Terms and Conditions

TERMS AND CONDITIONS

Effective Date: August 26, 2026
Last Updated: August 26, 2026

Welcome to Sigla Health, a business operated by Mitchell Advanced Practice Nursing & Wellness Inc. (“Sigla Health,” “we,” “us,” or “our”).

These Terms and Conditions (“Terms”) govern your access to and use of www.siglahealth.com (the “Website”), including any content, features, appointment-request functionality, communications, forms, links, educational materials, and other services made available through the Website.

Please read these Terms carefully. By accessing or using the Website, submitting information through the Website, requesting or scheduling an appointment through a Website-linked service, or otherwise interacting with our online services, you acknowledge that you have read, understood, and agree to these Terms.

If you do not agree with these Terms, please do not use the Website.

1. ABOUT SIGLA HEALTH

Sigla Health provides healthcare, wellness, preventive, aesthetic, and related professional services. Services offered may change from time to time based on clinical judgment, provider availability, applicable law, professional scope of practice, business operations, technology, licensing requirements, and other considerations.

Services may include, without limitation, preventive and wellness care, health assessments, laboratory testing, acute and episodic care, weight-management services, nutritional and lifestyle support, aesthetic services, skin treatments, microneedling, injectable treatments, wellness injections, telehealth services, and other services that Sigla Health may lawfully offer now or in the future.

The appearance of a service on the Website does not guarantee that the service is available, appropriate for you, available in your jurisdiction, or that you are medically eligible to receive it.

Clinical services are provided only after any evaluation, screening, examination, consent, or other process deemed appropriate by the treating healthcare professional.

2. WEBSITE INFORMATION IS NOT MEDICAL ADVICE

The Website is intended primarily to provide general information about Sigla Health, our philosophy, services, and educational topics.

Unless specifically provided to you by a Sigla Health healthcare professional in the course of an established patient-provider relationship, information appearing on this Website is not medical advice, diagnosis, treatment, or a substitute for individualized professional medical care.

You should not use information on this Website to:

diagnose yourself or another person;
begin, discontinue, or modify medication;
delay medical treatment;
disregard professional medical advice;
determine whether a particular procedure, medication, injection, supplement, laboratory test, aesthetic treatment, or wellness service is appropriate for you; or
make decisions concerning an urgent or emergency medical condition.

Medical and health information changes over time. Although Sigla Health strives to provide useful and accurate information, Website content may not reflect the most recent medical literature, regulatory requirements, product information, or clinical recommendations.

3. NO PATIENT-PROVIDER RELATIONSHIP FROM WEBSITE USE

Your access to or use of this Website does not, by itself, establish a patient-provider relationship with Sigla Health or any of its healthcare professionals.

A patient-provider relationship generally begins only when Sigla Health has accepted you as a patient and an appropriately licensed healthcare professional has undertaken to evaluate or provide care to you.

The following activities alone do not establish a patient-provider relationship:

visiting the Website;
completing a general contact form;
sending an email or text message;
following Sigla Health on social media;
receiving general educational information;
requesting an appointment;
asking a general question; or
communicating with administrative personnel.

You should not rely on Website communications as confirmation that you have been accepted as a patient or that medical treatment has begun.

4. MEDICAL EMERGENCIES

SIGLA HEALTH'S WEBSITE, EMAIL, CONTACT FORMS, TEXT MESSAGING, SOCIAL MEDIA ACCOUNTS, AND ONLINE BOOKING SYSTEMS ARE NOT EMERGENCY MEDICAL SERVICES.

If you believe you are experiencing a medical emergency, call 911 or go to the nearest emergency department.

Do not use Website forms, email, social media, or routine messaging to report an emergency or time-sensitive medical condition.

Sigla Health cannot guarantee that electronic communications will be reviewed immediately.

5. SERVICES ARE SUBJECT TO CLINICAL ELIGIBILITY

Advertising, describing, displaying, or allowing you to request a service does not mean that Sigla Health has determined the service to be medically appropriate for you.

Healthcare professionals retain independent clinical judgment concerning:

whether treatment is medically appropriate;
whether additional testing or evaluation is required;
medication selection;
medication dosing;
treatment frequency;
treatment continuation or discontinuation;
eligibility for aesthetic or wellness procedures;
referrals;
laboratory testing;
follow-up requirements; and
whether a requested service should be declined.

