Terms of Service

These Terms of Service ("Terms") govern your use of the website located at hpnp.health and any related services provided by Heather Pisano NP in Family Health and Psychiatry, PLLC, doing business as hp | np Health ("Practice," "we," "our," or "I"). By accessing or using this website, you agree to be bound by these Terms. If you do not agree, please discontinue use of the site immediately.

These Terms apply to all visitors, prospective patients, and others who access or use the website. They do not replace or supersede any separate patient agreement, consent form, or treatment contract you may sign as part of becoming a patient of this practice.

1. Nature of This Website

This website is provided for informational purposes only. The content on this site — including text, graphics, and other materials — is not intended to constitute medical advice, diagnosis, or treatment. Nothing on this website creates a provider-patient relationship between you and Heather Pisano, NP-C, or hp | np Health.

A provider-patient relationship is established only upon completion of an intake evaluation, execution of a patient agreement, and mutual agreement to proceed with care. Visiting this website, submitting an inquiry form, or exchanging emails does not constitute the establishment of a clinical relationship.

2. Not an Emergency Service

National & Local Crisis Resources

3. Eligibility and Geographic Limitations

Clinical services provided by hp | np Health are available only to individuals who are physically located in the State of New York at the time of service, consistent with Heather Pisano's licensure as a Nurse Practitioner in New York State. Telehealth services are subject to applicable state telehealth laws and regulations.

By using this website and requesting services, you represent that you are at least 18 years of age, or that you are a parent or legal guardian of a minor for whom you are seeking services. You further represent that you are legally authorized to enter into these Terms.

4. Telehealth Services

hp | np Health may provide clinical services via telehealth (secure video or telephone). By participating in telehealth services, you acknowledge and agree to the following:

• —Telehealth involves the electronic transmission of medical information and carries inherent risks, including the possibility of technical failures or interruptions
• —You are responsible for ensuring you have a private, secure environment for telehealth appointments
• —Telehealth is not appropriate for all clinical situations; in-person evaluation may be required at the provider's discretion
• —You consent to the use of HIPAA-compliant telehealth technology for the delivery of care
• —You may withdraw consent for telehealth at any time by notifying the practice in writing

5. Fees, Payment, and Cancellation Policy

All fees for services are due at the time of service unless otherwise agreed in writing. hp | np Health is an out-of-network provider and does not bill insurance directly. Superbills are available upon request for submission to your insurance carrier.

6. Intellectual Property

All content on this website — including text, graphics, logos, images, and the overall design — is the property of Heather Pisano NP in Family Health and Psychiatry, PLLC, or its content suppliers, and is protected by applicable copyright and intellectual property laws.

You may access and view the content of this website for personal, non-commercial use only. You may not reproduce, distribute, modify, create derivative works from, publicly display, or otherwise exploit any content from this website without our prior written consent.

7. Acceptable Use

You agree not to use this website to:

• —Violate any applicable federal, state, or local law or regulation
• —Transmit any unsolicited or unauthorized advertising or promotional material
• —Impersonate any person or entity or misrepresent your affiliation with any person or entity
• —Engage in any conduct that restricts or inhibits any other person's use or enjoyment of the website
• —Attempt to gain unauthorized access to any portion of the website or its related systems
• —Transmit any material that is defamatory, obscene, offensive, or otherwise objectionable

8. Third-Party Links

This website may contain links to third-party websites, including scheduling platforms, pharmacy portals, and external resources. These links are provided for convenience only. hp | np Health does not endorse, control, or assume responsibility for the content, privacy practices, or terms of any third-party website. Your use of third-party websites is at your own risk and subject to their respective terms and privacy policies.

9. Disclaimer of Warranties

This website and its content are provided on an "as is" and "as available" basis without warranties of any kind, either express or implied, including but not limited to warranties of merchantability, fitness for a particular purpose, or non-infringement.

We do not warrant that the website will be uninterrupted, error-free, or free of viruses or other harmful components. We do not warrant the accuracy, completeness, or timeliness of any content on the website. The information on this website is not a substitute for professional medical advice, diagnosis, or treatment.

10. Limitation of Liability

To the fullest extent permitted by applicable law, Heather Pisano NP in Family Health and Psychiatry, PLLC, its officers, employees, and agents shall not be liable for any indirect, incidental, special, consequential, or punitive damages arising out of or related to your use of, or inability to use, this website or its content — even if advised of the possibility of such damages. Our total liability for any claim arising out of or relating to these Terms or the website shall not exceed the greater of $100 or the amount you paid to us in the three months preceding the claim.

11. Indemnification

You agree to indemnify, defend, and hold harmless Heather Pisano NP in Family Health and Psychiatry, PLLC and its officers, employees, and agents from and against any claims, liabilities, damages, judgments, awards, losses, costs, expenses, or fees (including reasonable attorneys' fees) arising out of or relating to your violation of these Terms or your use of the website.

12. Governing Law and Dispute Resolution

These Terms shall be governed by and construed in accordance with the laws of the State of New York, without regard to its conflict of law provisions. Any dispute arising out of or relating to these Terms or your use of the website shall be subject to the exclusive jurisdiction of the state and federal courts located in Erie County, New York.

Nothing in these Terms shall be construed to limit any rights you may have under applicable consumer protection laws or HIPAA.

13. Changes to These Terms

We reserve the right to modify these Terms at any time. Changes will be effective immediately upon posting the revised Terms on this website, with an updated "Last Updated" date. Your continued use of the website following the posting of changes constitutes your acceptance of those changes. We encourage you to review these Terms periodically.

14. Contact Information

If you have any questions about these Terms, please contact us: