Membership Terms

EFFECTIVE SEPTEMBER 7, 2026  ·  SUPERSEDES THE TERMS DATED JUNE 4, 2026

These Membership Terms (the “Terms”) govern membership in Amsara Health’s concierge integrative telehealth practice, operated by Amsara Arizona, PLLC with management services provided by Amsara Health LLC (together, “Amsara Health,” “we,” or “us”). By enrolling in a membership you agree to these Terms. Please read them carefully and keep a copy for your records.

1. Membership options and fees

Amsara Health offers one Standard membership (the “Amsara Integrated Health Membership”) with two ways to pay. Both options provide the same twelve (12) month membership and the same benefits.

*Launch pricing applies to memberships that begin during the launch period and is guaranteed for the member’s initial twelve-month term only. Renewal terms are billed at the Standard rates in effect at the time of renewal (see Section 3).

What membership includes. Unhurried visits with your provider; initial and follow-up visits included at no additional charge; prescription renewal service at no additional charge; a twenty percent (20%) discount on non-insurable advanced testing listed on our Tests & Services page; priority booking; and secure provider messaging through the athenahealth patient portal, Monday through Friday, 8:00 a.m. to 5:00 p.m. Arizona time. Membership fees cover clinical access and services; they do not include the cost of medications, laboratory or diagnostic tests, or third-party services, which are billed separately at the prices shown at the time of order.

Non-member (à la carte) pricing. Patients who are not members may receive care at the following rates. These rates also determine the value of any service credit issued under Section 4.

2. Billing and payment

Annual members. The full annual fee is charged to the payment method on file at enrollment and on each renewal date.

Installment members. The installment option is a payment schedule, not a shorter membership term. Your first installment is charged at enrollment and covers months one through four of your term; your second installment is charged on the first day of month five and covers months five through eight; your third installment is charged on the first day of month nine and covers months nine through twelve. Under regular pricing, a fourth installment is charged on the first day of month ten and the schedule is quarterly. Installments are charged automatically to the payment method on file. We will send a reminder at least seven (7) days before each installment date.

Authorization. By enrolling, you authorize Amsara Health to charge the payment method on file for all membership fees, installments, and any à la carte services you request, and to update stored card details through your card network’s account-updater service. You agree to keep a valid payment method on file for the duration of your membership.

Taxes and HSA/FSA. Fees are stated in U.S. dollars and exclusive of any applicable taxes. Amsara Health does not bill insurance. Health Savings Account and Flexible Spending Account funds may be used where eligible; we make no representation about eligibility, and you should confirm with your plan administrator. Superbills are available on request.

3. Term, renewal, and fee changes

Term. Each membership term is twelve (12) months, beginning on the date your enrollment payment is processed.

Automatic renewal. Your membership renews automatically for successive twelve-month terms at the Standard rates and payment schedule then in effect, unless either you or Amsara Health gives written notice of non-renewal at least thirty (30) days before the end of the current term. Renewal is a new term and is not subject to launch pricing.

Fee changes. Amsara Health may change membership fees or the payment schedule effective at the start of a renewal term by giving you at least thirty (30) days’ written notice before the renewal date. If you do not wish to renew at the new rate, you may give notice of non-renewal under this Section without charge.

Benefits during a term. You are entitled to the membership benefits as described in these Terms on the first day of a term for the duration of that term. We may add benefits at any time; we will not remove benefits mid-term.

4. Cancellation and refunds

Cancellation by you. You may cancel your membership at any time, with or without cause, by giving Amsara Health at least thirty (30) days’ prior written notice by email to amsarahealthsupport@thepause.ai or through the patient portal. Cancellation is effective at the end of the thirty-day notice period. Your membership and benefits continue through that date. There is no early termination fee.

Fees during the notice period. Any installment that falls due during the thirty-day notice period will be charged. No further fees will be charged after the cancellation effective date.

