
  3. Section 13 (Off-Label): Verify peptide and GLP-1 disclosures meet FDA/DEA requirements
  4. Section 4.4 (Controlled Substances): Confirm policy aligns with Ryan Haight Act compliance
  5. Section 11 (Medical Disclaimers): Verify marketing materials align with disclaimer language
  6. MSO Model: Confirm clinical liability segregation is properly maintained

COMPLIANCE CHECKLIST


  • Mandatory arbitration with class action waiver (industry standard)

  • 30-day opt-out provision (enforceability requirement)

  • Limitation of liability (12 months fees or $500)

  • Medical disclaimers (no guaranteed outcomes)

  • AI coach disclaimers (informational, not medical)

  • Off-label prescribing disclosures (GLP-1, peptides, hormones)

  • Supplement FDA disclaimers

  • Emergency care exclusion

  • MSO model explanation (liability segregation)

  • Auto-renewal/cancellation (FTC click-to-cancel)

  • California governing law

  • Federal Arbitration Act reference

  • Indemnification clause

  • Force majeure

  • Apple App Store compliance (third-party references, payment disclosures)

  • Google Play compliance (subscription transparency, cancellation)

  • Competitor parity achieved

PRIVACY POLICY

DAYBREAKER HEALTH, P.C.

Effective Date: April 1, 2025
Last Updated: April 1, 2025
Version: 1.0


PLAIN-LANGUAGE SUMMARY

This Privacy Policy explains how Daybreaker Health collects, uses, shares, and protects your personal information. We collect health data, contact information, and other details to provide you with personalized longevity and health optimization services. We do NOT sell your personal information. You have rights to access, correct, and delete your data. California, Colorado, and other state residents have additional rights explained below.


TABLE OF CONTENTS

  1. Introduction & Scope
  2. Personal Information We Collect
  3. How We Collect Your Information
  4. Purposes for Collection & Use
  5. How We Share Your Information
  6. Data Retention
  7. Your Privacy Rights
  8. California Privacy Rights (CCPA/CPRA)
  9. Colorado Privacy Rights (CPA)
  10. Other State Privacy Rights
  11. Security Safeguards
  12. Cookies & Tracking Technologies
  13. Third-Party Services & Links
  14. Children’s Privacy
  15. International Users
  16. Automated Decision-Making & AI
  17. De-Identified Data
  18. Data Breach Notification
  19. Changes to This Policy
  20. Contact Us

1. INTRODUCTION & SCOPE

1.1 Who We Are

Daybreaker Health, P.C. (“Daybreaker,” “we,” “us,” or “our”) is a Medical Services Organization (MSO) that operates a subscription-based longevity and health optimization platform. We provide administrative services, care coordination, and technology while independent physicians contracted through Qualiphy Medical Group provide clinical services.

Corporate Address:
Daybreaker Health, P.C.
260 Craig Way
San Luis Obispo, CA 93405

1.2 What This Policy Covers

This Privacy Policy describes:

  • The categories of personal information we collect
  • How we collect, use, and share your personal information
  • Your rights regarding your personal information
  • How we protect your personal information
  • How to contact us with questions or concerns

This Policy applies to:

  • Our mobile application (iOS and Android)
  • Our website at https://daybreakerhealth.com
  • All services provided through our platform
  • Communications with you (email, SMS, phone, in-app messaging)

This Privacy Policy should be read together with:

  • Terms of Service – Governs your use of our platform
  • HIPAA Notice of Privacy Practices – Explains how we use and disclose Protected Health Information (PHI) for treatment, payment, and healthcare operations
  • Telehealth Consent Form – Authorizes telehealth services
  • Cookie Policy – Details our use of cookies and tracking technologies
  • SMS/Text Messaging Terms – Governs text message communications
  • End User License Agreement (EULA) – Governs use of our mobile application

1.4 Effective Date

This Privacy Policy is effective as of the date listed above and applies to all personal information collected on or after that date.


2. PERSONAL INFORMATION WE COLLECT

We collect various categories of personal information to provide our services. Under the California Consumer Privacy Act (CCPA) and California Privacy Rights Act (CPRA), “personal information” means information that identifies, relates to, describes, is reasonably capable of being associated with, or could reasonably be linked, directly or indirectly, with a particular consumer or household.

2.1 Categories of Personal Information

A. Identifiers

Data Type Examples
Contact Information Name, email address, phone number, mailing address
Account Information Username, account ID, password (encrypted)
Device Identifiers Device ID, advertising ID, IP address, MAC address
Government IDs Date of birth (for age verification and medical records)

B. Health & Medical Information (Sensitive Personal Information)

Data Type Examples
Medical History Health conditions, diagnoses, allergies, past surgeries, family medical history
Current Health Medications, supplements, prescriptions, treatment plans
Lab Results Blood tests, biomarkers, metabolic panels, hormone levels
Biometric Data Heart rate, heart rate variability (HRV), sleep stages, activity levels, steps, calories burned
Wearable Data Data synced from Apple Health, Oura, Whoop, continuous glucose monitors (CGMs), fitness trackers
Clinical Notes Physician assessments, consultation notes, care protocols
Genetic Data If genetic testing is offered in the future
Lifestyle Data Diet, exercise habits, sleep patterns, stress levels, alcohol/tobacco use

C. Financial Information

Data Type Examples
Payment Information Credit/debit card (last 4 digits only; full numbers processed by payment processor)
Billing Information Billing address, transaction history, subscription status
FSA/HSA Information If you provide for reimbursement purposes

D. Geolocation Data

Data Type Examples
Precise Location GPS coordinates (for micro-clinic appointments only, with your permission)
Coarse Location City, state, ZIP code (for telehealth compliance and physician licensing)

E. User-Generated Content

Data Type Examples
Profile Information Profile photo, preferences, health goals
Communications Messages to physicians, coaches, or support; survey responses
Media Photos or videos from mobility assessments (if using phone camera features)

F. Device & Usage Information

Data Type Examples
Device Information Device type, operating system, browser type, app version
Usage Data Pages viewed, features used, time spent, click paths, session duration
Technical Data Crash logs, error reports, performance data
Referral Information How you found us, referral source

G. Inferences

Data Type Examples
Health Insights Metabolic profiles, biological age estimates, health trend predictions
Behavioral Patterns Activity patterns, sleep quality trends, recovery indicators

2.2 Sensitive Personal Information

Under CCPA/CPRA, “sensitive personal information” includes:

  • Health information (medical history, conditions, treatments)
  • Genetic data (if collected)
  • Biometric information (used for identification)
  • Precise geolocation

We collect sensitive personal information only for purposes permitted under CCPA/CPRA:

  • Providing requested health services
  • Ensuring security and integrity
  • Short-term transient use
  • Performing services on our behalf
  • Verifying or maintaining quality of services

We do NOT use sensitive personal information for advertising or profiling for purposes unrelated to your healthcare.


3. HOW WE COLLECT YOUR INFORMATION

3.1 Information You Provide Directly

  • Account Registration: Name, email, phone, password, date of birth
  • Health Intake Forms: Medical history, medications, allergies, lifestyle information
  • Consultations: Information shared during telehealth appointments
  • Surveys & Assessments: Responses to health questionnaires
  • Support Requests: Information in customer service communications
  • Payment: Billing and payment details (processed by Stripe)

3.2 Information Collected Automatically

  • App Usage: Features accessed, time spent, interactions
  • Device Information: Device type, operating system, unique identifiers
  • Log Data: IP address, browser type, pages visited, timestamps
  • Cookies & Similar Technologies: See Section 12

3.3 Information from Third Parties

  • Wearable Devices: Data synced via Terra API from Apple Health, Oura, Whoop, Garmin, Fitbit, CGMs, and other connected devices
  • Lab Partners: Test results from Quest Diagnostics, LabCorp, and other laboratory partners
  • Pharmacy Partners: Prescription fulfillment status
  • Qualiphy Medical Group: Clinical notes and treatment information from your physicians
  • Payment Processors: Transaction confirmations from Stripe

3.4 Your Choices About Data Collection

You can choose not to provide certain information, but this may limit your ability to use some features:

If You Don’t Provide… You May Not Be Able To…
Health history Receive personalized care or prescriptions
Wearable data Use AI coaching features or health insights
Location Schedule micro-clinic appointments
Payment information Subscribe to paid services

4. PURPOSES FOR COLLECTION & USE

We use your personal information for the following purposes:

4.1 Providing Healthcare Services (Treatment)

  • Delivering telehealth consultations
  • Creating personalized health protocols
  • Ordering and interpreting lab tests
  • Prescribing medications and supplements
  • Providing AI-driven health coaching and insights
  • Coordinating care with Qualiphy physicians
  • Tracking your health progress

4.2 Processing Payments (Payment)

  • Processing subscription fees ($99/month)
  • Billing for additional services (labs, prescriptions, supplements)
  • Managing refunds and disputes
  • Detecting and preventing fraud

4.3 Operating & Improving Our Platform (Operations)

  • Maintaining and improving app functionality
  • Troubleshooting technical issues
  • Analyzing usage patterns to enhance user experience
  • Training our AI coaching algorithms (using de-identified data only)
  • Conducting quality improvement activities
  • Auditing and compliance monitoring

4.4 Communicating With You

  • Sending appointment reminders and confirmations
  • Providing prescription and lab result notifications
  • Responding to support requests
  • Sending service updates and announcements
  • Marketing communications (with your consent; you can opt out anytime)
  • Complying with applicable laws and regulations
  • Responding to legal process (subpoenas, court orders)
  • Protecting our rights and the rights of others
  • Reporting to public health authorities as required
  • Fulfilling regulatory obligations (HIPAA, state medical board requirements)

4.6 Security & Fraud Prevention

  • Protecting against unauthorized access
  • Detecting and preventing fraudulent activity
  • Ensuring the security of our systems and data
  • Verifying your identity

5. HOW WE SHARE YOUR INFORMATION

5.1 We Do NOT Sell Your Personal Information

Daybreaker Health does NOT sell your personal information to third parties.

Daybreaker Health does NOT share your personal information for cross-context behavioral advertising.

5.2 Categories of Third Parties We Share With

We share personal information with the following categories of third parties for the purposes described:

A. Healthcare Providers (for Treatment)

Third Party Data Shared Purpose
Qualiphy Medical Group PHI (medical history, symptoms, treatment plans) Providing physician services
Lab Partners (Quest, LabCorp) PHI (name, DOB, test orders) Conducting laboratory tests
Pharmacy Partners PHI (prescriptions, shipping address) Fulfilling prescriptions

B. Service Providers (Business Associates under HIPAA)

Third Party Data Shared Purpose
Supabase All data (encrypted) Database hosting and storage
Railway Technical data Backend infrastructure
Terra API Wearable data Syncing data from connected devices
Stripe Payment information Payment processing
[Email Provider] Email address, name Sending transactional emails
[SMS Provider] Phone number Sending text notifications

All service providers handling Protected Health Information (PHI) have signed Business Associate Agreements (BAAs) and are contractually required to protect your data.

C. Analytics Providers (De-Identified Data Only)

Third Party Data Shared Purpose
Analytics tools De-identified usage data Understanding app usage patterns

We do NOT share identifiable health information with analytics providers.

D. Professional Advisors

Third Party Data Shared Purpose
Legal counsel As needed for legal matters Legal advice and representation
Auditors As needed for audits Compliance and financial audits

E. Government & Law Enforcement (When Required)

We may disclose information when required by law:

  • Public health authorities (disease reporting)
  • Law enforcement (court orders, subpoenas)
  • Medical licensing boards (complaint investigations)
  • Government agencies (regulatory compliance)

5.3 Business Transfers

If Daybreaker Health is involved in a merger, acquisition, bankruptcy, or sale of assets, your personal information may be transferred to the acquiring entity. We will notify you via email and/or prominent notice on our platform before your information becomes subject to a different privacy policy.

