Privacy & Terms
- TELEHEALTH AND BILLING CONSENT
- NOTICE OF PRIVACY PRACTICES
- PRIVACY POLICY
- TERMS OF USE
- LEGAL & DISCLOSURES
Effective Upon Access and Participation
By clicking this link, accessing this page, and/or participating in Telehealth Services, you acknowledge and agree that this document constitutes a legally binding informed consent, billing authorization, and assignment of benefits, even though you are not physically or electronically signing it.
If you do not agree, you must not proceed with the Telehealth Encounter.
DEFINITIONS AND ENTITY DISCLOSURE
For purposes of this document:
-
“MD Ally” means the applicable treating provider entity — MD Ally Telehealth Services, P.A. (Florida) or MD Ally Telehealth Services, P.C. (California) — each a HIPAA Covered Entity.
-
MD Ally Technologies, Inc. is a management services organization that provides administrative, technology, and operational support and does not provide medical care or bill for clinical services.
ACKNOWLEDGMENT OF RISK AND CARE OPTIONS
You acknowledge that you may have a serious injury or illness that could worsen without in-person or emergency medical attention, even if you feel fine at the present time. You understand the risks, benefits, and alternatives of available care options, including ambulance transport and evaluation at an emergency department, hospital, or other healthcare facility.
You understand that telehealth involves the provision of medical services remotely by a qualified healthcare professional using telecommunications technologies, such as video or telephone (“Telehealth Encounter”), and that Telehealth has inherent limitations, including a limited ability to respond to emergencies.
You understand that choosing Telehealth may increase the amount of time before you receive in-person evaluation or treatment. You acknowledge that in-person and emergency care are available and that you are voluntarily choosing Telehealth Services at this time.
NO GUARANTEE OF RESULTS
You understand and agree that MD Ally and its providers do not guarantee any diagnosis, treatment plan, outcome, or medical result from a Telehealth Encounter.
CONSENT TO TELEHEALTH AND PARTICIPANTS
By proceeding, you expressly consent to:
-
Receiving Telehealth Services from MD Ally Telehealth Services, P.A. and/or MD Ally Telehealth Services, P.C.;
-
The presence and participation of third parties during the Telehealth Encounter, including specialists, community paramedics, nurses, support staff, pharmacists, community resource providers, and health insurance personnel;
-
MD Ally obtaining, using, storing, and disclosing information about you, including clinical assessments, encounter documentation, bio-physiological data, images, video, audio, text messages, and other digital data, as permitted by Applicable Law; and
-
Follow-up contact by MD Ally or its partners for care coordination, education, quality, or satisfaction purposes.
Some participants may assist with coordination or support services and may not be acting as your treating clinician.
ASSUMPTION OF RISK
You knowingly and voluntarily assume risks associated with Telehealth Services, including limitations of remote assessment, potential delays in diagnosis or treatment, technology failures, interruptions, unauthorized access, and the possible need for escalation to in-person or emergency care.
RELEASE AND LIMITATION OF LIABILITY
To the fullest extent permitted by Applicable Law, you agree to release, indemnify, and hold harmless MD Ally, its providers, medical command physicians, medical command facilities, and third-party participants from claims arising out of:
-
Your decisions, including refusal or delay of recommended in-person or emergency care;
-
Inaccurate, incomplete, or omitted information you provide;
-
Limitations inherent in Telehealth Encounters; and
-
The use, failure, or unavailability of technology used in connection with Telehealth Services.
Nothing in this section limits or waives any rights you may have under applicable medical malpractice or professional liability law.
This section survives completion of the Telehealth Encounter.
ELECTION OF TELEHEALTH WITHOUT WAIVER OF FUTURE CARE
By proceeding, you acknowledge and agree that:
-
You are choosing Telehealth Services as an initial or interim form of care;
-
You may seek in-person or emergency medical care at any time before, during, or after the Telehealth Encounter; and
-
Receiving Telehealth Services does not limit or delay your right to seek in-person or emergency care.
Your provider may recommend escalation of care at any time, and you remain responsible for following or declining such recommendations.
PRIVACY AND RECORDING
You acknowledge receipt of MD Ally’s Notice of Privacy Practices. You consent to the use and disclosure of your health information for treatment, payment, and healthcare operations, and as otherwise permitted by Applicable Law.
