Consent to Treatment

1. Nature of Services

I agree to receive the non-clinical, AI-assisted advocacy and care-navigation services offered by Amma Inc. These services are designed to help me manage healthcare logistics, scheduling, insurance coordination, and related administrative support.

I understand that Amma's services do not include medical diagnosis, treatment, or prescriptions, and that I may refuse or discontinue use of the services at any time.

2. Use and Disclosure of Information

I authorize Amma Inc. to collect, use, and share my personal, insurance, and limited health-related information as necessary to provide the services I request.

This may include communicating with my healthcare providers, insurance companies, and authorized caregivers for coordination, billing, or navigation purposes.

3. Billing & Payment

I understand that:

Amma Inc. may bill me directly or submit claims to my insurer on my behalf for covered services.

I am responsible for any costs not covered by insurance.

I am responsible for the full cost of services if I do not have eligible insurance coverage or if a claim is denied.

4. Caregiver Authorization

If I have designated a caregiver, I authorize that individual to act on my behalf for care-navigation and communication through Amma's services.

I may update or revoke caregiver access at any time by contacting support@withamma.co.

5. Telehealth Services

I consent to participate in telehealth consultations or virtual coordination sessions through secure video, audio, or messaging technologies used by Amma Inc. or its partners.

I understand that:

Telehealth involves the electronic transmission of information and may include audio, video, or data exchanges.

Potential risks include interruptions, technical difficulties, or unauthorized access, though Amma uses safeguards to protect confidentiality.

Benefits include convenience, reduced travel, and timely access to support and coordination.

I may withdraw consent to telehealth at any time without affecting my ability to seek in-person care elsewhere.

6. Call and Session Recordings

I understand that:

To help us improve the quality of our services and train our care team, we may record telephone or video conversations with your consent. These recordings are used strictly for quality assurance, staff training, or documentation purposes and are handled in accordance with our privacy and security policies.

You may decline or request that recording be paused or stopped at any time.

Recordings are stored securely and deleted after the applicable retention period.

7. Emergencies

I understand that Amma Inc. does not provide emergency or clinical care.

If I believe I am experiencing a medical emergency, I will call 911 or go to the nearest emergency department immediately.

For mental-health crises, I can contact the 988 Suicide and Crisis Lifeline.

8. Digital Copy

I agree that this digital version of the consent is valid and binding as if I had signed a paper copy.