We may share your information with other third parties when you give us explicit consent to do so.


6. DATA RETENTION

6.1 Retention Periods

We retain your personal information for as long as necessary to fulfill the purposes described in this Policy, unless a longer retention period is required or permitted by law.

Data Category Retention Period Basis
Medical Records (PHI) 7 years from last patient interaction State medical record retention laws; HIPAA
Financial Records 7 years IRS requirements; financial regulations
Account Data Duration of account + 30 days after deletion Service provision
Wearable Data While account is active; deleted 30 days after account closure Service provision (unless part of medical record)
Marketing Preferences Until you opt out or delete account Your consent
De-Identified Data Indefinitely No longer personal information
Backup Data 30 days rolling Disaster recovery

6.2 Deletion Process

When personal information is deleted:

  1. Logical Deletion: Data marked as deleted in active systems (with audit trail)
  2. 30-Day Recovery Period: Data recoverable during this period if deletion was accidental
  3. Permanent Deletion: After recovery period, data is cryptographically erased
  4. Backup Purge: Deleted from backups within 30 days per backup rotation schedule

Note: Some data may be retained longer if required by law (e.g., medical records) or if subject to legal hold.


7. YOUR PRIVACY RIGHTS

7.1 Rights Available to All Users

Regardless of where you live, you have the right to:

  • Access: Request information about what personal data we hold about you
  • Correction: Request correction of inaccurate personal information
  • Deletion: Request deletion of your personal information (subject to legal exceptions)
  • Opt-Out of Marketing: Unsubscribe from marketing emails and texts at any time
  • Data Portability: Request a copy of your data in a portable format

7.2 How to Exercise Your Rights

Online Form: https://daybreakerhealth.com/privacy-request-form

Email: privacy@daybreakerhealth.com

Mail:
Privacy Officer
Daybreaker Health, P.C.
260 Craig Way
San Luis Obispo, CA 93405

Phone: (805) 549-4172

7.3 Verification Process

To protect your privacy, we must verify your identity before responding to requests:

  • Access/Know Requests: We verify by matching at least 2 data points (e.g., email + phone number, or name + address)
  • Deletion Requests: We verify by matching at least 3 data points (e.g., email + phone + account information)
  • Additional Verification: For high-risk requests, we may require additional verification

7.4 Response Timeframes

  • Initial Response: Within 10 business days (acknowledging receipt)
  • Substantive Response: Within 45 days of verified request
  • Extension: Up to 45 additional days if reasonably necessary (we will notify you)

7.5 Authorized Agents

You may designate an authorized agent to make requests on your behalf. The agent must provide:

  • Written authorization signed by you
  • Proof of agent’s identity
  • We may contact you directly to verify the request

8. CALIFORNIA PRIVACY RIGHTS (CCPA/CPRA)

If you are a California resident, you have additional rights under the California Consumer Privacy Act (CCPA) and California Privacy Rights Act (CPRA).

8.1 Your California Rights

A. Right to Know

You have the right to request that we disclose:

  • Categories of personal information collected
  • Categories of sources from which information was collected
  • Business or commercial purposes for collecting
  • Categories of third parties with whom we share
  • Specific pieces of personal information we have collected about you

B. Right to Delete

You have the right to request deletion of your personal information, subject to certain exceptions:

We may retain information if necessary to:

  • Complete a transaction or provide services
  • Detect security incidents or fraud
  • Debug or repair functionality
  • Exercise free speech or other legal rights
  • Comply with legal obligations
  • Conduct research in the public interest (with safeguards)
  • Enable internal uses reasonably aligned with your expectations

Note: Medical records may be subject to longer retention under state law.

C. Right to Correct

You have the right to request correction of inaccurate personal information. We will use commercially reasonable efforts to correct the information, taking into account the nature of the information and purposes for processing.

D. Right to Opt-Out of Sale/Sharing

We do NOT sell personal information.

We do NOT share personal information for cross-context behavioral advertising.

If our practices change, we will provide a “Do Not Sell or Share My Personal Information” link on our homepage.

E. Right to Limit Use of Sensitive Personal Information

You have the right to limit our use and disclosure of sensitive personal information to uses:

  • Necessary to perform services or provide goods
  • For security and integrity purposes
  • For short-term transient use
  • To verify or maintain quality of services
  • As authorized by regulations

Note: Because we use sensitive personal information (health data) only to provide healthcare services you request, this right may have limited application.

To limit sensitive personal information use: privacy@daybreakerhealth.com

F. Right to Non-Discrimination

We will NOT discriminate against you for exercising your privacy rights. We will not:

  • Deny you services
  • Charge different prices
  • Provide different quality of service
  • Suggest you will receive different treatment

8.2 California “Shine the Light” Law

Under California Civil Code Section 1798.83, California residents may request information about personal information we disclosed to third parties for their direct marketing purposes.

We do NOT share personal information with third parties for their direct marketing purposes.

8.3 California Information Collected (12-Month Look-Back)

In the preceding 12 months, we have collected the following categories of personal information:

Category Collected Source Purpose Disclosed To
Identifiers Yes You; Automatic Services; Communication Service providers; Healthcare providers
Health Information (Sensitive) Yes You; Wearables; Labs Healthcare services Physicians; Labs; Pharmacies
Financial Information Yes You Payment processing Payment processor (Stripe)
Geolocation Yes You; Device Clinic appointments; Compliance Service providers
Device/Usage Data Yes Automatic Operations; Security Service providers
Inferences Yes Derived from above Health insights Physicians

8.4 Submitting California Requests

Request Form: https://daybreakerhealth.com/privacy-request

Email: privacy@daybreakerhealth.com

Toll-Free Number: (805) 549-4172


9. COLORADO PRIVACY RIGHTS (CPA)

If you are a Colorado resident, you have rights under the Colorado Privacy Act (CPA).

9.1 Your Colorado Rights

  • Right to Access: Confirm whether we process your data and access that data
  • Right to Correct: Correct inaccuracies in your data
  • Right to Delete: Delete your personal data
  • Right to Data Portability: Obtain a portable copy of your data
  • Right to Opt-Out: Opt out of targeted advertising, sale of data, and profiling

9.2 Universal Opt-Out Mechanisms

We honor Global Privacy Control (GPC) signals and other universal opt-out mechanisms.

If your browser or device sends a GPC signal, we will treat it as a valid opt-out request for:

  • Sale of personal data (we don’t sell, but will honor the signal)
  • Targeted advertising
  • Certain profiling activities

9.3 Right to Appeal

If we deny your privacy request, you have the right to appeal. To appeal:

Email: privacy@daybreakerhealth.com (Subject: “Colorado Privacy Appeal”)

We will respond to appeals within 45 days. If we deny your appeal, you may contact the Colorado Attorney General:

Colorado Attorney General
Consumer Protection Section
1300 Broadway, 10th Floor
Denver, CO 80203
https://coag.gov/file-complaint/


10. OTHER STATE PRIVACY RIGHTS

10.1 Nevada Privacy Rights

Nevada residents may opt out of the sale of certain covered information. We do NOT sell personal information. If our practices change, we will provide an opt-out mechanism.

10.2 New York Residents

New York residents are protected by the SHIELD Act, which requires reasonable security measures. See Section 11 for our security safeguards.

Breach Notification: We will notify New York residents of data breaches in the most expedient time possible as required by NY law.

10.3 Other States

Other states have enacted or are enacting privacy laws (Virginia, Connecticut, Utah, Texas, Oregon, etc.). We aim to honor privacy rights broadly. Contact us at privacy@daybreakerhealth.com for information about rights in your state.


11. SECURITY SAFEGUARDS

11.1 Our Security Program

We implement comprehensive administrative, technical, and physical safeguards to protect your personal information, consistent with HIPAA Security Rule requirements and industry best practices.

Administrative Safeguards

  • Security Officer: Designated individual responsible for security program
  • Privacy Officer: Designated individual responsible for privacy compliance
  • Risk Assessments: Annual security risk assessments
  • Workforce Training: Annual HIPAA and security awareness training for all staff with access to PHI
  • Access Management: Role-based access controls; access limited to minimum necessary
  • Incident Response: Documented breach response procedures
  • Business Associate Agreements: Written agreements with all vendors handling PHI
  • Sanction Policy: Disciplinary procedures for security violations

Technical Safeguards

  • Encryption at Rest: AES-256 encryption for all stored data
  • Encryption in Transit: TLS 1.3 for all data transmission
  • Multi-Factor Authentication (MFA): Required for all administrative access
  • Unique User IDs: Individual authentication for all system access
  • Automatic Logoff: Sessions expire after inactivity
  • Audit Logging: All PHI access logged and monitored
  • Access Controls: Database row-level security (RLS)
  • Intrusion Detection: Real-time monitoring for unauthorized access
  • Vulnerability Management: Regular security patches and updates
  • Penetration Testing: Periodic third-party security assessments

Physical Safeguards

  • Data Center Security: HITRUST-certified, SOC 2 Type II compliant hosting (Supabase, Railway)
  • Device Security: Encryption required for all devices with PHI access
  • Secure Disposal: Secure destruction of data per NIST 800-88 guidelines

11.2 No Absolute Guarantee

While we use commercially reasonable measures to protect your information, no method of transmission over the Internet or electronic storage is 100% secure. We cannot guarantee absolute security.

11.3 Your Role in Security

You are responsible for:

  • Safeguarding your password and account credentials
  • Using a secure internet connection (avoid public WiFi for healthcare activities)
  • Notifying us immediately of any unauthorized account access
  • Keeping your contact information current

12. COOKIES & TRACKING TECHNOLOGIES

12.1 What Are Cookies?

Cookies are small text files stored on your device by websites and apps you visit. They help us remember your preferences, understand how you use our platform, and improve your experience.

12.2 Types of Cookies We Use

Essential Cookies (Required)

These cookies are necessary for the platform to function:

  • Session management (keeping you logged in)
  • Security (fraud detection, authentication)
  • Load balancing

You cannot disable essential cookies as they are required for basic functionality.

Analytics Cookies (Optional)

These cookies help us understand how users interact with our platform:

  • Page views and navigation paths
  • Feature usage
  • Error tracking and crash reporting

You can opt out via browser settings or our cookie preference center.

Marketing Cookies (Optional, if applicable)

If we use marketing cookies, they help us:

  • Measure advertising effectiveness
  • Understand referral sources

You can opt out via browser settings, our cookie preference center, or third-party opt-out tools.

12.3 How to Manage Cookies

Browser Settings: Most browsers allow you to block or delete cookies. See your browser’s help documentation.

Third-Party Opt-Out Tools:

Impact of Disabling Cookies: Some features may not work properly if you disable essential cookies.

12.4 Do Not Track Signals

Some browsers offer “Do Not Track” (DNT) signals. There is no universal standard for DNT, and we do not currently respond to DNT signals.

12.5 Global Privacy Control (GPC)

We DO honor Global Privacy Control (GPC) signals. If your browser sends a GPC signal, we will treat it as a valid opt-out request for targeted advertising and sale of data (to the extent applicable).


13.1 Third-Party Services We Use

Our platform integrates with third-party services. Each has its own privacy policy:

Service Purpose Their Privacy Policy
Supabase Database hosting https://supabase.com/privacy
Railway Backend infrastructure https://railway.app/legal/privacy
Terra API Wearable data integration https://tryterra.co/privacy
Qualiphy Telehealth physician services https://qualiphy.me/terms-of-service-cookies-privacy-policy/
Stripe Payment processing https://stripe.com/privacy
Apple Health Wearable data (iOS) https://www.apple.com/legal/privacy/

Our platform may contain links to external websites (educational resources, partner sites). We do not control these sites and are not responsible for their privacy practices. Review their privacy policies before sharing information.

