These Terms of Use apply to jhumamedicine.com and its public pages (the “Site”), which
are operated by Jhūma Medicine PLLC (“Jhūma Medicine,” “we,” “us,” or “our”). By using
the Site, you agree to these terms. If you do not agree, please do not use the Site.
1. Information, not medical advice
The Site, including The Daly Dose and other educational material, is for general
information only. It is not medical advice, diagnosis, treatment, or a substitute for
care from a qualified healthcare professional who knows your circumstances. Do not
delay or disregard medical care because of something you read here.
Using the Site, requesting a Meet & Greet, joining an updates list, or sending an
inquiry does not by itself create a physician-patient relationship. A clinical
relationship begins only when Jhūma Medicine agrees to provide care and the required
intake, consent, and practice agreements are completed. Nothing on the Site promises
that Jhūma Medicine will accept any person as a patient.
2. Emergencies and clinical communication
The Site, ordinary email, social media, and the public contact form are not monitored
for urgent medical needs and are not secure channels for clinical information. Do not
use them for symptoms, diagnoses, medications, test results, or other private medical
information. Current members should use the secure Spruce channel for clinical
messages. If you may be experiencing an emergency, call 911 or go to the nearest
emergency department.
3. Direct primary care membership
Jhūma Medicine offers membership-based direct primary care. A direct primary care
agreement is not health insurance and does not replace insurance for emergencies,
hospital care, specialists, or services outside the membership. The written membership
agreement identifies the services included, the fee, the term, renewal, and
termination rights. If Site content differs from a signed membership agreement, the
signed agreement controls.
4. Services, pricing, and availability
Service descriptions, membership prices, founding offers, estimated third-party
savings, appointment timing, and availability may change. They are invitations to
learn more, not guarantees or binding offers. Clinical services remain subject to
professional judgment, patient eligibility, capacity, licensure, and applicable law.
Third-party laboratory, imaging, medication, or other prices are set by those providers
and may change without notice.
5. Location and telemedicine
Medical care is considered to occur where the patient is physically located. Jhūma
Medicine provides telemedicine only where its clinicians are appropriately licensed or
otherwise authorized and where the standard of care can be met. A virtual visit may be
declined or changed to an in-person visit when clinically appropriate.
6. Testimonials and outcomes
Testimonials and reviews describe individual experiences. They are not promises that
another person will have the same experience or result. Medicine involves uncertainty,
and no result is guaranteed. References to outside research or resources are provided
for context and do not mean Jhūma Medicine endorses every statement, product, or
service they contain.
7. Third-party services and links
The Site links to services operated by others, including scheduling, enrollment,
member login, secure messaging, laboratory, imaging, map, review, and social media
services. Those services have their own terms and privacy practices. We do not control
their availability, security, content, or data practices, and a link does not imply an
endorsement beyond the purpose stated on the Site.
8. Intellectual property
Site text, photographs, graphics, logos, design, downloads, and other content are owned
by Jhūma Medicine or used with permission and are protected by intellectual-property
laws. You may view and print reasonable portions for personal, noncommercial use. You
may not reproduce, modify, publish, sell, scrape, train an automated system on, or
exploit Site content without written permission, except as the law expressly allows.
9. Acceptable use
You may not interfere with the Site, test or bypass its security without permission,
introduce malicious code, impersonate another person, submit unlawful or misleading
material, collect data about others, or use automated means that burden the Site. We
may restrict access when reasonably necessary to protect the Site, our practice, or
other people.
10. Disclaimers
To the fullest extent permitted by law, the Site is provided “as is” and “as
available.” We disclaim implied warranties, including merchantability, fitness for a
particular purpose, title, and non-infringement. We do not warrant uninterrupted,
error-free, or completely secure operation, or that content will always be current.
Some jurisdictions do not allow certain exclusions, so part of this paragraph may not
apply to you.
11. Limitation of liability
To the fullest extent permitted by law, Jhūma Medicine and its clinicians, employees,
and agents will not be liable for indirect, incidental, special, consequential,
exemplary, or punitive damages arising from the Site or third-party links. This does
not limit liability that cannot legally be limited, and it does not change any rights
or responsibilities arising from an established physician-patient relationship.