To the extent permitted by law, you consent to audio or video recording of the Telehealth Encounter and acknowledge that recordings may be retained as part of your medical record.
BILLING AUTHORIZATION AND ASSIGNMENT OF BENEFITS
Assignment of Benefits
To the extent permitted by Applicable Law, you assign to MD Ally all rights to insurance or healthcare benefits payable for services actually rendered to you by the treating provider, including Medicare, Medicaid, commercial insurance, managed care plans, and other payers.
This Assignment of Benefits:
-
Authorizes direct payment to MD Ally;
-
Remains in effect until revoked in writing; and
-
Does not apply retroactively to services already provided.
This Assignment applies only to services actually rendered and does not apply to unrelated or future services beyond the scope of the Telehealth Encounter.
If any payer pays you directly, you agree to promptly remit those amounts to MD Ally.
Authorization to Bill, Appeal, and Release Information
You authorize MD Ally to submit claims, pursue appeals, and obtain, use, and disclose medical, billing, and insurance information as necessary for treatment, payment, healthcare operations, and care coordination, as permitted by law.
You authorize healthcare providers, insurers, governmental agencies, and others to release such information to MD Ally and its billing agents.
Financial Responsibility
You understand and agree that:
-
Insurance may pay less than the full billed amount or deny coverage;
-
You are responsible for amounts not paid by insurance, including copayments, coinsurance, deductibles, and non-covered services;
-
Telehealth coverage varies by plan and is your responsibility to understand; and
-
MD Ally may bill you directly for permitted outstanding balances.
If your insurance requires referrals or authorizations, you are responsible for obtaining them.
Collections
To the extent permitted by law, if collection action is required, you agree to pay reasonable collection costs, including attorneys’ fees.
STATE-SPECIFIC DISCLOSURES
You confirm that you are physically located in a state where the treating provider is licensed or authorized at the time services are provided.
- California: You acknowledge telehealth consent, recording notice, medical record access rights, and your right to withdraw consent at any time.
- Florida: You acknowledge Telehealth is not emergency care and consent may be withdrawn at any time.
- Texas: You understand Telehealth does not replace a primary care relationship and may be limited by law.
- Arizona: You acknowledge Telehealth limitations and available alternatives.
- Colorado: You acknowledge Telehealth is held to the same standards of care and confidentiality as in-person services.
ADDITIONAL TERMS
You acknowledge and agree that:
-
Providers may be at a different physical location;
-
You are responsible for providing accurate health information;
-
You are responsible for non-covered and connectivity charges;
-
Telehealth is not emergency care and you must call 911 in an emergency;
-
Either party may discontinue Telehealth if clinically inappropriate;
-
MD Ally does not provide continuous monitoring beyond the encounter; and
-
Providers may contact emergency services if necessary for your safety.
LEGAL EFFECT, GOVERNING LAW, AND SEVERABILITY
You represent that you are at least 18 years old or are a parent, guardian, or authorized representative.
This agreement is governed by the laws of the state in which the treating provider is licensed. If any provision is unenforceable, the remainder remains in effect.
Who This Notice Applies To
This Notice applies to MD Ally Telehealth Services, P.A. and MD Ally Telehealth Services, P.C., each a HIPAA Covered Entity, and their workforce members and business associates who support care, billing, operations, and technology.
MD Ally Technologies, Inc. provides management, administrative, and technology services and acts as a business associate where applicable, but is not a Covered Entity.
Our Legal Duties
We are required by law to:
-
Maintain the privacy and security of your PHI;
-
Provide this Notice; and
-
Follow the terms currently in effect.
Uses and Disclosures of PHI Without Authorization
We may use and disclose PHI for treatment, payment, and healthcare operations, as required by law, and in special situations permitted under HIPAA, including public health, oversight, legal proceedings, law enforcement, research, and serious threats to safety.
Business associates receive PHI only under HIPAA-compliant agreements.
Written Authorization
We will obtain your written authorization before using or disclosing PHI for marketing, sale of PHI, or most psychotherapy notes, unless an exception applies. You may revoke authorization in writing.
Reproductive Health Care Privacy
We do not use or disclose PHI to investigate or impose liability for lawful reproductive health care, consistent with HIPAA rules. Attestations may be required where applicable.
Your Rights
You have rights to:
-
Access and obtain copies of your medical record;
-
Request amendments;
-
Request confidential communications;
-
Request limits on certain uses and disclosures;
-
Receive an accounting of certain disclosures;
-
Obtain a paper copy of this Notice; and
-
File a complaint without retaliation.