Fees are non-refundable. Once paid, membership fees and installments are non-refundable, except as expressly provided in Section 5 (Termination by Amsara Health).

Service credit for unused time. If you cancel before the end of a period you have paid for, the unused portion of that period — calculated pro rata by day from the cancellation effective date to the end of the paid period — will be converted to à la carte service credit. Credit is valued at the fees you paid for the unused days, may be applied to any service in the non-member price list in Section 1 or to testing, is valid for twelve (12) months from the cancellation effective date, and has no cash value. Credit is not transferable and unused credit expires.

Re-enrollment. If you cancel and later wish to re-enroll, you may do so at the Standard rates in effect at that time. Launch pricing and legacy rates are not reinstated.

5. Termination by Amsara Health

Without cause. Amsara Health may terminate your membership at any time, with or without cause, on thirty (30) days’ written notice. If we terminate without cause, you will receive a pro-rata refund of any fee or installment covering the period after the termination date.

For cause. Amsara Health may terminate or suspend your membership immediately, without refund, if you fail to pay fees when due after the cure period in Section 6, provide false information at enrollment, no longer reside in a state in which Amsara Health provides care, or engage in abusive, threatening, or unlawful conduct toward our team or other patients. Termination of membership does not by itself terminate the provider-patient relationship, which is governed by applicable law and clinical judgment.

6. Missed or failed payments

If a payment cannot be processed, we will notify you and retry the charge. Your account remains fully active for fourteen (14) days while we work with you to resolve it. If the balance remains unpaid on day fifteen (15), membership benefits are suspended and services are available only at non-member rates until the balance is paid. If the balance remains unpaid on day thirty (30), your membership lapses and re-enrollment will be required at the Standard rates then in effect. Amounts due for the period before lapse remain payable.

7. Clinical wind-down

If your membership ends for any reason while you are on active therapy (hormone therapy, GLP-1 medications, or other long-term prescriptions), our clinical team will contact you to coordinate a safe transition and, where clinically appropriate, provide a final thirty (30) day refill. Patients in active dose titration are advised to complete that process before cancelling. Your medical records remain available to you, and records transfer to another provider is available at no charge on request.

8. Legacy memberships

Founders Circle. Founders Circle was an introductory annual membership offered to the original twenty-eight (28) founding members at $999 per year. The offer has expired and is closed to new enrollment. For current Founders Circle members, the $999 rate is guaranteed for the member’s first two (2) membership years as originally promised; pricing for subsequent years is subject to change on no less than thirty (30) days’ written notice before the renewal date. Founders Circle members may cancel at any time before their renewal date under Section 4. Cancellation permanently forfeits the Founders rate; re-enrollment is available at Standard membership pricing. Except for price and the rate guarantee, Founders Circle memberships are governed by these Terms.

No other legacy plans. Amsara Health has not offered any other membership plan before these Terms. All memberships other than Founders Circle are governed by the Standard membership options in Section 1.

9. Eligibility and scope

Membership is available to adults eighteen (18) years of age or older who reside in a state in which Amsara Health provides care (currently Arizona). Membership is not health insurance and does not replace a primary care relationship or emergency care. If you are experiencing a medical emergency, call 911. Membership is personal to the enrolled member and may not be transferred, shared, or assigned.

10. Changes to these Terms

Amsara Health may update these Terms from time to time. Changes that affect fees or the payment schedule take effect at your next renewal as described in Section 3. Other changes take effect thirty (30) days after we post the updated Terms on amsarahealth.com and notify you by email. Continued membership after the effective date constitutes acceptance of the updated Terms.

11. Dispute resolution, arbitration, and governing law

PLEASE READ THIS SECTION CAREFULLY. IT REQUIRES YOU AND AMSARA HEALTH TO RESOLVE DISPUTES THROUGH BINDING INDIVIDUAL ARBITRATION RATHER THAN IN COURT, AND IT WAIVES THE RIGHT TO A JURY TRIAL AND TO PARTICIPATE IN A CLASS OR REPRESENTATIVE ACTION. YOU MAY OPT OUT AS DESCRIBED IN 11.9.