13.3 Wearable Device Data

When you connect wearable devices (Oura, Whoop, Apple Watch, etc.) via Terra API:

  • We receive only the data categories you authorize
  • We use this data to provide health insights and AI coaching
  • We do NOT share this data with third parties for advertising
  • You can disconnect devices at any time in app settings

14. CHILDREN’S PRIVACY

14.1 Age Restrictions

Our services are NOT directed to children under 13. We do not knowingly collect personal information from children under 13.

Our services are intended for adults 18 and older. If you are under 18, you must have parental or guardian consent to use our services.

14.2 Parental Rights

If you are a parent or guardian and believe we have collected information from your child without consent, please contact us immediately:

Email: privacy@daybreakerhealth.com

We will promptly delete any such information.


15. INTERNATIONAL USERS

15.1 US-Only Services

Daybreaker Health services are currently available only in the United States.

All data is stored on servers located in the United States. By using our services, you consent to the transfer and storage of your data in the US.

15.2 No GDPR Compliance

We do not currently accept users from the European Economic Area (EEA), United Kingdom, or other jurisdictions requiring GDPR compliance. If you are located outside the US, please do not use our services.

15.3 Traveling Users

If you are a US resident traveling internationally:

  • Telehealth services may not be available (physician licensing restrictions)
  • Your data continues to be stored in the US
  • Contact us before traveling if you have questions

16. AUTOMATED DECISION-MAKING & AI

16.1 Our AI Coach

Daybreaker Health uses artificial intelligence to provide personalized health insights and recommendations based on your wearable data, lab results, and health information.

Important Limitations:

  • The AI coach provides informational wellness guidance only
  • The AI coach does NOT provide medical diagnoses
  • The AI coach does NOT replace physician consultations
  • All clinical decisions are made by licensed physicians, not AI

16.2 How AI Is Used

  • Analyzing wearable data to identify trends and patterns
  • Generating personalized lifestyle recommendations (sleep, activity, recovery)
  • Flagging potential areas of concern for physician review
  • Creating progress reports and health insights

16.3 Human Oversight

  • Physicians review all clinical decisions
  • MSO physician monitors workflows and peer-reviews consultations
  • You can always request human review of any AI-generated recommendation

16.4 Your Rights Regarding Automated Processing

Under CCPA/CPRA, you have the right to opt out of automated decision-making that produces legal or similarly significant effects. Our AI coach does not make decisions with legal or similarly significant effects—all such decisions are made by physicians.

If you have concerns about AI-generated recommendations, contact us at privacy@daybreakerhealth.com.


17. DE-IDENTIFIED DATA

17.1 What Is De-Identified Data?

De-identified data is information that has been processed so it cannot reasonably identify, relate to, describe, or be linked to any individual. De-identified data is not “personal information” under privacy laws.

17.2 How We Use De-Identified Data

We may use de-identified data for:

  • Research & Development: Improving our algorithms and services
  • Publications: Contributing to longevity and health science (aggregate statistics only)
  • Training AI Models: Enhancing our AI coaching capabilities
  • Business Analytics: Understanding usage patterns and trends

17.3 De-Identification Standards

We follow HIPAA de-identification standards:

  • Removal of 18 categories of identifiers (names, dates, geographic info, etc.)
  • No reasonable basis to believe information can re-identify individuals
  • Commitment not to attempt re-identification

18. DATA BREACH NOTIFICATION

18.1 Our Commitment

If we experience a data breach involving your personal information, we will notify you as required by law.

18.2 Notification Procedures

Timeline:

  • Email Notification: Within 14 days of discovery
  • In-App Notification: Within 72 hours of discovery
  • Regulatory Notification: As required by law (e.g., 60 days for HIPAA, expeditiously for NY)

Content of Notice:

  • Date of breach (or estimated date range)
  • Description of types of information involved
  • Steps we are taking in response
  • Steps you can take to protect yourself
  • Contact information for questions

18.3 Regulatory Notifications

  • HIPAA: Notify HHS Office for Civil Rights if breach affects 500+ individuals
  • California: Notify CA Attorney General if breach affects 500+ CA residents
  • New York: Notify NY Attorney General for significant breaches

19. CHANGES TO THIS POLICY

19.1 Right to Update

We may update this Privacy Policy from time to time to reflect changes in our practices, technology, legal requirements, or other factors.

19.2 Notice of Changes

Material Changes: We will provide 30 days’ advance notice via:

  • Email to your account email address
  • In-app notification
  • Prominent notice on our website

Non-Material Changes: Minor updates (formatting, clarifications) may be posted without advance notice.

19.3 Your Choices

If you disagree with changes, you may:

  • Stop using our services
  • Delete your account
  • Contact us with questions or concerns

Continued use of our services after the effective date of changes constitutes acceptance of the updated Privacy Policy.

19.4 Version History

Previous versions of this Privacy Policy are available upon request. Contact privacy@daybreakerhealth.com.


20. CONTACT US

Privacy Questions & Rights Requests

Email: privacy@daybreakerhealth.com

Mail:
Privacy Officer
Daybreaker Health, P.C.
260 Craig Way
San Luis Obispo, CA 93405

Phone: (805) 549-4172

Email: privacy@daybreakerhealth.com (include “HIPAA” in subject line)

General Support

Email: care@daybreakerhealth.com

Phone: (805) 549-4172

File a Complaint

If you believe your privacy rights have been violated:

With Daybreaker:
privacy@daybreakerhealth.com

With Federal Regulators:
U.S. Department of Health and Human Services
Office for Civil Rights
https://www.hhs.gov/ocr/complaints

Federal Trade Commission
https://www.ftc.gov/complaint

With State Regulators:
California Attorney General
https://oag.ca.gov/privacy

Colorado Attorney General
https://coag.gov/file-complaint/

New York Attorney General
https://ag.ny.gov/consumer-frauds-bureau/filing-consumer-complaint


ACKNOWLEDGMENT

By using Daybreaker Health services, you acknowledge that you have read and understood this Privacy Policy.


Daybreaker Health, P.C.
260 Craig Way
San Luis Obispo, CA 93405
(805) 549-4172
privacy@daybreakerhealth.com


This Privacy Policy was last updated on April 1, 2025.


APPENDIX: CHANGE LOG FROM CURRENT PRIVACY POLICY

Removed (High-Risk Items)

Item Removed Risk Level Reason
“No SSL certificate” language 🔴 CRITICAL False/outdated; implies no encryption
“Within 14 working days” breach notification 🟡 IMPORTANT Inconsistent with legal requirements
Reference to “Netherlands law” 🟡 IMPORTANT Copy-paste error; wrong jurisdiction

Added (Compliance Requirements)

Item Added Risk Level Requirement
CCPA/CPRA consumer rights section 🔴 CRITICAL California law
Sensitive personal information disclosures 🔴 CRITICAL CPRA requirement
Colorado Privacy Act section 🔴 CRITICAL Colorado law
Comprehensive data categories 🔴 CRITICAL CCPA disclosure requirement
Third-party integrations list 🔴 CRITICAL CCPA/transparency requirement
Data retention periods 🟡 IMPORTANT CCPA requirement
Security safeguards detail 🟡 IMPORTANT NY SHIELD Act; best practice
Children’s privacy (COPPA) 🟡 IMPORTANT Federal requirement
Global Privacy Control 🟡 IMPORTANT Colorado requirement
AI/automated decision-making 🟡 IMPORTANT CCPA requirement
Breach notification procedures 🟡 IMPORTANT HIPAA/state requirements

Rewritten (Clarity & Liability)

Item Rewritten Reason
Data collection disclosures Expanded to cover all data types (biometric, wearable, genetic)
Security measures Replaced vague language with specific safeguards
Third-party sharing Added specific vendor list with purposes
Consumer rights Added state-specific rights with exercise procedures

ATTORNEY REVIEW FLAGS

The following sections should be reviewed by legal counsel:

  1. Section 5 (Sharing): Verify all third-party vendors are listed and BAAs are in place
  2. Section 6 (Retention): Confirm retention periods comply with all 50-state medical record laws
  3. Section 8 (CCPA/CPRA): Verify “sensitive personal information” handling complies with CPRA regulations
  4. Section 11 (Security): Confirm security measures accurately reflect current implementation
  5. Section 16 (AI): Verify AI disclaimers are sufficient for FTC/FDA compliance
  6. Section 18 (Breach): Confirm breach notification timelines comply with all applicable state laws

COMPLIANCE CHECKLIST


  • CCPA/CPRA: Consumer rights, sensitive data disclosures, Do Not Sell statement

  • Colorado Privacy Act: Universal opt-out, right to appeal

  • NY SHIELD Act: Security safeguards description

  • HIPAA: PHI disclosures, BAA references, security measures

  • FTC: Truthful disclosures, clear language

  • COPPA: Children’s privacy section

  • Apple App Store: HealthKit restrictions, privacy policy requirements

  • Google Play: Data Safety section alignment, health data disclosures

  • Competitor parity: Matches Wild Health, Parsley Health, Function Health standards

TELEHEALTH INFORMED CONSENT FORM

DAYBREAKER HEALTH, P.C.

Effective Date: April 1, 2025
Last Updated: April 1, 2025
Version: 1.0


PLAIN-LANGUAGE SUMMARY

This form authorizes you to receive healthcare services through telehealth (video, phone, and messaging). You’ll learn about the benefits, risks, and limitations of telehealth, your rights as a patient, and what to do in an emergency. Telehealth is NOT for emergencies—call 911. Your physician is licensed in your state and works through Qualiphy Medical Group, not as a Daybreaker employee. You may withdraw consent at any time.


IMPORTANT NOTICE

PLEASE READ THIS CONSENT FORM CAREFULLY BEFORE YOUR FIRST TELEHEALTH CONSULTATION.

This Telehealth Informed Consent Form (“Consent”) explains how telehealth services work, the benefits and risks involved, your rights and responsibilities, and obtains your authorization to receive healthcare via telehealth through Daybreaker Health’s platform.

By signing this Consent (electronically or otherwise), you are agreeing to receive telehealth services as described herein.


TABLE OF CONTENTS

  1. Introduction
  2. What Is Telehealth?
  3. Scope of Telehealth Services
  4. Services NOT Provided
  5. Technology Requirements
  6. Benefits of Telehealth
  7. Risks and Limitations of Telehealth
  8. Alternatives to Telehealth
  9. Emergency Protocols
  10. Practitioner Qualifications
  11. Prescribing via Telehealth
  12. Off-Label Prescribing Consent
  13. Supplement Disclaimers
  14. AI Health Coach
  15. Your Rights as a Patient
  16. Your Responsibilities as a Patient
  17. Privacy and Confidentiality
  18. Recordkeeping and Documentation
  19. Billing and Insurance
  20. State-Specific Requirements
  21. Withdrawal of Consent
  22. Consent Statement and Signature
  23. Contact Information

1. INTRODUCTION

This Telehealth Informed Consent Form is required before you receive telehealth services through Daybreaker Health. It ensures you understand:

  • How telehealth works
  • The benefits, risks, and limitations
  • Your rights and responsibilities
  • Emergency procedures
  • How your health information is used

1.2 Who Provides Your Care

Daybreaker Health, P.C. is a Medical Services Organization (MSO) that provides:

  • Technology platform (mobile app and website)
  • Care coordination services
  • Administrative and billing support
  • AI-driven health coaching (informational only)

Qualiphy Medical Group provides:

  • Licensed physicians who deliver clinical care
  • Medical diagnoses and treatment decisions
  • Prescription authority
  • Clinical documentation

Your treating physician:

  • Is an independent contractor of Qualiphy Medical Group
  • Is NOT an employee of Daybreaker Health
  • Is licensed in the state where you are located
  • Maintains their own professional liability (malpractice) insurance
  • Exercises independent medical judgment

Your consent to telehealth is voluntary. You may:

  • Decline telehealth services without penalty
  • Request in-person care as an alternative
  • Withdraw consent at any time

Declining telehealth will not affect your eligibility for other Daybreaker services (though some services may only be available via telehealth).