Breach Notification
We will notify you as required by law if a breach of unsecured PHI occurs.
How We Communicate
We may contact you by phone, text, email, or mail for care coordination, follow-up, and billing. Messaging rates may apply. Reasonable communication preferences will be accommodated.
Contact Information
Privacy Officer
MD Ally
348 West 57th Street, Suite 180
New York, NY 10019
Email: admin@mdally.com.
1. WHO WE ARE AND SCOPE
This Privacy Policy (“Policy”) describes how MD Ally Technologies, Inc., a Delaware corporation (the “MSO”), and its affiliated entities (collectively, “MD Ally,” “we,” “us,” or “our”) collect, use, and disclose information through websites, applications, and online services that link to this Policy, including www.mdally.com and allynet.mdally.com (the “Services”).
MD Ally Technologies, Inc. is a management services organization and does not provide medical care.
The MSO operates remotely and maintains an administrative office in New York for business and notice purposes only.
Medical services facilitated through certain Services are provided solely by:
-
MD Ally Telehealth Services, P.A., a Florida professional association, and
-
MD Ally Telehealth Services, P.C., a California professional corporation,
each a HIPAA Covered Entity (collectively, the “Clinical Entities”).
Where protected health information (“PHI”) is involved, its use and disclosure are governed by HIPAA, applicable state law, and the applicable Clinical Entity’s Notice of Privacy Practices (“NPP”). If there is any conflict, the NPP controls with respect to PHI.
2. SERVICE TYPES
Marketing Services (Non-PHI)
Marketing Services include informational and business-facing websites such as www.mdally.com.
Marketing Services do not collect medical or health information.
Do not submit medical or clinical information through Marketing Services.
Clinical and Operational Services (PHI-Capable)
Clinical and Operational Services include systems such as allynet.mdally.com, which support telehealth operations, clinical workflows, and healthcare-related activities.
These Services may collect, store, and process PHI on behalf of the Clinical Entities.
3. INFORMATION WE COLLECT
Marketing Services
-
Name
-
Email address
-
Phone number
-
Organization and job title
-
Business contact details
-
Information submitted through forms or inquiries
Clinical and Operational Services
-
Account and authentication information
-
Clinical and operational data entered by authorized users
-
Communications, files, images, audio, or video used in care workflows
-
Audit logs and security metadata
4. HOW WE USE INFORMATION
Marketing Services
-
Operate and improve websites
-
Respond to inquiries
-
Communicate about MD Ally offerings
-
Analytics, security, and compliance
Clinical and Operational Services
-
Support healthcare services provided by the Clinical Entities
-
Facilitate telehealth workflows
-
Maintain audit, security, and compliance controls
Permitted uses and disclosures of PHI are described in the applicable Notice of Privacy Practices.
5. HOW WE SHARE INFORMATION
We may share information:
-
With service providers that support hosting, security, analytics, and operations
-
With healthcare partners and payers as permitted by law
-
To comply with legal obligations or protect safety
-
In connection with corporate transactions
-
In de-identified or aggregated form
PHI is shared only as permitted by HIPAA and applicable law.
6. YOUR RIGHTS
Marketing Services
Depending on your state, you may request access, correction, or deletion of personal information collected through Marketing Services.
PHI
Patients have HIPAA rights as described in the applicable Notice of Privacy Practices.
7. CALIFORNIA PRIVACY NOTICE
(Applies to Marketing Services Only)
MD Ally does not sell personal information and does not share personal information for cross-context behavioral advertising.
California residents may request access, correction, or deletion of personal information collected through Marketing Services, subject to verification and legal limits.
8. DATA SECURITY
We use reasonable administrative, technical, and physical safeguards appropriate to the type of data processed.
9. CHILDREN
Marketing Services are not directed to children under 13.
10. CHANGES TO THIS POLICY
We may update this Policy by posting revisions. Continued use of the Services constitutes acceptance of the updated Policy.
11. CONTACT
MD Ally Technologies, Inc.
348 West 57th Street, Suite 180
New York, NY 10019
Email: admin@mdally.com
1. OPERATING ENTITIES AND SCOPE
These Terms of Use (“Terms”) govern access to and use of websites, applications, and online services operated by MD Ally Technologies, Inc., a Delaware corporation (the “MSO”), and its affiliated entities (collectively, “MD Ally,” “we,” “us,” or “our”), including www.mdally.com and allynet.mdally.com (the “Services”).