12. Governing law and general terms
North Carolina law governs these terms, without regard to conflict-of-law rules. Any
Site-related dispute that may be brought in court will be brought in a state or federal
court with jurisdiction in or serving Iredell County, North Carolina, unless applicable
law requires otherwise. If one provision is unenforceable, the remaining provisions
stay in effect. A delay in enforcing a provision is not a waiver.
13. Changes to these terms
We may update these terms as the Site or law changes. The effective date above shows
when the current version took effect. Material changes apply prospectively after they
are posted, unless the law requires a different approach.
02
Website Privacy Policy
This policy covers personal information handled through the public Site and related
nonclinical communications. It does not replace our HIPAA Notice of Privacy Practices.
If information is protected health information, we handle it under HIPAA, other
applicable health-privacy laws, and our
Notice of Privacy Practices.
1. Information you provide
Depending on how you interact with us, we may receive:
your name, email address, phone number, and communication preferences;
the inquiry topic and message you choose to send;
Meet & Greet, updates-list, or other nonclinical request details;
communications and records of our response; and
information you provide through a third-party service after following a Site link.
The public contact form opens your device's email application. Information is sent only
if you choose to send the email. Ordinary email is not a secure clinical channel, so
please do not include health or medical information.
2. Information collected automatically
Our hosting and security providers may process an IP address, browser and device type,
operating system, approximate location derived from IP address, referring page, pages
requested, timestamps, error data, and security events. If you allow optional cookies,
Google Analytics and Meta may also receive identifiers and interaction data described
in the Cookie & Tracking Technologies Notice below.
3. Information from other sources
We may receive information from scheduling, enrollment, member-services, referral,
social media, analytics, and advertising providers when their terms, your choices, and
the law allow it. Information entered directly into an outside service is also subject
to that service's privacy notice. When a vendor handles protected health information on
our behalf, we require the safeguards and agreements that applicable law requires.
4. How and why we use information
Respond and provide requested services
We use contact and inquiry information to answer questions, arrange a Meet &
Greet, provide requested information, and take steps toward enrollment. Where
applicable, our basis is your request, consent, or steps before entering a
contract.
Operate and protect the Site
We use technical and security data to deliver pages, troubleshoot, prevent abuse,
maintain records, and protect our systems. Our basis is our legitimate interest in
a safe, reliable Site and, where applicable, legal obligations.
Measure and improve
With optional analytics consent, we use Google Analytics on the public homepage to
understand broad Site use and improve content and navigation. We do not send form contents, direct
identifiers, precise location, or health information to Google Analytics.
Measure advertising
With optional advertising consent, we may use the Meta Pixel on the public
homepage for basic ad measurement. We do not use advanced matching, upload patient
lists, build health-based audiences, or send clinical data, form data, member
activity, or health-specific event data to Meta.
Send practice updates
If you ask to receive updates, we may send them until you unsubscribe. Marketing
messages identify Jhūma Medicine, include our postal address, and provide a clear
opt-out. Transactional or care-related communications may continue when needed.
Meet legal and safety obligations
We may use information to comply with law, respond to lawful process, establish or
defend legal claims, protect safety, and investigate misuse. Our basis is legal
obligation, legitimate interests, or vital interests, as applicable.
5. Health information and sensitive data
Please use Spruce or another channel Jhūma Medicine specifically identifies as secure
for clinical communication. If you nevertheless send health information through an
ordinary website or email channel, we will use it only as reasonably necessary to
respond, protect you, redirect the communication to an appropriate channel, and meet
legal obligations. We do not use health information or health inferences for targeted
advertising, and we do not sell consumer health data.
6. When we disclose information
We may disclose personal information to:
vendors that support hosting, security, communications, scheduling, enrollment,
analytics, advertising, and other operations, subject to appropriate restrictions;
professional advisers such as attorneys, accountants, auditors, and insurers;
government authorities or other parties when required by law or reasonably necessary
to protect rights, safety, and security; and
a successor in a merger, reorganization, financing, or transfer of the practice,
subject to applicable confidentiality and health-privacy requirements.