2. WHAT IS TELEHEALTH?

2.1 Definition

“Telehealth” (also called “telemedicine”) means the delivery of healthcare services using electronic communications and technology when the patient and healthcare provider are not in the same physical location.

2.2 Modalities We Use

Modality Description When Used
Synchronous Video Live, real-time video consultation Initial consultations, complex discussions, visual assessments
Synchronous Audio Live phone call Follow-ups, when video unavailable
Asynchronous Messaging Secure text-based communication (not in real-time) Quick questions, non-urgent follow-ups, care coordination
Store-and-Forward Review of photos, documents, or data submitted by patient Lab review, skin assessments, mobility scans

2.3 What Telehealth Is NOT

Telehealth is NOT:

  • A replacement for emergency care (call 911)
  • A replacement for urgent care (go to ER or urgent care)
  • Appropriate for all medical conditions
  • A guarantee of diagnosis or treatment
  • An in-person physical examination

3. SCOPE OF TELEHEALTH SERVICES

3.1 Services Provided via Telehealth

Through Daybreaker Health’s telehealth platform, you may receive:

Health Assessments & Consultations:

  • Comprehensive health history review
  • Symptom evaluation
  • Preventive health assessments
  • Chronic condition management
  • Longevity and health optimization planning

Eight Health Domains:

  1. Movement – Exercise protocols, mobility assessments, fitness recommendations
  2. Nutrition – Dietary guidance, metabolic optimization, meal planning
  3. Sleep & Recovery – Sleep optimization, recovery protocols, stress management
  4. Prescriptions – Medication management, new prescriptions, refills
  5. Therapies – Therapeutic interventions and protocols
  6. Aesthetics – Skin health, anti-aging protocols
  7. Environment – Environmental health optimization
  8. Medical Care – Preventive care, diagnostics, condition management

Clinical Services:

  • Laboratory test ordering and interpretation
  • Prescription medication management
  • Supplement recommendations
  • Referrals to specialists (when needed)
  • Health education and counseling
  • Treatment plan development
  • Follow-up care coordination

3.2 Wearable Data Integration

With your consent, we integrate data from wearable devices (Apple Watch, Oura Ring, Whoop, CGMs, etc.) to inform your care. This data is used for:

  • Tracking health trends
  • Informing clinical discussions
  • Personalizing recommendations
  • Monitoring progress

Wearable data limitations: Wearable devices are not medical devices. Data may be inaccurate or incomplete. Your physician will consider wearable data alongside other clinical information.


4. SERVICES NOT PROVIDED

4.1 Emergency Care

WE DO NOT PROVIDE EMERGENCY MEDICAL CARE.

If you are experiencing a medical emergency, HANG UP AND CALL 911 IMMEDIATELY, or go to your nearest emergency room.

Medical emergencies include but are not limited to:

  • Chest pain, tightness, or pressure
  • Difficulty breathing or shortness of breath
  • Severe or sudden headache
  • Signs of stroke (sudden weakness, numbness, vision changes, difficulty speaking, facial drooping)
  • Severe bleeding or trauma
  • Loss of consciousness or fainting
  • Severe allergic reaction (anaphylaxis)
  • Seizures
  • Thoughts of suicide or harming yourself or others
  • Severe abdominal pain
  • High fever with confusion or stiff neck
  • Poisoning or overdose

4.2 Urgent Care

We do not provide same-day urgent care. If you have an urgent (but non-emergency) issue, please visit:

  • Urgent care clinic
  • Emergency room
  • Your local primary care physician (if available same-day)

4.3 Other Excluded Services

Our telehealth services do NOT include:

  • Surgical procedures
  • Inpatient hospital care
  • In-person physical examinations (except at micro-clinics when available)
  • Obstetric care (prenatal, labor, delivery)
  • Pediatric care (under 18 without parental consent)
  • Mental health crisis intervention
  • Substance abuse detox or rehabilitation
  • Dental or vision care
  • Services requiring hands-on evaluation

4.4 Controlled Substances

During our first year of operation, we do NOT prescribe Schedule II-IV controlled substances via telehealth. This includes:

  • Opioid pain medications
  • Benzodiazepines (anxiety medications)
  • Stimulants (ADHD medications)
  • Sleep medications (Ambien, Lunesta, etc.)

This policy may change in the future with appropriate compliance measures.


5. TECHNOLOGY REQUIREMENTS

5.1 What You Need

To participate in telehealth, you need:

Requirement Specification
Device Smartphone, tablet, or computer with camera and microphone
Operating System iOS 15+ or Android 12+ (for mobile app)
Internet Reliable broadband connection (minimum 5 Mbps for video)
Browser Chrome, Safari, Firefox, or Edge (latest version) for web
App Daybreaker Health mobile app (recommended)
Audio Working microphone and speakers (or headset)
Camera Working camera (for video consultations)
Location Private, quiet space for consultations

5.2 Your Responsibilities

You are responsible for:

  • Maintaining compatible, functioning equipment
  • Ensuring reliable internet connectivity
  • Keeping your app updated
  • Testing your video/audio before appointments
  • Being in a private location during consultations
  • Using a secure internet connection (avoid public WiFi)

5.3 Technical Failures

If technology fails during a consultation:

  1. Video fails: Physician may continue via phone call
  2. Audio fails: Consultation may be rescheduled
  3. Internet drops: Attempt to reconnect; if unable, reschedule
  4. App crashes: Contact support; consultation will be rescheduled

We are not liable for technical failures, including video/audio quality issues, disconnections, or delays caused by your equipment or internet connection.

5.4 Platform Security

Our telehealth platform uses:

  • End-to-end encryption (TLS 1.3) for video consultations
  • HIPAA-compliant messaging
  • Secure data storage (AES-256 encryption)
  • Multi-factor authentication for provider access

6. BENEFITS OF TELEHEALTH

Telehealth offers several potential benefits:

6.1 Convenience

  • Access care from home, work, or while traveling (within the US)
  • Flexible scheduling, including evenings and weekends
  • No commute or time spent in waiting rooms
  • Reduced time off work

6.2 Access

  • Connect with longevity specialists regardless of your location
  • Access to expertise that may not be available locally
  • Faster follow-ups for routine matters
  • Easy access to your care team via messaging

6.3 Continuity

  • Maintain relationship with same physician over time
  • Integrated health records accessible to your care team
  • Coordinated care across multiple health domains

6.4 Safety

  • Reduced exposure to contagious illnesses
  • No waiting room exposure
  • Care available during public health emergencies

6.5 Integration

  • Wearable data integrated into your care
  • AI-powered health insights
  • Comprehensive health tracking in one platform

7. RISKS AND LIMITATIONS OF TELEHEALTH

7.1 Technology Risks

Risk Description
Connection Issues Video or audio may freeze, lag, or disconnect
Quality Limitations Image/sound quality may be insufficient for certain assessments
Technical Failures Equipment, software, or internet may fail
Security Risks Despite encryption, no electronic transmission is 100% secure
Data Breaches Potential (though unlikely) unauthorized access to health information

7.2 Clinical Limitations

Limitation Description
No Physical Exam Physician cannot perform hands-on examination (palpation, auscultation, etc.)
Visual Limitations Camera quality may limit visual assessment
Diagnostic Limitations Some conditions require in-person evaluation for accurate diagnosis
Treatment Limitations Some treatments cannot be provided via telehealth
Prescribing Limitations Some medications require in-person exam before prescribing

7.3 Communication Risks

Risk Description
Misunderstanding Important information may be miscommunicated or missed
Nonverbal Cues Physician may miss subtle nonverbal signs
Language Barriers Communication challenges if not fluent in English
Distractions Background noise or interruptions may affect consultation

7.4 Outcome Risks

Risk Description
Delayed Diagnosis Conditions may be missed or diagnosis delayed
Delayed Treatment Need for in-person care may delay treatment
Inappropriate Treatment Telehealth assessment may lead to treatment that would differ from in-person assessment
No Guaranteed Outcomes Health results vary; no specific outcomes are guaranteed

7.5 Your Acknowledgment

By signing this Consent, you acknowledge that you understand:

  • Telehealth has limitations compared to in-person care
  • Some diagnoses may be missed or delayed
  • You may need in-person follow-up
  • Results are not guaranteed
  • You accept these risks

8. ALTERNATIVES TO TELEHEALTH

8.1 In-Person Care Options

You have the right to request or seek in-person care instead of telehealth:

  • Primary Care Physician: Establish care with a local PCP for routine and urgent needs
  • Urgent Care Clinics: For same-day non-emergency issues
  • Emergency Room: For emergencies
  • Specialists: For conditions requiring specialized in-person evaluation
  • Daybreaker Micro-Clinics: In-person care at our physical locations (when available in your area)

8.2 When In-Person Care Is Required

Your physician may recommend in-person care when:

  • Physical examination is necessary for diagnosis
  • Procedure or treatment requires hands-on care
  • Condition is too complex for telehealth evaluation
  • Urgent/emergency care is needed
  • Regulatory requirements mandate in-person visit

8.3 Your Right to Choose

You may choose to:

  • Receive telehealth services as offered
  • Request in-person care (subject to availability)
  • Seek care from other providers
  • Decline services altogether

Declining telehealth does not affect your right to future care, though some Daybreaker services are only available via telehealth.


9. EMERGENCY PROTOCOLS

9.1 What to Do in an Emergency

MEDICAL EMERGENCIES:

  1. CALL 911 IMMEDIATELY or go to your nearest emergency room
  2. Do NOT wait for a telehealth appointment
  3. Do NOT rely on messaging for emergencies
  4. Do NOT attempt to contact Daybreaker for emergency care

MENTAL HEALTH CRISIS:

  • 988 Suicide & Crisis Lifeline: Call or text 988
  • Crisis Text Line: Text HOME to 741741
  • Go to nearest emergency room

9.2 Emergency Resources

Resource Contact
Emergency Services 911
Suicide & Crisis Lifeline 988 (call or text)
Poison Control 1-800-222-1222
Crisis Text Line Text HOME to 741741
Nearest Emergency Room [You must know your local ER location]

9.3 Your Emergency Plan

By signing this Consent, you confirm that you:

  • Know how to contact emergency services (911)
  • Know the location of your nearest emergency room
  • Understand that telehealth is NOT for emergencies
  • Will seek emergency care when needed, regardless of cost or convenience
  • Will not delay emergency care to wait for a telehealth appointment

9.4 If Emergency Occurs During Consultation

If you experience an emergency during a telehealth consultation:

  1. Inform the physician immediately
  2. The physician will advise you to call 911 or go to ER
  3. The consultation will end so you can seek emergency care
  4. The physician will document the encounter

10. PRACTITIONER QUALIFICATIONS

10.1 Physician Credentials

All physicians providing care through Daybreaker Health’s platform are:

  • Licensed: Hold active, unrestricted medical license(s)
  • Board-Certified or Board-Eligible: In appropriate specialty
  • Credentialed: Through Qualiphy Medical Group
  • Insured: Carry professional liability insurance (minimum $1M/$3M)
  • Background-Checked: Passed background verification

10.2 State Licensure

Your physician must be licensed in the state where you are physically located at the time of your consultation. Qualiphy physicians hold licenses in multiple states.