MD Ally Technologies, Inc. is a management services organization and does not provide medical care or clinical services. The MSO operates remotely and maintains an administrative office in New York for business and notice purposes only.
Medical services made available through certain Services are provided solely by:
-
MD Ally Telehealth Services, P.A., a Florida professional association, and
-
MD Ally Telehealth Services, P.C., a California professional corporation,
each a HIPAA Covered Entity (collectively, the “Clinical Entities”).
These Terms apply to your use of the Services operated by the MSO.
The provision of medical services is governed by separate patient consent forms, telehealth terms, and the Notice of Privacy Practices of the applicable Clinical Entity.
By accessing or using the Services, you agree to these Terms.
2. SERVICE CATEGORIES
2.1 Marketing Services
Marketing Services are informational and business-facing.
They:
-
Do not provide medical care
-
Do not create a provider–patient relationship
-
Must not be used to submit medical information
2.2 Clinical and Operational Services (AllyNet)
Clinical and Operational Services include AllyNet, which supports telehealth operations and healthcare workflows.
These Services:
-
Are operated by the MSO as a technology platform
-
May facilitate medical services provided by the Clinical Entities
-
May involve PHI
-
Are subject to HIPAA and applicable healthcare laws
Additional agreements may apply. If there is a conflict, the platform-specific agreement controls.
3. ELIGIBILITY AND AUTHORITY
You represent that:
-
You are at least 18 years old
-
You have authority to bind yourself or the entity you represent
-
If applicable, you are authorized to use Clinical and Operational Services
4. ACCOUNTS AND SECURITY
You are responsible for:
-
Maintaining accurate account information
-
Protecting credentials
-
Complying with security requirements
The MSO may suspend or restrict access to protect security, privacy, or compliance.
5. LICENSE GRANT (ALLYNET)
Subject to these Terms and an applicable agreement, the MSO grants authorized Partners a limited, non-exclusive, non-transferable, non-sublicensable license to use AllyNet solely for internal business purposes.
6. LICENSE RESTRICTIONS
You may not:
-
Sell, sublicense, or transfer the Software
-
Permit unauthorized access
-
Reverse engineer or modify the Software
-
Use the Software for third-party benefit without permission
7. PHI AND DATA RULES
PHI may only be submitted through PHI-capable Services by authorized users.
PHI must not be submitted through Marketing Services.
Partners retain ownership of submitted data and grant the MSO rights to operate the Services and create de-identified data as permitted by law.
8. ACCEPTABLE USE
You may not:
-
Violate law or third-party rights
-
Upload malicious code
-
Attempt unauthorized access
-
Misuse or improperly disclose PHI
9. RESPONSIBLE USE IN HEALTHCARE SETTINGS
AllyNet supports healthcare operations but does not replace professional medical judgment.
Clinical decisions and care are provided solely by the Clinical Entities and their licensed professionals.
The MSO disclaims liability for medical decisions and clinical outcomes.
10. INTELLECTUAL PROPERTY
All intellectual property in the Services is owned by the MSO or its licensors. No rights are granted except as expressly stated.
11. DISCLAIMERS
Marketing Services are provided “as is” and are not medical advice.
Clinical and Operational Services are provided “as is” except as expressly stated in a governing agreement.
12. LIMITATION OF LIABILITY
To the maximum extent permitted by law:
-
No liability for indirect or consequential damages
-
Liability for Marketing Services capped at USD 50
-
Liability related to AllyNet governed by applicable agreements
13. INDEMNIFICATION
You agree to indemnify MD Ally for claims arising from misuse of the Services, unauthorized PHI submission, or violation of law.
14. TERMINATION
The MSO may suspend or terminate access for violations, security risks, or termination of underlying agreements.
15. DISPUTE RESOLUTION
Marketing Services disputes are subject to binding arbitration and class action waiver.
Medical services and PHI-related disputes are governed by patient agreements and applicable law and are not subject to consumer arbitration under these Terms.
16. GOVERNING LAW
These Terms are governed by the laws of the State of New York as they relate to Services operated by the MSO.
Medical services are governed by applicable healthcare laws based on provider licensure and patient location.