Sigla Health may decline, postpone, modify, discontinue, or recommend an alternative to any requested service when clinically appropriate or legally required.

Payment for, interest in, or scheduling of a service does not guarantee that a particular medication, procedure, prescription, test, or treatment will be provided.

6. PRESCRIPTIONS AND MEDICATIONS

Certain Sigla Health services may involve prescription medications.

A prescription is never guaranteed.

Prescription decisions are made by an appropriately licensed healthcare professional based on clinical judgment, the patient's health history, examination or assessment, applicable prescribing standards, medical necessity when relevant, contraindications, risks, benefits, applicable state and federal law, and other appropriate considerations.

Sigla Health does not guarantee:

that a particular medication will be prescribed;
that treatment will be continued;
that a particular dose will be approved;
that insurance will cover a medication;
that a pharmacy will dispense a medication;
that a medication will remain commercially available; or
that a particular pharmacy, manufacturer, or formulation will remain available.

Patients are responsible for providing accurate and complete medical information, including medications, allergies, medical conditions, pregnancy status when relevant, and other information reasonably requested by their healthcare professional.

7. COMPOUNDED OR SPECIALTY MEDICATIONS

If Sigla Health currently or in the future facilitates treatment involving compounded or specialty medications, such medications may be prepared and dispensed by appropriately licensed third-party pharmacies.

Availability, formulation, concentration, ingredients, pricing, shipping, dispensing requirements, and pharmacy participation may change independently of Sigla Health.

Where applicable, patients will receive information necessary to make an informed decision regarding the medication being prescribed.

Nothing on this Website represents that any compounded medication is identical to or approved by the U.S. Food and Drug Administration in the same manner as an FDA-approved commercially manufactured drug.

8. AESTHETIC AND WELLNESS SERVICES

Results from aesthetic, skin, wellness, weight-management, injectable, and other elective treatments vary among individuals.

Photographs, examples, descriptions, testimonials, treatment expectations, educational materials, or other Website content are illustrative only and do not constitute a guarantee of a particular result.

Potential outcomes may be influenced by factors including age, anatomy, medical history, skin condition, lifestyle, adherence to aftercare recommendations, medications, metabolism, individual response, and other circumstances.

All procedures and treatments have potential risks, adverse effects, limitations, and contraindications.

Any procedure-specific risks, benefits, alternatives, and consent requirements will be addressed separately as appropriate.

These Terms are not a substitute for a procedure-specific informed consent.

9. WEIGHT MANAGEMENT AND WELLNESS OUTCOMES

Sigla Health does not guarantee any particular amount or rate of weight loss, improvement in laboratory values, appearance, energy level, health outcome, longevity, or other result.

Individual results may vary significantly.

Long-term outcomes may depend upon nutrition, physical activity, medication adherence, underlying medical conditions, genetics, lifestyle, treatment continuation, and other factors outside Sigla Health's control.

10. LABORATORY AND DIAGNOSTIC SERVICES

Sigla Health may order or facilitate laboratory testing, diagnostic testing, imaging, or similar services provided by independent laboratories, imaging centers, healthcare organizations, or other third parties.

Unless expressly stated otherwise, those organizations are independent entities and are responsible for their own operations, testing processes, billing practices, privacy practices, specimen handling, turnaround times, and services.

Estimated turnaround times are not guaranteed.

Abnormal or urgent results may require additional evaluation, repeat testing, referral, or treatment.

11. TELEHEALTH

Sigla Health may offer telehealth services when permitted by applicable law and when clinically appropriate.

Telehealth availability may depend on:

the patient's physical location at the time of the appointment;
provider licensure;
applicable state laws;
the nature of the medical condition;
technology availability;
clinical appropriateness; and
other regulatory requirements.

Sigla Health may determine that an in-person examination, laboratory testing, diagnostic evaluation, emergency assessment, specialist evaluation, or other service is necessary before treatment can be provided or continued.

Telehealth technology can experience disruptions, including poor internet connectivity, equipment malfunction, software interruption, audio or video failure, and privacy limitations beyond Sigla Health's reasonable control.

Patients should participate in telehealth appointments from a reasonably private and secure location whenever possible.

12. APPOINTMENTS

Appointments may be requested or scheduled through the Website or third-party scheduling systems.

Appointment availability displayed online may change.

An appointment is not necessarily confirmed until the applicable scheduling system or Sigla Health confirms the appointment.

Sigla Health may reschedule or cancel appointments because of provider availability, emergencies, equipment issues, weather, operational circumstances, clinical concerns, or other reasonable causes.

Patients are responsible for providing accurate contact information so that Sigla Health can communicate appointment information and changes.

13. CANCELLATIONS, NO-SHOWS, AND DEPOSITS

Sigla Health may maintain separate cancellation, rescheduling, deposit, reservation, membership, package, or no-show policies.

When applicable, those policies will be disclosed during scheduling, registration, checkout, purchase, or patient onboarding and are incorporated into these Terms by reference.

If there is a conflict between these Website Terms and a more specific written policy applicable to a particular purchase or appointment, the more specific policy will control with respect to that transaction.

14. PRICING AND PAYMENT

Website prices, promotional rates, introductory rates, packages, financing information, memberships, and other pricing information are subject to change unless otherwise required by law or governed by a separate written agreement.

Prices displayed online may not include every potential charge associated with an individual's care.

Additional services, laboratory fees, pharmacy charges, diagnostic testing, outside services, products, or follow-up care may result in additional charges when applicable.

Patients are responsible for understanding the financial terms associated with their care before proceeding with a service.

15. INSURANCE

The availability of insurance billing, reimbursement, superbills, out-of-network benefits, or insurance participation may vary by service and may change over time.

Nothing on the Website guarantees insurance coverage or reimbursement.

Insurance companies make their own coverage determinations.

Patients remain responsible for charges not paid or reimbursed by their insurance company except where prohibited by law or otherwise agreed in writing.

16. THIRD-PARTY FINANCING AND PAYMENT SERVICES

Sigla Health may make third-party payment plans, financing services, credit products, installment services, or payment-processing platforms available to patients.

Such services are provided by independent third parties and may be governed by separate eligibility requirements, credit decisions, privacy policies, financing agreements, interest rates, payment schedules, fees, and terms.

Sigla Health does not control and is not responsible for a third-party financing provider's approval decisions, credit decisions, financing terms, platform availability, or performance.

The appearance of a third-party payment or financing option on the Website does not constitute an endorsement, guarantee of approval, or representation that it is appropriate for any particular individual.

17. PROMOTIONS AND SPECIAL OFFERS

Promotions may be subject to:

expiration dates;
appointment availability;
eligibility requirements;
treatment limitations;
new-patient restrictions;
quantity limitations;
non-combinability with other offers; and
other terms stated with the promotion.

Sigla Health may modify or discontinue promotions prospectively at any time unless prohibited by applicable law.

Promotional pricing does not guarantee medical eligibility for the promoted treatment.

18. MEMBERSHIPS, SUBSCRIPTIONS, AND PACKAGES

Sigla Health may now or in the future offer memberships, recurring programs, subscriptions, treatment packages, or other continuing services.

Any such program may have separate written terms addressing charges, included services, exclusions, renewal, cancellation, expiration, refunds, and other conditions.

Where automatic renewal or recurring billing applies, Sigla Health will provide applicable disclosures and obtain authorization as required by law.

Purchasing a membership or package does not override clinical judgment or guarantee that any particular treatment will remain medically appropriate.

19. COMMUNICATIONS BY EMAIL AND TEXT MESSAGE

By voluntarily providing your email address or telephone number, you authorize Sigla Health to use that information to communicate with you regarding matters such as:

appointment requests and confirmations;
scheduling changes;
administrative matters;
billing;
patient-service communications;
information you request;
follow-up communications; and
other communications permitted by law and your communication preferences.

Marketing communications will be handled in accordance with applicable law.

You may opt out of non-essential promotional emails through the unsubscribe mechanism provided in the message.

Where applicable, you may opt out of promotional text messages by replying STOP.

Opting out of promotional communications does not prevent Sigla Health from sending communications reasonably necessary for healthcare, safety, transactions, appointments, billing, or other permitted purposes.

Email and ordinary SMS messaging may have privacy and security limitations. Do not send highly sensitive medical information through an unsecured channel unless instructed to do so.

20. CONTACT FORMS AND INFORMATION SUBMITTED ONLINE

You agree that information submitted through the Website will be truthful and accurate to the best of your knowledge.