Before each consultation:

  • Your location will be confirmed
  • A physician licensed in your state will be assigned
  • If no physician is available for your state, you will be notified

10.3 Verify Credentials

You may verify your physician’s license through your state medical board:

State Verification Website
California https://www.mbc.ca.gov/breeze/
Colorado https://dpo.colorado.gov/MedicalBoard
New York https://www.op.nysed.gov/verification-search
Other States Contact care@daybreakerhealth.com for links

10.4 Physician Information

Before each consultation, you will receive:

  • Physician’s name
  • Credentials (MD, DO, etc.)
  • License number and state(s)
  • Specialty/board certification

11. PRESCRIBING VIA TELEHEALTH

11.1 Authority to Prescribe

Physicians providing care through our platform have prescriptive authority in the states where they are licensed. They may prescribe medications when clinically appropriate based on their telehealth evaluation.

11.2 Prescribing Limitations

Cannot prescribe via telehealth:

  • Schedule II-IV controlled substances (first year of operation)
  • Medications requiring in-person exam per state law
  • Medications requiring physical assessment (e.g., injections requiring training)

May prescribe via telehealth:

  • Non-controlled medications
  • GLP-1 agonists (semaglutide, tirzepatide)
  • Hormones (testosterone, estrogen, thyroid)
  • Peptides (BPC-157, etc.)
  • Most prescription medications appropriate for telehealth

11.3 Prescription Process

  1. Physician evaluates your health via telehealth
  2. If medication is appropriate, physician sends prescription electronically
  3. Prescription sent to pharmacy of your choice (or partner pharmacy)
  4. You pick up or receive medication by mail
  5. Follow-up appointments scheduled as needed

11.4 Your Responsibilities

You agree to:

  • Provide accurate health history and current medications
  • Disclose all allergies and adverse reactions
  • Take medications as prescribed
  • Report side effects or concerns promptly
  • Attend follow-up appointments for medication monitoring
  • Not share or sell prescribed medications

11.5 Medication Costs

Prescription costs are not included in your membership fee. You are responsible for:

  • Pharmacy costs (medication price)
  • Shipping costs (if using mail-order pharmacy)
  • Any applicable copays or insurance costs

12.1 What Is Off-Label Prescribing?

“Off-label” prescribing means using an FDA-approved medication for:

  • A purpose other than what the FDA approved it for
  • A different dose than FDA-approved
  • A different patient population than FDA-approved

Off-label prescribing is legal and common in medical practice. Physicians use their medical judgment to prescribe off-label when they believe it will benefit the patient.

12.2 Off-Label Medications We May Prescribe

Our physicians may prescribe the following medications off-label for longevity and health optimization:

A. GLP-1 Receptor Agonists

Examples: Semaglutide (Ozempic, Wegovy), Tirzepatide (Mounjaro, Zepbound)

Aspect Details
FDA-Approved For Type 2 diabetes; Obesity (BMI ≥30, or ≥27 with comorbidities)
Off-Label Use Metabolic optimization in individuals not meeting obesity criteria
How It Works Mimics GLP-1 hormone; reduces appetite, improves insulin sensitivity
Common Side Effects Nausea, vomiting, diarrhea, constipation, abdominal pain
Serious Risks Pancreatitis (rare), gallbladder disease, thyroid tumors (in animal studies)
Not Appropriate For Personal/family history of medullary thyroid cancer, MEN 2 syndrome, pregnancy

B. Peptide Therapies

Examples: BPC-157, CJC-1295, Ipamorelin, Sermorelin, PT-141

Aspect Details
FDA Status Generally NOT FDA-approved for human use
Off-Label Use Recovery, healing, growth hormone optimization, longevity
Evidence Base Limited human clinical trials; mostly animal studies and anecdotal reports
Potential Risks Unknown long-term effects, potential for contamination, injection site reactions
Important Note These are research compounds; safety profile not fully established

C. Hormone Therapy

Examples: Testosterone, Estrogen, Progesterone, DHEA, Thyroid hormones

Aspect Details
FDA-Approved For Hormone deficiency states (hypogonadism, menopause, hypothyroidism)
Off-Label Use Optimization in individuals with “normal” but suboptimal levels
Potential Benefits Energy, libido, body composition, mood, cognitive function
Risks (Testosterone) Cardiovascular effects, prostate issues, fertility impacts, mood changes
Risks (Estrogen) Blood clots, stroke, breast cancer (with prolonged use)
Monitoring Required Regular lab work to monitor hormone levels and side effects

Before prescribing any off-label medication, your physician will:

  1. Explain the FDA-approved use versus the prescribed (off-label) use
  2. Discuss the potential benefits for your specific situation
  3. Review the known risks and side effects
  4. Inform you if there is limited long-term safety data
  5. Discuss alternatives (including not taking the medication)
  6. Answer your questions
  7. Obtain your informed consent

12.4 Your Rights Regarding Off-Label Prescriptions

You have the right to:

  • Know when a medication is prescribed off-label
  • Ask questions about risks, benefits, and alternatives
  • Decline off-label medications without penalty
  • Request on-label alternatives (if available)
  • Seek second opinions from other providers
  • Stop the medication at any time (consult physician first)

12.5 Your Acknowledgment

By signing this Consent, you acknowledge that:

  • You understand what off-label prescribing means
  • You understand that some medications may have limited safety data
  • You will ask questions if you have concerns
  • You will report side effects promptly
  • You voluntarily consent to receive off-label medications when prescribed

13. SUPPLEMENT DISCLAIMERS

13.1 FDA Disclaimer

THESE STATEMENTS HAVE NOT BEEN EVALUATED BY THE FOOD AND DRUG ADMINISTRATION. SUPPLEMENTS RECOMMENDED THROUGH OUR PLATFORM ARE NOT INTENDED TO DIAGNOSE, TREAT, CURE, OR PREVENT ANY DISEASE.

13.2 Supplements vs. Medications

Aspect Supplements Medications
FDA Approval Not required before sale Required before sale
Safety Testing Not required pre-market Extensive pre-market testing
Efficacy Proof Not required Required for approval
Quality Control Varies by manufacturer Strictly regulated
Medical Claims Cannot claim to treat disease Can claim to treat disease

13.3 Risks of Supplements

Supplements may:

  • Vary in quality: No FDA pre-market approval; quality depends on manufacturer
  • Be contaminated: May contain undisclosed ingredients or contaminants
  • Interact with medications: May cause dangerous interactions
  • Cause side effects: May cause allergic reactions or adverse effects
  • Be ineffective: May not work as claimed
  • Affect lab tests: May interfere with blood test results

13.4 Your Responsibilities

You are responsible for:

  • Informing your physician about all supplements you take
  • Researching supplements before taking them
  • Purchasing from reputable sources
  • Reporting any adverse reactions
  • Stopping supplements if you experience problems (and notifying your physician)

13.5 Third-Party Products

Supplements recommended through our platform are manufactured by third parties. Daybreaker Health:

  • Does NOT manufacture supplements
  • Does NOT independently test supplements
  • Does NOT guarantee supplement quality or efficacy
  • Is NOT responsible for third-party products

14. AI HEALTH COACH

14.1 What Is the AI Health Coach?

Daybreaker Health’s AI health coach analyzes your data (wearables, labs, health inputs) to provide personalized wellness recommendations.

14.2 What AI Coach Provides

The AI coach DOES provide:

  • Sleep optimization recommendations
  • Activity and exercise suggestions
  • Recovery and stress management tips
  • Nutrition guidance
  • Health trend visualization
  • Goal tracking
  • General wellness education

14.3 What AI Coach Does NOT Provide

The AI coach does NOT provide:

  • Medical diagnoses
  • Clinical treatment decisions
  • Prescription recommendations
  • Emergency medical guidance
  • Mental health therapy
  • Replacement for physician care

14.4 AI Limitations

The AI coach:

  • Is based on algorithms that have inherent limitations
  • May provide recommendations that are not appropriate for your specific situation
  • Relies on data that may be incomplete or inaccurate
  • Should not be used as the sole basis for health decisions

14.5 Human Oversight

  • All clinical decisions are made by licensed physicians, not AI
  • Physicians review and consider AI insights but are not bound by them
  • You can always request human review of any AI recommendation

14.6 Your Acknowledgment

By signing this Consent, you acknowledge that:

  • The AI coach provides informational wellness guidance only
  • The AI coach is NOT a substitute for medical care
  • You will verify important recommendations with your physician
  • You will not rely solely on AI for health decisions

15. YOUR RIGHTS AS A PATIENT

15.1 Right to Information

You have the right to:

  • Know the name, credentials, and license of your treating physician
  • Receive information about your diagnosis and treatment options
  • Understand the benefits, risks, and alternatives before treatment
  • Ask questions and receive answers you understand
  • Request your medical records

15.2 Right to Privacy

You have the right to:

  • Have your health information kept confidential
  • Know how your information is used and disclosed
  • Request restrictions on disclosures (though we are not required to agree)
  • Receive communications through your preferred method
  • File a complaint if you believe your privacy was violated

15.3 Right to Make Decisions

You have the right to:

  • Participate in decisions about your care
  • Accept or refuse treatment
  • Seek second opinions
  • Change providers
  • Withdraw consent at any time

15.4 Right to Quality Care

You have the right to:

  • Receive care that meets professional standards
  • Be treated with respect and dignity
  • Have your concerns heard and addressed
  • File complaints about your care

15.5 Right to Accommodations

You have the right to request accommodations for disabilities, language barriers, or other needs. Contact accessibility@daybreakerhealth.com.


16. YOUR RESPONSIBILITIES AS A PATIENT

16.1 Provide Accurate Information

You are responsible for providing accurate, complete, and truthful information about:

  • Your identity and contact information
  • Your complete medical history
  • All current medications and supplements
  • All allergies and adverse reactions
  • Your current symptoms and health concerns
  • Lifestyle factors (diet, exercise, sleep, alcohol, tobacco, drugs)
  • Family medical history

Providing false or incomplete information may result in inappropriate treatment and could endanger your health.

16.2 Update Information Promptly

Notify us promptly when:

  • Your health status changes
  • You start or stop medications
  • You experience side effects
  • You receive care from other providers
  • Your contact information changes
  • You move to a different state

16.3 Follow Treatment Plans

You are responsible for:

  • Following your physician’s recommendations
  • Taking medications as prescribed
  • Completing recommended lab tests
  • Attending follow-up appointments
  • Seeking in-person care when recommended

16.4 Communicate

You are responsible for:

  • Asking questions when you don’t understand
  • Reporting concerns, side effects, or problems promptly
  • Responding to messages from your care team
  • Notifying us if you can’t make an appointment

16.5 Physical Location Compliance

You must:

  • Be physically located in a US state at the time of each consultation
  • Accurately disclose your physical location
  • Notify us if you travel to a different state
  • Understand services may not be available in all locations

16.6 Emergency Preparedness

You must:

  • Know how to contact emergency services (911)
  • Know the location of your nearest emergency room
  • Seek emergency care when needed
  • Not use telehealth for emergencies

16.7 Financial Responsibility

You are responsible for:

  • Paying membership fees on time
  • Paying for additional services (labs, prescriptions, supplements)
  • Understanding your financial obligations

17. PRIVACY AND CONFIDENTIALITY

17.1 HIPAA Protection

Your health information is protected under the Health Insurance Portability and Accountability Act (HIPAA). See our HIPAA Notice of Privacy Practices for detailed information about how we use and protect your Protected Health Information (PHI).