17. CHANGES TO TERMS
We may update these Terms by posting revisions. Continued use constitutes acceptance.
18. CONTACT
MD Ally Technologies, Inc.
348 West 57th Street, Suite 180
New York, NY 10019
Email: admin@mdally.com
DISCLOSURE OF FINANCIAL INTERESTS AND REFERRALS
MD Ally Telehealth Services, P.A. and MD Ally Telehealth Services, P.C. (collectively, “MD Ally”) may refer patients to, and accept referrals from, persons or entities. Some of these persons or entities may have a direct or indirect ownership or financial interest in MD Ally, and MD Ally may also have a direct or indirect ownership or financial interest in some of the persons or entities to which referrals are made.
This disclosure is provided to inform patients and partners of these financial relationships. You are not required to receive services from, or be referred to, any particular provider, supplier, or entity, and you may choose any provider or service available to you. No benefits or services are conditioned on accepting or making any referral.
All referrals and financial relationships are structured and carried out in compliance with Applicable Law, meaning all applicable federal, state, and local laws, statutes, rules, regulations, and binding guidance governing healthcare services, referrals, financial relationships, fraud and abuse, patient choice, and disclosures, including the federal Anti-Kickback Statute, Stark Law, False Claims Act, HIPAA, and applicable state law counterparts.
If you have questions about these relationships, you may ask your provider or contact MD Ally at admin@mdally.com.
Below is a single, bundled “Legal & Disclosures” hub, with four short sections, each under one page, written to be posted together on your website.
Language is patient-safe, regulator-safe, and litigation-aware.
You can publish this as one page titled Legal & Disclosures, with anchor links to each section.
LEGAL & DISCLOSURES
This page provides important legal, privacy, accessibility, and patient information related to MD Ally’s websites and services. Please review carefully.
COOKIE AND TRACKING NOTICE
MD Ally uses cookies and similar technologies on its websites to support functionality, understand site usage, and improve performance.
What we use
- Essential cookies needed for site operation
- Analytics cookies that help us understand how visitors use the site
- Security-related technologies to protect our systems
We do not use cookies to collect protected health information on our marketing websites.
Your choices
You can control cookies through your browser settings. Blocking or deleting cookies may affect how parts of the site function.
For more information about how we collect and use information, see our Privacy Policy.
ACCESSIBILITY STATEMENT
MD Ally is committed to making its websites accessible to all users, including people with disabilities.
Accessibility standards
We aim to align our websites with the Web Content Accessibility Guidelines (WCAG) 2.1 Level AA.
Ongoing efforts
Accessibility is an ongoing effort. We regularly review our sites and make improvements to support accessibility and usability.
Need assistance
If you experience difficulty accessing any part of our website or have accessibility-related questions, contact us:
Email: admin@mdally.com
Address: 348 West 57th Street, Suite 180, New York, NY 10019
We will work with you to provide the information you need in a reasonable manner.
MEDICAL INFORMATION DISCLAIMER
The content on MD Ally’s marketing websites is provided for general informational purposes only.
- Website content is not medical advice
- Website content does not create a provider–patient relationship
- Website content is not a substitute for professional medical care
Medical services are provided only through a formal clinical encounter with a licensed healthcare professional.
If you believe you are experiencing a medical emergency, call 911 immediately.
PATIENT RIGHTS, RESPONSIBILITIES, AND GRIEVANCES
Patient Rights
When you receive care from MD Ally Telehealth Services, P.A. or MD Ally Telehealth Services, P.C., you have the right to:
- Be treated with respect and dignity
- Participate in decisions about your care
- Receive information about treatment options and alternatives
- Ask questions and receive clear explanations
- Refuse treatment, to the extent permitted by law
- Access your medical records as permitted by law
- Receive care without discrimination
Patient Responsibilities
You are responsible for:
- Providing accurate and complete information about your health
- Following agreed-upon treatment plans or clearly communicating concerns
- Understanding your insurance coverage and financial obligations
- Treating providers and staff with respect
Complaints and grievances
If you have a concern or complaint about your care, privacy, billing, or experience, you may submit a grievance. We encourage you to raise concerns so they can be addressed promptly.
How to file a grievance
- Email: admin@mdally.com
- Mail:
Privacy Officer
MD Ally Telehealth Services
348 West 57th Street, Suite 180
New York, NY 10019
You may file a complaint without fear of retaliation. Filing a complaint will not affect your access to care.