General Website contact forms should not be used to transmit highly sensitive medical information unless the form is specifically designated and appropriately secured for that purpose.

Submitting a message through a Website form does not guarantee an immediate response.

21. THIRD-PARTY WEBSITES AND SERVICES

The Website may link to or integrate with third-party services, including potentially:

appointment scheduling platforms;
patient portals;
electronic health record systems;
laboratories;
pharmacies;
payment processors;
financing companies;
map services;
social media platforms;
analytics services;
email or text communication providers; and
other healthcare or technology vendors.

Third-party services operate under their own terms and privacy policies.

Except where applicable law or a contractual relationship provides otherwise, Sigla Health is not responsible for the content, availability, security, terms, privacy practices, or operation of independent third-party services.

You should review the applicable third party's terms and privacy policy before providing information through its service.

22. WEBSITE ACCURACY

Sigla Health attempts to maintain accurate and current Website information but does not warrant that every Website statement is complete, current, error-free, or applicable to every person or circumstance.

Errors may occasionally occur concerning:

prices;
service descriptions;
promotional terms;
provider availability;
hours;
product descriptions;
clinical information;
appointment availability; or
other Website content.

Sigla Health reserves the right to correct errors and update Website information.

23. WEBSITE AVAILABILITY

We do not guarantee uninterrupted access to the Website.

The Website may become unavailable because of maintenance, technical failures, cybersecurity events, hosting-provider issues, internet failures, upgrades, or circumstances outside Sigla Health's control.

We may modify, suspend, restrict, or discontinue any Website feature without prior notice when reasonably necessary.

24. INTELLECTUAL PROPERTY

Unless otherwise stated, the Website and its original materials, including its:

text;
branding;
logos;
graphics;
photographs owned by Sigla Health;
design;
service descriptions;
educational content;
downloadable materials; and
other original content

are owned by or licensed to Sigla Health and are protected by applicable intellectual-property laws.

You may access Website content for personal, noncommercial purposes.

You may not, without prior written authorization, reproduce, republish, distribute, sell, modify, scrape, exploit, create derivative works from, or commercially use Sigla Health's proprietary Website content except as otherwise permitted by law.

25. TRADEMARKS

The Sigla Health name, logo, branding, slogans, and other source-identifying materials may constitute trademarks or proprietary business identifiers.

Nothing in these Terms grants a license to use Sigla Health branding for commercial purposes or in a manner suggesting sponsorship, affiliation, or endorsement.

26. USER CONDUCT

You agree not to:

interfere with Website operation or security;
attempt unauthorized access to Website systems or accounts;
introduce malware or malicious code;
impersonate another person;
knowingly provide fraudulent information;
use automated systems to scrape or harvest Website information without authorization;
use Website functionality for unlawful purposes;
harass Sigla Health personnel through Website communications;
attempt to obtain unauthorized access to another patient's information; or
use the Website in violation of applicable law.

We may restrict access to the Website where reasonably necessary to address misuse, fraud, security threats, or unlawful conduct.

27. SOCIAL MEDIA

Sigla Health may maintain social media accounts.

Social media content is intended for general informational and educational purposes and does not establish a patient-provider relationship.

Comments, direct messages, tags, reactions, or other social media communications should not be used for urgent healthcare matters.

Information posted publicly on social media may become publicly accessible and should not be considered a private means of communicating medical information.

28. TESTIMONIALS, REVIEWS, AND IMAGES

Testimonials and reviews reflect individual experiences and do not guarantee that other patients will achieve the same results.

Where photographs or patient information are used by Sigla Health for marketing or educational purposes, Sigla Health will obtain any authorization required by applicable law.

29. MINORS

The Website is intended primarily for adults.

Healthcare services for minors, where offered, may require involvement or authorization from a parent, legal guardian, or other authorized person according to applicable law.

The Website is not knowingly designed to solicit personal information directly from children in violation of applicable law.

30. DISCLAIMER OF WEBSITE WARRANTIES

TO THE MAXIMUM EXTENT PERMITTED BY LAW, THE WEBSITE AND GENERAL WEBSITE CONTENT ARE PROVIDED ON AN “AS IS” AND “AS AVAILABLE” BASIS.