17.2 How We Protect Your Information

  • Encryption: All data encrypted in transit (TLS 1.3) and at rest (AES-256)
  • Access Controls: Role-based access; only authorized personnel can view your information
  • Audit Trails: All access to your information is logged
  • Business Associates: Vendors handling PHI sign Business Associate Agreements
  • Training: Staff receive HIPAA training

17.3 Who May Access Your Information

Your PHI may be accessed by:

  • Your treating physician(s)
  • Qualiphy Medical Group (physician network)
  • Daybreaker Health staff (for care coordination and administration)
  • Lab partners (to conduct tests)
  • Pharmacy partners (to fill prescriptions)
  • As required by law

17.4 Privacy During Consultations

To protect your privacy during telehealth consultations:

  • Use a private, secure location
  • Use headphones if others are nearby
  • Ensure no one can see your screen
  • Close doors and windows
  • Do not record consultations without consent

17.5 Your Privacy Rights

You have the right to:

  • Access your medical records
  • Request corrections to your records
  • Know who has accessed your information
  • Request restrictions on disclosures
  • File a complaint if your privacy is violated

See our Privacy Policy at https://daybreakerhealth.com/privacy-policy for complete details.

Related Documents:


18. RECORDKEEPING AND DOCUMENTATION

18.1 What We Document

For each telehealth encounter, we document:

  • Date, time, and duration of consultation
  • Names of participants (patient, physician)
  • Your physical location (city, state)
  • Technology used (video, phone, message)
  • Chief complaint and symptoms
  • Relevant medical history
  • Assessment and diagnoses (if applicable)
  • Treatment plan (prescriptions, labs, recommendations)
  • Follow-up instructions
  • Patient education provided

18.2 Record Retention

Medical records are retained for a minimum of 7 years from your last date of service (or longer if required by state law). Records may be retained longer for:

  • Ongoing care relationships
  • Legal or regulatory requirements
  • Quality improvement purposes

18.3 Accessing Your Records

To request a copy of your medical records:

  • In-App: Settings > Medical Records > Request Export
  • Email: privacy@daybreakerhealth.com
  • Mail: Privacy Officer, Daybreaker Health, 260 Craig Way, San Luis Obispo, CA 93405

Records will be provided within 30 days. A reasonable fee may be charged for copies.


19. BILLING AND INSURANCE

19.1 Membership Fee

Your $99/month membership includes:

  • Telehealth consultations (video, phone, messaging)
  • AI health coaching
  • Care coordination
  • Access to all 8 health domains

19.2 Additional Costs

The following are NOT included in your membership:

Service Cost Notes
Laboratory tests $50-$500+ Quest/LabCorp pricing
Prescription medications Variable Pharmacy pricing
Supplements Member discount Third-party products
Micro-clinic visits TBD When available

19.3 Insurance

We do not bill insurance for telehealth services. All services are paid out-of-pocket.

Some insurance plans may reimburse you for telehealth services. You are responsible for:

  • Checking your insurance coverage
  • Submitting claims to your insurance (if seeking reimbursement)
  • Paying any amounts not covered by insurance

19.4 FSA/HSA

Telehealth consultations, labs, and prescription medications generally qualify for FSA/HSA payment. Supplements typically do not qualify. Consult your FSA/HSA administrator.

19.5 No Guarantee of Coverage

We make no guarantees about:

  • Insurance reimbursement
  • FSA/HSA eligibility
  • Coverage for specific services

20. STATE-SPECIFIC REQUIREMENTS

20.1 California

If you are located in California at the time of your telehealth consultation:

Informed Consent: California law (Business & Professions Code §2290.5) requires that you be informed about telehealth before receiving services. This Consent fulfills that requirement.

Consent Method: Consent may be verbal or written. Electronic signature is acceptable.

Standard of Care: The standard of care for telehealth is the same as for in-person care.

Patient-Physician Relationship: A patient-physician relationship may be established via telehealth (not solely via questionnaire or email).

Prescribing: Physicians may prescribe via telehealth when clinically appropriate. Controlled substances have additional requirements.

Emergency: You must be provided with emergency contact information. See Section 9.

Your Rights: California patients have additional privacy rights under the California Consumer Privacy Act (CCPA/CPRA). See our Privacy Policy.

20.2 Colorado

If you are located in Colorado at the time of your telehealth consultation:

Patient-Physician Relationship: Must be established before prescribing medications.

Standard of Care: Same standard of care applies as in-person care.

Informed Consent: Required and documented.

Privacy: Colorado Privacy Act provides additional rights. See our Privacy Policy.

20.3 New York

If you are located in New York at the time of your telehealth consultation:

Written Consent: New York law (Public Health Law §2999-cc) requires informed consent for telehealth services. This Consent fulfills that requirement.

Consent Method: Consent must be in writing or by authenticated electronic signature.

Patient-Physician Relationship: Must exist before prescribing. Can be established via telehealth (but not solely via questionnaire).

Standard of Care: Same duties apply as in-person care.

Emergency Procedures: You must be provided with emergency information. See Section 9.

Controlled Substances: Prescribing controlled substances via telehealth in New York requires an in-person exam within the previous 12 months (with limited exceptions).

SHIELD Act: New York’s SHIELD Act requires enhanced data security. See our Privacy Policy.

20.4 Other States

Telehealth laws vary by state. By signing this Consent, you agree to comply with the telehealth laws of the state where you are located. If you have questions about state-specific requirements, contact care@daybreakerhealth.com.


21.1 Your Right to Withdraw

You may withdraw your consent to telehealth services at any time. Withdrawal:

  • Must be in writing (email or letter)
  • Is effective upon our receipt
  • Does not affect care provided before withdrawal
  • Does not affect your eligibility for other services

21.2 How to Withdraw

Email: care@daybreakerhealth.com (Subject: “Withdrawal of Telehealth Consent”)

Mail:
Daybreaker Health, P.C.
Attn: Telehealth Consent Withdrawal
260 Craig Way
San Luis Obispo, CA 93405

21.3 Effect of Withdrawal

If you withdraw consent:

  • You will no longer receive telehealth services
  • You may need to seek care from other providers
  • Your medical records will be retained per our retention policy
  • Your membership may continue (but telehealth services will not be provided)
  • You may request transfer of records to another provider

By signing below (electronically or otherwise), I confirm that:

☑️ I have read and understand this Telehealth Informed Consent Form.

☑️ I have had the opportunity to ask questions and receive answers.

☑️ I understand the benefits, risks, and limitations of telehealth.

☑️ I understand the alternatives to telehealth (in-person care).

☑️ I understand that telehealth is NOT for emergencies and that I should call 911 for emergencies.

☑️ I understand my rights and responsibilities as a patient.

☑️ I understand that my physician is an independent contractor of Qualiphy Medical Group, not an employee of Daybreaker Health.

☑️ I understand that some medications may be prescribed off-label and I consent to receiving off-label prescriptions when my physician determines it is appropriate.

☑️ I understand that supplements are not FDA-approved and may have risks.

☑️ I understand that the AI health coach provides informational wellness guidance only, not medical advice.

☑️ I understand the fees for membership and additional services.

☑️ I understand that I may withdraw consent at any time.

☑️ I voluntarily consent to receive telehealth services from Daybreaker Health.

22.2 Authorization

I authorize Daybreaker Health and its affiliated physicians to:

  • Deliver healthcare services via telehealth (video, phone, messaging)
  • Access, use, and disclose my Protected Health Information (PHI) for treatment, payment, and healthcare operations
  • Prescribe medications via telehealth when clinically appropriate
  • Share my PHI with Qualiphy physicians, lab partners, and pharmacies as needed for my care
  • Use my wearable device data to inform my care

22.3 Electronic Signature

I understand that my electronic signature has the same legal effect as a handwritten signature under the Electronic Signatures in Global and National Commerce Act (ESIGN Act) and applicable state laws.


PATIENT SIGNATURE

Full Legal Name: _______________________________________________

Email Address: _______________________________________________

Date of Birth: _______________________________________________

Physical Location (City, State): _______________________________________________

Signature: _______________________________________________

Date: _______________________________________________


FOR MINORS (If Applicable)

If the patient is under 18, a parent or legal guardian must also sign:

Parent/Guardian Name: _______________________________________________

Relationship to Patient: _______________________________________________

Parent/Guardian Signature: _______________________________________________

Date: _______________________________________________


PHYSICIAN ACKNOWLEDGMENT (Completed at First Consultation)

Physician Name: _______________________________________________

Credentials: _______________________________________________

License Number: _______________________________________________

State(s) Licensed: _______________________________________________

Physician Signature: _______________________________________________

Date: _______________________________________________


23. CONTACT INFORMATION

General Questions & Member Support

Email: care@daybreakerhealth.com
Phone: (805) 549-4172

Privacy Questions

Email: privacy@daybreakerhealth.com

Email: care@daybreakerhealth.com

Complaints

Email: care@daybreakerhealth.com
Phone: (805) 549-4172

If you are not satisfied with our response, you may file a complaint with:

Address

Daybreaker Health, P.C.
260 Craig Way
San Luis Obispo, CA 93405


This Consent is valid from the date of signature until withdrawn by the patient in writing.

This Consent applies to all telehealth services provided through Daybreaker Health’s platform, regardless of the specific physician or consultation.


Daybreaker Health, P.C.
260 Craig Way
San Luis Obispo, CA 93405
(805) 549-4172
care@daybreakerhealth.com


This Telehealth Informed Consent Form was last updated on April 1, 2025.


APPENDIX: CHANGE LOG FROM CURRENT TELEHEALTH CONSENT

Retained (Good Elements)

Element Status
Clear scope of care (8 domains) ✅ Retained and expanded
Technology requirements ✅ Retained and detailed
Benefits articulated ✅ Retained
Risks and limitations ✅ Retained and expanded
Alternatives offered ✅ Retained
Patient rights ✅ Retained and expanded
Patient responsibilities ✅ Retained and expanded
Billing/insurance disclaimers ✅ Retained
State licensing acknowledgment ✅ Retained and expanded

Added (Critical Additions)

Addition Risk Level Purpose
Off-label prescribing consent 🔴 CRITICAL GLP-1, peptide, hormone liability
Detailed off-label drug information 🔴 CRITICAL Informed consent for specific meds
Supplement FDA disclaimers 🔴 CRITICAL FDA compliance
AI coach disclaimers 🔴 CRITICAL AI is informational only
Emergency protocols (detailed) 🔴 CRITICAL 911 and crisis resources
State-specific sections (CA, CO, NY) 🔴 CRITICAL Multi-state compliance
Practitioner credentials section 🟡 IMPORTANT Verify physician qualifications
Electronic signature acknowledgment 🟡 IMPORTANT ESIGN Act compliance
Technology failure disclaimers 🟡 IMPORTANT Limit tech liability
Withdrawal of consent procedure 🟡 IMPORTANT Patient autonomy
Physician signature section 🟡 IMPORTANT Documentation completeness

Compliance Checklist


  • California telehealth consent (B&P Code §2290.5)

  • Colorado telehealth consent

  • New York telehealth consent (PHL §2999-cc) – Written/electronic signature required

  • HIPAA alignment

  • Off-label prescribing informed consent

  • FDA supplement disclaimers

  • AI/algorithm disclaimers

  • Emergency protocols

  • Practitioner credentials disclosure

  • Technology requirements

  • Electronic signature validity (ESIGN Act)

  • Competitor parity (Wild Health, Parsley Health, Calibrate standards)

ATTORNEY REVIEW FLAGS

  1. Section 12 (Off-Label): Verify peptide disclosures meet state medical board standards
  2. Section 20 (State-Specific): Confirm all 50-state telehealth requirements are met
  3. Section 11 (Prescribing): Verify controlled substance policy aligns with Ryan Haight Act
  4. Electronic Signature: Confirm ESIGN/UETA compliance in all states
  5. Minor Consent: Verify parental consent requirements by state

NOTICE OF PRIVACY PRACTICES

DAYBREAKER HEALTH, P.C.