We do not sell personal information for money. Some state laws may define disclosures
through advertising cookies as a “sale,” “sharing,” or targeted advertising even when
no money changes hands. You can stop those disclosures by rejecting advertising
cookies or opening .
7. Retention
We keep personal information only as long as reasonably necessary for the purpose for
which it was collected, including providing requested services, maintaining consent
and suppression records, resolving disputes, enforcing agreements, and meeting legal,
tax, accounting, and medical-record obligations. Retention depends on the type and
sensitivity of information and the applicable system. We configure Google Analytics
event-level retention to no more than 14 months. Cookie lifetimes are described below.
8. Your privacy rights
Depending on where you live and the law that applies, you may have the right to request
access, correction, deletion, or a portable copy of personal information; withdraw
consent; opt out of sale, sharing, or targeted advertising; limit certain uses of
sensitive information; and appeal a denied request. You may use an authorized agent
where the law allows. We may verify a request before acting and may retain information
when an exception applies. We will not discriminate against you for exercising a
privacy right.
The Site is directed to adults, including parents and guardians seeking care for a
child. We do not knowingly collect personal information online directly from a child
under 13 without legally sufficient parental authorization, and we do not knowingly
use information from anyone under 18 for personalized advertising. A parent or legal
guardian may contact us about a child's care, but clinical information should be sent
only through an approved secure channel.
10. Security
We use administrative, technical, and physical safeguards designed for the nature of
the information we handle. No internet or email transmission can be guaranteed secure,
however. If you believe you sent sensitive information through an insecure channel or
that information may have been compromised, contact us promptly by phone.
11. International visitors
Jhūma Medicine is based in North Carolina, and the Site is operated in the United
States. If you visit from another country, information may be processed in the United
States, where laws may differ. Where European or UK data-protection law applies, we use
consent for optional analytics and advertising and the other legal bases described in
this policy. You may withdraw consent at any time through your privacy choices.
12. Changes to this policy
We may update this policy as our practices or legal obligations change. We will post
the revised version here, change the effective date, and provide additional notice when
the law requires it. A material change applies prospectively after it takes effect.
03
Cookie & Tracking Technologies Notice
Cookies, pixels, local storage, and similar technologies can remember choices,
recognize a browser, measure Site use, and measure advertising. Necessary storage
operates without optional consent when needed for security and your privacy choices.
Google Analytics and Meta Pixel are optional and remain off unless your choices permit
them.
Category
Technology and purpose
Typical duration
Necessary
First-party local storage records the policy version, timestamp, and your
analytics and advertising choices. It does not contain medical information.
Up to 180 days, then we ask again
Analytics
The Google tag and Google Analytics 4 may use cookies such as
_ga and _ga_* to measure visits and engagement. We
send a sanitized homepage path without query strings or form contents, and
disable Google Signals and advertising personalization for this data.
Cookies may last up to 2 years; event data up to 14 months
Advertising
Meta Pixel may use cookies such as _fbp and _fbc to
recognize a browser or ad click and provide basic measurement. It runs only on
the public homepage after consent and does not receive form fields, member
activity, direct identifiers, or health-specific event data from us.
Typically up to 90 days, subject to Meta's settings and terms
Your choices
On your first visit, you can accept all optional technologies, reject them, or choose
by category. You can change that decision at any time. Rejecting optional technologies
does not prevent you from using the Site.
Tracking safeguards for a medical-practice website
Optional tags do not load until the corresponding choice is granted.
Google Analytics and Meta Pixel are limited to a generic page view on the public homepage.
We do not run optional tags on the contact page, member-resources page, legal pages,
or authenticated patient and enrollment systems.
We do not send names, email addresses, phone numbers, form contents, precise
location, medical record numbers, diagnoses, medications, appointment details, or
other protected health information to Google Analytics or Meta.
We do not use session replay, advanced matching, enhanced conversions, User-ID,
customer-list uploads, or health-based remarketing audiences through the Site.