SIGLA HEALTH DISCLAIMS WARRANTIES RELATING TO THE OPERATION OF THE WEBSITE, INCLUDING IMPLIED WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, AND NON-INFRINGEMENT, TO THE EXTENT SUCH WARRANTIES MAY LAWFULLY BE DISCLAIMED.

THIS SECTION CONCERNS THE WEBSITE AND GENERAL ONLINE CONTENT. IT DOES NOT ELIMINATE OR LIMIT RIGHTS OR DUTIES THAT CANNOT LAWFULLY BE DISCLAIMED IN CONNECTION WITH PROFESSIONAL HEALTHCARE SERVICES.

31. LIMITATION OF LIABILITY FOR WEBSITE USE

To the maximum extent permitted by law, Sigla Health and its owners, officers, employees, contractors, and agents will not be responsible for indirect, incidental, special, exemplary, or consequential damages arising solely from:

inability to access the Website;
reliance on general Website information outside an established clinical relationship;
Website interruptions;
unauthorized third-party cyber activity despite reasonable safeguards;
independent third-party websites or services; or
misuse of the Website by a user.

Nothing in these Terms is intended to waive, restrict, or limit liability that cannot lawfully be waived or restricted, including any legal rights applicable to professional healthcare services.

32. INDEMNIFICATION FOR WEBSITE MISUSE

To the extent permitted by law, you agree to indemnify and hold Sigla Health harmless from third-party claims, damages, liabilities, or reasonable costs arising from your:

unlawful use of the Website;
intentional misuse of Website systems;
infringement of another person's rights;
fraudulent submission of information; or
material violation of these Terms.

This provision does not require a patient to indemnify Sigla Health for Sigla Health's own professional negligence or conduct for which indemnification would be prohibited by law.

33. PRIVACY

Use of the Website is also governed by the Sigla Health Privacy Policy.

Medical information maintained in connection with patient care may additionally be governed by Sigla Health's Notice of Privacy Practices, the Health Insurance Portability and Accountability Act (“HIPAA”) when applicable, the California Confidentiality of Medical Information Act (“CMIA”), and other state or federal privacy laws.

34. CHANGES TO SERVICES

Healthcare, aesthetic, wellness, and technology services evolve.

Sigla Health may add, remove, modify, expand, or discontinue services at any time based upon clinical, operational, legal, regulatory, technological, or business considerations.

These Terms apply to new Website features and services unless a separate agreement expressly provides otherwise.

35. CHANGES TO THESE TERMS

We may revise these Terms periodically.

The updated version will be posted to the Website with a revised “Last Updated” date.

Your continued use of the Website after revised Terms become effective constitutes acceptance of the revised Terms to the extent permitted by applicable law.

Material changes affecting an existing contractual relationship will be handled as required by applicable law or the applicable agreement.

36. GOVERNING LAW

These Terms and disputes arising specifically from use of the Website will be governed by the laws of the State of California, without regard to conflict-of-law principles.

To the extent a dispute regarding Website use may properly be subject to a contractual venue selection provision, the parties agree that venue will lie in an appropriate state or federal court located in San Diego County, California, unless applicable law requires otherwise.

Nothing in this provision changes legal requirements governing healthcare professional liability claims or other matters subject to separate statutory procedures.

37. SEVERABILITY

If any provision of these Terms is determined to be invalid, unlawful, or unenforceable, that provision will be enforced to the maximum extent legally permissible and the remaining provisions will remain in effect.

38. NO WAIVER

Failure by Sigla Health to enforce a provision of these Terms on one occasion does not constitute a waiver of the right to enforce that provision on another occasion.

39. ENTIRE AGREEMENT REGARDING WEBSITE USE

These Terms and the Privacy Policy constitute the general agreement governing use of the Website.

Clinical treatment may additionally be governed by separate documents including:

patient registration agreements;
informed consents;
telehealth consents;
financial policies;
cancellation policies;
membership or package agreements;
medication acknowledgments;
procedure-specific consents;
privacy notices; and
other patient agreements.

When a specific patient agreement governs a particular clinical or financial matter, that agreement controls that matter.

40. CONTACT INFORMATION

Questions regarding these Terms may be directed to:

Sigla Health
Mitchell Advanced Practice Nursing & Wellness Inc.
2060 Otay Lakes Road, Suite 220
Chula Vista, California 91913

Email: info@siglahealth.com
Website: www.siglahealth.com