Effective Date: April 1, 2025
Last Updated: April 1, 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.


PLAIN-LANGUAGE SUMMARY

This Notice explains how we protect your health information under federal law (HIPAA). We use your health information to provide care, process payments, and run our healthcare operations. We will not share your information for marketing or sell it without your permission. You have rights to see your records, request corrections, and know who accessed your information. If you believe your privacy was violated, you can file a complaint without fear of retaliation.


TABLE OF CONTENTS

  1. Our Commitment to Your Privacy
  2. Who Must Follow This Notice
  3. How We May Use and Disclose Your Health Information
  4. Uses and Disclosures Requiring Your Written Authorization
  5. Your Rights Regarding Your Health Information
  6. Our Responsibilities
  7. How We Protect Your Information
  8. Breach Notification
  9. Changes to This Notice
  10. Complaints
  11. Contact Information

1. OUR COMMITMENT TO YOUR PRIVACY

We are 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
  • Follow the terms of this Notice currently in effect
  • Notify you if a breach of your unsecured PHI occurs

1.2 What Is Protected Health Information (PHI)?

Protected Health Information (PHI) is information that:

  • Is created or received by a healthcare provider, health plan, or healthcare clearinghouse
  • Relates to your past, present, or future physical or mental health condition, treatment, or payment for healthcare
  • Identifies you or could reasonably be used to identify you

Examples of PHI include:

  • Your name, address, date of birth, Social Security number
  • Medical history, diagnoses, and conditions
  • Treatment plans and physician notes
  • Prescription information
  • Laboratory results
  • Insurance and billing information
  • Communications with your healthcare providers

1.3 Applicable Laws

This Notice is provided pursuant to:

  • Health Insurance Portability and Accountability Act (HIPAA) – 45 CFR Parts 160 and 164
  • HIPAA Privacy Rule – 45 CFR §164.500 et seq.
  • HIPAA Security Rule – 45 CFR §164.300 et seq.
  • HIPAA Breach Notification Rule – 45 CFR §164.400 et seq.
  • HITECH Act – Health Information Technology for Economic and Clinical Health Act
  • Applicable State Laws – Including California, Colorado, New York, and other state privacy laws

Where state law provides greater protection than HIPAA, we follow the more protective standard.


2. WHO MUST FOLLOW THIS NOTICE

2.1 Covered Entities

This Notice applies to:

  • Daybreaker Health, P.C. – As a healthcare provider that transmits health information electronically
  • Qualiphy Medical Group – The affiliated physician group providing clinical services
  • All physicians providing care through our platform
  • All workforce members with access to PHI (employees, contractors, volunteers)

2.2 Business Associates

We share PHI with “Business Associates” – companies that perform services for us involving PHI. Our Business Associates must:

  • Sign a Business Associate Agreement (BAA)
  • Protect your PHI according to HIPAA requirements
  • Report any breaches to us

Our Business Associates include:

Business Associate Service Provided
Supabase Database hosting and storage
Railway Backend infrastructure
Terra API Wearable data integration
Stripe Payment processing
Quest Diagnostics Laboratory services
LabCorp Laboratory services
Partner Pharmacies Prescription fulfillment
Twilio (or similar) SMS/text message delivery
SendGrid (or similar) Email delivery services

2.3 Organized Health Care Arrangement

Daybreaker Health and Qualiphy Medical Group participate in an Organized Health Care Arrangement (OHCA) for purposes of joint healthcare activities. This allows us to share PHI with each other for treatment, payment, and healthcare operations without additional authorization.


3. HOW WE MAY USE AND DISCLOSE YOUR HEALTH INFORMATION

3.1 Uses and Disclosures for Treatment, Payment, and Healthcare Operations

We may use and disclose your PHI without your written authorization for the following purposes:

A. Treatment

We use your PHI to provide, coordinate, and manage your healthcare. Examples:

  • Providing care: Your physician reviews your medical history to diagnose and treat you
  • Consultations: Sharing information with another physician for a second opinion
  • Referrals: Sending information to a specialist you are referred to
  • Care coordination: Communicating with labs, pharmacies, and other providers involved in your care
  • Prescriptions: Transmitting prescription information to pharmacies
  • Follow-up: Contacting you about appointments, test results, or treatment plans

B. Payment

We use your PHI to obtain payment for services. Examples:

  • Billing: Submitting claims to you or your payment method
  • Collections: Following up on unpaid balances
  • Verification: Confirming your identity and payment information
  • Receipts: Providing documentation for FSA/HSA reimbursement

Note: We do not currently bill insurance, but if we do in the future, this would include submitting claims to your insurance company.

C. Healthcare Operations

We use your PHI to run our organization and ensure quality care. Examples:

  • Quality improvement: Reviewing care to improve services
  • Training: Educating staff and physicians
  • Auditing: Conducting compliance and financial audits
  • Credentialing: Verifying physician qualifications
  • Peer review: Physicians reviewing each other’s work for quality
  • Business planning: Planning and developing services
  • Customer service: Resolving complaints and inquiries

3.2 Uses and Disclosures Permitted or Required by Law

We may use or disclose your PHI without your authorization in the following circumstances:

A. As Required by Law

We will disclose PHI when required by federal, state, or local law. Examples:

  • Mandatory disease reporting
  • Court orders and subpoenas
  • Administrative requirements

B. Public Health Activities

We may disclose PHI to public health authorities for:

  • Preventing or controlling disease, injury, or disability
  • Reporting births and deaths
  • Reporting child abuse or neglect
  • Reporting reactions to medications or medical devices (FDA reporting)
  • Notifying individuals of recalls or replacements
  • Notifying workplace of work-related illness or injury

C. Health Oversight Activities

We may disclose PHI to health oversight agencies for:

  • Audits and investigations
  • Inspections and licensure
  • Civil, administrative, or criminal proceedings
  • Actions necessary for government oversight of healthcare

D. Judicial and Administrative Proceedings

We may disclose PHI in response to:

  • Court orders
  • Subpoenas, discovery requests, or other lawful process
  • We will attempt to notify you or obtain a protective order before disclosure when possible

E. Law Enforcement

We may disclose PHI to law enforcement officials for:

  • Legal processes (warrants, subpoenas, court orders)
  • Identifying or locating a suspect, fugitive, witness, or missing person
  • Reporting certain types of wounds or injuries
  • Reporting crimes occurring on our premises
  • Reporting a crime in an emergency

F. Coroners, Medical Examiners, Funeral Directors

We may disclose PHI to:

  • Coroners or medical examiners for identification or cause of death
  • Funeral directors to carry out their duties

G. Organ and Tissue Donation

We may disclose PHI to organizations handling organ, eye, or tissue donation and transplantation.

H. Research

We may disclose PHI for research purposes when:

  • An Institutional Review Board (IRB) approves a waiver of authorization
  • The research involves only decedents
  • The information is de-identified
  • You have provided written authorization

I. Serious Threat to Health or Safety

We may disclose PHI when necessary to prevent or lessen a serious and imminent threat to:

  • Your health or safety
  • The health or safety of others
  • Public health or safety

J. Specialized Government Functions

We may disclose PHI for:

  • Military and veterans’ activities
  • National security and intelligence
  • Protective services for the President
  • Medical suitability determinations
  • Correctional institution health and safety

K. Workers’ Compensation

We may disclose PHI as authorized by workers’ compensation laws for work-related injuries or illness.

We may contact you to:

  • Remind you of appointments
  • Inform you about treatment alternatives or health-related benefits
  • Provide information about health-related products or services we offer

3.3 Minimum Necessary Standard

When using or disclosing PHI, or when requesting PHI from another entity, we apply the “minimum necessary” standard. This means we:

  • Use, disclose, or request only the minimum amount of PHI necessary to accomplish the purpose
  • Limit access to PHI based on job duties (role-based access)
  • Do not apply the minimum necessary standard to disclosures for treatment purposes

3.4 De-Identified Information

Information that has been “de-identified” (all identifying information removed according to HIPAA standards) is no longer PHI and may be used or disclosed without restriction. We may use de-identified information for:

  • Research
  • Public health activities
  • Business analytics
  • Quality improvement

3.5 Incidental Disclosures

Some disclosures of PHI may occur incidentally during otherwise permitted uses or disclosures. For example, other patients in a waiting room may hear your name called. These incidental disclosures are permitted under HIPAA if we have implemented reasonable safeguards.


4. USES AND DISCLOSURES REQUIRING YOUR WRITTEN AUTHORIZATION

4.1 Authorization Required

We will obtain your written authorization before using or disclosing your PHI for purposes other than those described in Section 3. These include:

A. Marketing

We will not use your PHI for marketing purposes without your written authorization, except for:

  • Face-to-face communications
  • Promotional gifts of nominal value
  • Refill reminders and communications about currently prescribed medications
  • Health-related products and services we provide

If we receive payment from a third party for marketing, we will disclose this and obtain your authorization.

B. Sale of PHI

We will never sell your PHI without your written authorization.

C. Psychotherapy Notes

If we maintain psychotherapy notes (notes recorded by a mental health professional documenting conversations during counseling sessions), we will not disclose them without your written authorization, except as permitted by law.

D. Other Uses

Any other use or disclosure not described in this Notice requires your written authorization.

4.2 Your Right to Revoke Authorization

If you provide written authorization, you may revoke it at any time by submitting a written revocation to our Privacy Officer. Revocation does not affect uses or disclosures made in reliance on the authorization before revocation.

4.3 Authorization Form

Authorization forms are available from our Privacy Officer or by contacting privacy@daybreakerhealth.com.


5. YOUR RIGHTS REGARDING YOUR HEALTH INFORMATION

You have the following rights regarding your PHI:

5.1 Right to Access

You have the right to inspect and obtain a copy of your PHI maintained in our designated record set (medical records, billing records, and other records used to make decisions about your care).

How to Request:

  • In-App: Settings > Medical Records > Request Access
  • Email: privacy@daybreakerhealth.com
  • Mail: Privacy Officer, Daybreaker Health, 260 Craig Way, San Luis Obispo, CA 93405

Our Response:

  • We will respond within 30 days of your request
  • We may extend by up to 30 additional days with written notice and explanation
  • We may charge a reasonable, cost-based fee for copies
  • We will provide records in the format you request if readily producible (e.g., electronic format)

Denial of Access:

In limited circumstances, we may deny access. If we deny your request, we will:

  • Explain the reason for denial
  • Inform you of your right to request review (if applicable)
  • Explain how to file a complaint

Reasons for denial may include:

  • Information compiled for legal proceedings
  • Information subject to Clinical Laboratory Improvements Amendments (CLIA)
  • Information obtained from someone other than a healthcare provider under promise of confidentiality
  • A licensed healthcare professional determines access would endanger life or safety

5.2 Right to Amend

You have the right to request that we amend your PHI if you believe it is incorrect or incomplete.

How to Request:

  • Submit a written request to our Privacy Officer
  • Include the reason for the amendment

Our Response:

  • We will respond within 60 days of your request
  • We may extend by up to 30 additional days with written notice

Denial of Amendment:

We may deny your request if:

  • The information was not created by us (unless the original source is no longer available)
  • The information is not part of our designated record set
  • The information is accurate and complete
  • The information would not be available to you under the right to access

If we deny your request:

  • We will provide a written denial with reasons
  • You may submit a statement of disagreement
  • We may prepare a rebuttal
  • Future disclosures will include your request, our denial, and your statement (if provided)

5.3 Right to an Accounting of Disclosures

You have the right to receive an accounting of disclosures of your PHI made by us in the six (6) years prior to your request.

