Terms & Conditions
By submitting this form, you acknowledge and agree to the following:
Informational Request Only
Submitting this application is a request for information and does not guarantee acceptance into any program, consultation, or service.No Provider-Patient Relationship
Completion of this form does not establish a medical provider-patient relationship with Trueforge Health & Wellness or any affiliated provider.No Medical Advice
Information provided through this form, website, or follow-up communications is for general informational purposes only and is not medical advice, diagnosis, or treatment.Independent Licensed Providers
Any medical services, evaluations, or prescriptions, if applicable, are provided solely by independent licensed healthcare providers who determine eligibility and medical appropriateness.Accuracy of Information
You agree that the information you provide is truthful and accurate to the best of your knowledge.Communication Consent
By submitting this form, you consent to be contacted by email, phone, or text regarding your inquiry, onboarding, scheduling, and related services.Privacy
Your information will be handled in accordance with our Privacy Policy.No Guarantee of Results
Individual outcomes vary. No specific results or treatment eligibility are guaranteed.Program Availability
Services may vary based on state availability, provider discretion, and applicable laws or regulations.Questions
For questions, contact: support@trueforgehealth.com