Terms and Conditions

Last Updated: 5/7/2026

Welcome to NuLera Medical. These Terms and Conditions govern your use of our website, booking platform, and services. By accessing this website, scheduling an appointment, purchasing services, or otherwise engaging with NuLera Medical, you agree to be bound by these Terms and Conditions.

If you do not agree to these Terms and Conditions, please do not use this website or book services with NuLera Medical.

1. Practice Model

NuLera Medical is a direct-to-patient cash-pay practice. We do not bill insurance for visits, services, or laboratory-related charges.

By booking with NuLera Medical, you understand and agree that all services are self-pay, payment is required before an appointment may be booked, you are personally responsible for all fees charged by NuLera Medical, you are personally responsible for all laboratory fees if labs are ordered, NuLera Medical does not submit claims to insurance for visits, services, or labs, and insurance cannot be billed by the practice. Patients should not expect reimbursement from insurance for visits, services, or labs.

2. Not Primary Care

NuLera Medical is not a primary care practice and does not function as your primary care provider. Services offered through NuLera Medical are intended to complement, not replace, routine primary care.

By using this website or booking services, you understand and agree that you are responsible for maintaining an ongoing relationship with a primary care provider for preventive care, general medical care, chronic disease management, routine screenings, urgent concerns, and continuity of care.

NuLera Medical does not assume responsibility for comprehensive primary care services, full coordination of all aspects of your medical care, or management of conditions outside the scope of services specifically provided by this practice.

3. Payment Terms

Full payment is due in advance of booking unless otherwise stated in writing by NuLera Medical.

By scheduling an appointment, you authorize NuLera Medical to charge the payment method you provide for any fees owed under these Terms and Conditions, including appointment fees, cancellation fees, no-show fees, and any other outstanding balances.

If any payment is declined, disputed, reversed, or otherwise unpaid, NuLera Medical reserves the right to refuse future booking until the balance is paid in full.

4. Appointment Booking

Appointments are not confirmed until payment has been received and the appointment has been accepted by NuLera Medical.

NuLera Medical reserves the right to reschedule, refuse, or cancel appointments at its discretion, including but not limited to situations involving nonpayment, inappropriate conduct, suspected misuse of services, or scheduling conflicts.

5. Cancellation and No-Show Policy

We value reserved appointment time and ask that patients respect the scheduling needs of the practice.

Cancellations made with less than 24 hours' notice will incur a $50 cancellation fee. A no-call, no-show will incur a $50 fee. If a patient wishes to rebook after a late cancellation or no-call, no-show, the $50 fee must be paid first before another appointment may be scheduled. Due to limited appointment times and lost revenue, there are no exceptions to our cancellation and no-show policy.

6. Refund Policy

All sales are final.

There are no refunds after appointments. Fees paid for completed services, provider time, consultations, evaluations, or appointments already rendered are nonrefundable. Missed appointments, late arrivals, or unused appointment time do not entitle the patient to a refund. Refunds for appointments may be issued if requested more than 24 hours in advance of the appointment.

7. Laboratory Testing

If laboratory testing is recommended or ordered, lab fees are separate from appointment fees unless explicitly stated otherwise. Patients are solely responsible for all lab fees and related charges. NuLera Medical does not bill insurance for labs. Patients should not expect insurance reimbursement for labs ordered through NuLera Medical, and patients are responsible for confirming any outside payment arrangements directly with the laboratory, if applicable.

8. Patient Financial Responsibility

By using this website or booking services with NuLera Medical, you agree that you are financially responsible for all charges associated with your care, including but not limited to consultation fees, appointment fees, follow-up fees, late cancellation fees, no-show fees, laboratory fees, and other charges disclosed before service.

Failure to pay outstanding balances may result in refusal of future services until the account is brought current.

9. No Guarantee of Outcome

NuLera Medical provides individualized medical and wellness services, but no specific diagnosis, outcome, response, or result can be guaranteed.

Information provided on this website or during services is for informational, educational, and clinical purposes only and should not be interpreted as a guarantee of results.

10. Not Emergency Care

NuLera Medical does not provide emergency services.

If you are experiencing a medical emergency, call 911 or go to the nearest emergency room immediately. Do not use this website, email, text, portal messages, or appointment requests for urgent or emergency medical concerns.

11. Website Content and No Provider-Patient Relationship by Website Use Alone

The information on this website is provided for general informational purposes only and does not create a provider-patient relationship by itself.

A provider-patient relationship is established only after NuLera Medical has accepted you as a patient and appropriate intake, consent, and clinical requirements have been completed.

12. Privacy and Communications

By using this website or booking services, you consent to communications from NuLera Medical related to scheduling, billing, reminders, operational matters, and care coordination, as permitted by applicable law. Use of this website is also subject to any applicable Privacy Policy, Notice of Privacy Practices, consent forms, and office policies issued by NuLera Medical.

SMS / text message communications. When you provide your mobile phone number to NuLera Medical when booking an appointment or signing up for our patient portal, you consent to receive transactional and informational text messages from NuLera Medical, including appointment booking confirmations, appointment reminders (typically 48 hours and 24 hours before a visit), reschedule and cancellation notices, and post-visit follow-up messages.

Consent is given by you actively typing your phone number into the booking or signup form and submitting it; we do not pre-select consent on your behalf. Message frequency varies based on appointment activity (typically 1 to 4 messages per appointment cycle). Message and data rates may apply.

You may opt out of text messages at any time by replying STOP to any message you receive. Reply HELP for assistance, or contact us at hello@nuleramedical.com.

We do not share your mobile information, including your phone number, with third parties or affiliates for marketing or promotional purposes. Mobile information is shared only with subprocessors who help us deliver our services (such as our SMS provider) and only as needed to send you the messages described above.

For full details on how we handle your information, see our Privacy Policy at https://nuleramedical.com/privacy-policy.

13. Acceptable Use of Website

You agree not to misuse this website or its content. You may not copy, reproduce, or republish website content without permission, use this website for unlawful purposes, interfere with the security or operation of the website, or submit false, misleading, or fraudulent information.

NuLera Medical reserves all rights in its website content, branding, logos, text, and materials unless otherwise stated.

14. Changes to These Terms

NuLera Medical may update these Terms and Conditions at any time without prior notice. The most current version will be posted on the website with the updated effective date.

Your continued use of the website or services after changes are posted constitutes your acceptance of those revised Terms and Conditions.

15. Governing Law

These Terms and Conditions shall be governed by and construed in accordance with the laws of the State of South Carolina, without regard to conflict of law principles.

16. Contact Information

If you have questions about these Terms and Conditions, please contact:

NuLera LLC Sumter, South Carolina Email: hello@nuleramedical.com