Excluded from Accounting:

  • Disclosures for treatment, payment, or healthcare operations
  • Disclosures to you or authorized by you
  • Disclosures for national security or intelligence purposes
  • Disclosures to correctional institutions or law enforcement (in certain circumstances)
  • Disclosures made before April 14, 2003

How to Request:

  • Submit a written request to our Privacy Officer
  • Specify the time period (up to 6 years)

Our Response:

  • We will provide the accounting within 60 days
  • We may extend by up to 30 additional days with written notice
  • The first accounting in any 12-month period is free
  • We may charge a reasonable fee for additional requests

Content of Accounting:

  • Date of disclosure
  • Name and address of recipient (if known)
  • Brief description of information disclosed
  • Brief statement of purpose or copy of authorization

5.4 Right to Request Restrictions

You have the right to request restrictions on how we use or disclose your PHI for treatment, payment, or healthcare operations.

How to Request:

  • Submit a written request to our Privacy Officer
  • Specify what information you want restricted
  • Specify to whom the restriction applies
  • Specify why you want the restriction

Our Response:

  • We are not required to agree to your request (except as noted below)
  • If we agree, we will honor the restriction unless:
    • You need emergency care and the restricted information is needed for treatment
    • You revoke the restriction in writing

Mandatory Restriction:

We must agree to restrict disclosure to a health plan if:

  • The disclosure is for payment or healthcare operations (not treatment)
  • The PHI pertains solely to a service for which you paid out-of-pocket in full

5.5 Right to Request Confidential Communications

You have the right to request that we communicate with you in a certain way or at a certain location to protect your privacy.

Examples:

  • Requesting calls only to your cell phone, not home phone
  • Requesting mail to a P.O. Box instead of home address
  • Requesting communication only via secure email

How to Request:

  • Submit a written request to our Privacy Officer
  • Specify your preferred method of communication
  • Provide alternative contact information

Our Response:

  • We will accommodate reasonable requests
  • We will not ask you to explain why
  • We may require information about how payment will be handled

5.6 Right to a Paper Copy of This Notice

You have the right to obtain a paper copy of this Notice at any time, even if you previously agreed to receive it electronically.

How to Request:

5.7 Right to Be Notified of a Breach

You have the right to be notified if a breach of your unsecured PHI occurs. See Section 8 for details.


6. OUR RESPONSIBILITIES

6.1 We Are Required To:

  • Maintain the privacy of your PHI
  • Provide you with this Notice of our legal duties and privacy practices
  • Notify you if a breach of your unsecured PHI occurs
  • Follow the terms of this Notice currently in effect
  • Not use or disclose your PHI except as described in this Notice or as otherwise authorized by law

6.2 We Will Not:

  • Sell your PHI without your authorization
  • Use your PHI for marketing without your authorization (except as permitted)
  • Use or disclose psychotherapy notes without your authorization (except as permitted)
  • Use or disclose your PHI in a way that is prohibited by law

6.3 We Reserve the Right To:

  • Change the terms of this Notice at any time
  • Make the new Notice provisions effective for all PHI we maintain, including PHI created or received before the changes

7. HOW WE PROTECT YOUR INFORMATION

7.1 Administrative Safeguards

We implement administrative policies and procedures to protect your PHI:

Safeguard Description
Privacy Officer Designated individual responsible for privacy compliance
Security Officer Designated individual responsible for security compliance
Risk Assessments Annual security risk assessments to identify vulnerabilities
Workforce Training Annual HIPAA training for all staff with PHI access
Sanction Policy Disciplinary procedures for privacy and security violations
Access Management Role-based access controls (minimum necessary)
Incident Response Documented procedures for responding to security incidents
Business Associate Agreements Written agreements with all vendors handling PHI

7.2 Physical Safeguards

We implement physical measures to protect PHI:

Safeguard Description
Data Center Security PHI stored in HITRUST-certified, SOC 2 Type II compliant facilities
Device Security Encryption required for all devices with PHI access
Workstation Security Automatic screen locks, clean desk policy
Secure Disposal Secure destruction of PHI (shredding, wiping)
Facility Access Physical access controls at micro-clinics (when operational)

7.3 Technical Safeguards

We implement technical measures to protect electronic PHI (ePHI):

Safeguard Description
Encryption at Rest AES-256 encryption for all stored data
Encryption in Transit TLS 1.3 encryption for all data transmission
Multi-Factor Authentication MFA required for administrative access
Unique User IDs Individual authentication for all system access
Automatic Logoff Sessions expire after inactivity
Audit Logging All PHI access logged and monitored
Access Controls Database row-level security (RLS)
Intrusion Detection Real-time monitoring for unauthorized access
Vulnerability Management Regular security patches and updates

7.4 No Absolute Guarantee

While we implement commercially reasonable safeguards, no method of transmission or storage is 100% secure. We cannot guarantee absolute security of your PHI.


8. BREACH NOTIFICATION

8.1 What Is a Breach?

A “breach” is the unauthorized acquisition, access, use, or disclosure of unsecured PHI that compromises the security or privacy of the information.

Exceptions (not considered breaches):

  • Unintentional access by workforce member acting in good faith within scope of authority
  • Inadvertent disclosure between authorized persons within the same organization
  • Recipient unable to retain the information

8.2 Our Notification Obligations

If a breach of your unsecured PHI occurs, we will:

Notify You:

  • Without unreasonable delay and no later than 60 days after discovery of the breach
  • By first-class mail to your last known address (or email if you prefer electronic notification)
  • By substitute notice (posting on website, media notice) if contact information is insufficient

Content of Notice:

  • Description of what happened, including date of breach and date of discovery
  • Types of PHI involved (e.g., name, diagnosis, treatment information)
  • Steps you should take to protect yourself
  • What we are doing to investigate, mitigate, and prevent future breaches
  • Contact information for questions

Notify Regulators:

  • HHS Secretary: Breaches affecting 500+ individuals reported within 60 days; smaller breaches reported annually
  • State Attorneys General: As required by state law (e.g., California, New York)
  • Media: Breaches affecting 500+ residents of a state reported to prominent media outlets in that state

8.3 Our Commitment

We are committed to:

  • Prompt investigation of potential breaches
  • Timely notification when breaches occur
  • Remediation to prevent future breaches
  • Cooperation with regulatory investigations

9. CHANGES TO THIS NOTICE

9.1 Right to Change

We reserve the right to change this Notice at any time. Changes may apply to PHI we already have about you, as well as any PHI we create or receive in the future.

9.2 Effective Date of Changes

Changes become effective when posted on our website and in our app. The “Effective Date” at the top of this Notice indicates when it was last revised.

9.3 Notice of Changes

We will:

9.4 Obtaining Current Notice

You may obtain a copy of the current Notice at any time by:


10. COMPLAINTS

10.1 Your Right to Complain

If you believe your privacy rights have been violated, you have the right to file a complaint.

You will NOT be retaliated against for filing a complaint.

10.2 How to File a Complaint

A. Complaint to Daybreaker Health

Email: privacy@daybreakerhealth.com

Mail:
Privacy Officer
Daybreaker Health, P.C.
260 Craig Way
San Luis Obispo, CA 93405

Phone: (805) 549-4172

What to Include:

  • Your name and contact information
  • Description of the privacy concern
  • Date(s) of the incident
  • Names of individuals involved (if known)
  • Any supporting documentation

Our Response:

  • We will acknowledge your complaint within 5 business days
  • We will investigate and respond within 30 days
  • We will take corrective action if warranted

B. Complaint to the U.S. Department of Health and Human Services

You may file a complaint with the HHS Office for Civil Rights (OCR):

Online: https://www.hhs.gov/ocr/complaints

Mail:
U.S. Department of Health and Human Services
Office for Civil Rights
200 Independence Avenue, S.W.
Washington, D.C. 20201

Phone: 1-800-368-1019 (Toll-Free)
TDD: 1-800-537-7697

Deadline: Complaints must generally be filed within 180 days of when you knew or should have known about the act or omission.

10.3 State Complaints

You may also file complaints with your state’s regulatory agencies:

California:

Colorado:

New York:


11. CONTACT INFORMATION

Privacy Officer

The Privacy Officer is responsible for overseeing our privacy practices and receiving complaints.

Name: Privacy Officer
Organization: Daybreaker Health, P.C.
Address: 260 Craig Way, San Luis Obispo, CA 93405
Email: privacy@daybreakerhealth.com
Phone: (805) 549-4172

Security Officer

The Security Officer is responsible for overseeing our security practices.

Email: security@daybreakerhealth.com
Phone: (805) 549-4172

General Inquiries

Email: care@daybreakerhealth.com
Phone: (805) 549-4172
Website: https://daybreakerhealth.com

Mailing Address

Daybreaker Health, P.C.
260 Craig Way
San Luis Obispo, CA 93405


ACKNOWLEDGMENT

I acknowledge that I have received and reviewed this Notice of Privacy Practices. I understand that Daybreaker Health may use and disclose my Protected Health Information as described in this Notice.

Signature: _______________________________________________

Printed Name: _______________________________________________

Date: _______________________________________________


Daybreaker Health, P.C.
260 Craig Way
San Luis Obispo, CA 93405
(805) 549-4172
privacy@daybreakerhealth.com


This Notice of Privacy Practices was last updated on April 1, 2025.


APPENDIX: COMPLIANCE CHECKLIST

HIPAA Privacy Rule Requirements (45 CFR §164.520)

Requirement Section Status
Header statement (how info may be used/disclosed) Header
Uses and disclosures for TPO 3.1
Uses and disclosures permitted by law 3.2
Uses and disclosures requiring authorization 4
Right to access 5.1
Right to amend 5.2
Right to accounting of disclosures 5.3
Right to request restrictions 5.4
Right to request confidential communications 5.5
Right to paper copy of notice 5.6
Right to be notified of breach 5.7, 8
Duties of covered entity 6
Complaint procedures 10
Contact information 11
Effective date Header
Statement of right to change notice 9

HIPAA Security Rule Alignment (45 CFR §164.300)

Safeguard Category Section Status
Administrative safeguards 7.1
Physical safeguards 7.2
Technical safeguards 7.3

HIPAA Breach Notification Rule (45 CFR §164.400)

Requirement Section Status
Definition of breach 8.1
Notification to individuals 8.2
Content of notification 8.2
Notification to HHS 8.2
Notification to media 8.2

CHANGE LOG FROM CURRENT HIPAA NOTICE

Retained (Good Elements)

Element Status
Commitment statement ✅ Retained
TPO disclosures ✅ Retained and expanded
Patient rights ✅ Retained and expanded
Security measures ✅ Retained and expanded
Complaint procedures ✅ Retained

Added (Compliance Enhancements)

Addition Purpose
Detailed uses/disclosures list HIPAA compliance
Minimum necessary standard HIPAA requirement
Authorization requirements HIPAA requirement
Breach notification procedures HIPAA Breach Notification Rule
Business Associate list Transparency
Complaint to HHS instructions HIPAA requirement
State complaint options Multi-state compliance
Acknowledgment signature Documentation
Security safeguards detail HIPAA Security Rule

ATTORNEY REVIEW FLAGS

  1. Section 2.3 (OHCA): Verify Organized Health Care Arrangement with Qualiphy is properly documented
  2. Section 3.2 (Law Enforcement): Confirm disclosures align with state law variations
  3. Section 5.4 (Restrictions): Verify mandatory restriction implementation for self-pay patients
  4. Section 8 (Breach): Confirm breach notification timelines meet all state requirements
  5. Business Associates: Verify all BAAs are current and comprehensive