11.1 Governing law. These Terms, and any dispute arising out of or relating to them, are governed by the laws of the State of Arizona, without regard to its conflict-of-laws rules. The parties acknowledge that this Section 11 evidences a transaction involving interstate commerce and agree that the Federal Arbitration Act (9 U.S.C. § 1 et seq.) governs the interpretation and enforcement of this Section, supplemented where not inconsistent by the Arizona Revised Uniform Arbitration Act (A.R.S. § 12-3001 et seq.).

11.2 Covered disputes. “Dispute” means any claim, controversy, or disagreement between you and Amsara Health (including its affiliates, officers, employees, contractors, and providers acting in their administrative capacity) arising out of or relating to these Terms, your membership, membership fees, billing, cancellation, refunds, service credit, marketing, or the enrollment relationship, whether based in contract, tort, statute, fraud, misrepresentation, or any other legal theory, and whether arising before or after the effective date of these Terms. Claims alleging professional negligence in the delivery of clinical care are governed by the separate Telehealth Consent and applicable Arizona law and are not covered by this Section unless the parties agree in writing after the dispute arises.

11.3 Mandatory informal resolution. Before commencing mediation or arbitration, the party raising a Dispute must send the other a written Notice of Dispute. Notice to Amsara Health must be sent by email to amsarahealthsupport@thepause.ai with the subject line “Notice of Dispute” and by U.S. mail to Amsara Health, 4250 N Drinkwater Blvd, Suite 300, Scottsdale, AZ 85251. Notice to you will be sent to the email and mailing address on your account. The Notice must include the claimant’s name and contact information, a description of the Dispute and the facts supporting it, and the specific relief requested. The parties shall then confer in good faith, including at least one telephone or video conference between you and an Amsara Health representative with authority to resolve the Dispute, for a period of forty-five (45) days from receipt of the Notice. All applicable limitation periods are tolled during this period. Completion of this process is a condition precedent to mediation or arbitration, and an arbitrator or court may dismiss or stay any proceeding commenced without it.

11.4 Mediation. If the Dispute is not resolved within the informal resolution period, either party may request non-binding mediation before a single mediator agreed by the parties or, failing agreement within fourteen (14) days, appointed by JAMS in Phoenix, Arizona. Mediation shall be completed within sixty (60) days of the request unless the parties agree otherwise. The parties share the mediator’s fees equally, and each bears its own costs.

11.5 Binding arbitration. Any Dispute not resolved through Sections 11.3 and 11.4 shall be resolved exclusively by final and binding arbitration administered by JAMS under its Streamlined Arbitration Rules and Procedures and, to the extent applicable, its Consumer Arbitration Minimum Standards, before a single neutral arbitrator who is a retired judge or an attorney with at least fifteen (15) years of experience in commercial or healthcare matters. If JAMS is unavailable or unwilling to administer the arbitration, the parties shall select a comparable administrator or, failing agreement, a court of competent jurisdiction in Maricopa County shall appoint the arbitrator under A.R.S. § 12-3011. The arbitration shall take place in Maricopa County, Arizona, except that either party may elect to appear by video conference, and Disputes involving claims of $25,000 or less shall be decided on written submissions unless the arbitrator finds a hearing necessary. The arbitrator shall apply the substantive law of Arizona, shall honor claims of privilege, and shall issue a reasoned written award. The arbitrator may award any individual relief available in court under applicable law, but may not award relief to or against anyone who is not a party. Judgment on the award may be entered in any court of competent jurisdiction.

11.6 Delegation. The arbitrator, and not any court, has exclusive authority to resolve any dispute relating to the interpretation, applicability, enforceability, or formation of this Section 11, including any claim that all or part of it is void or voidable; provided that a court shall decide any question regarding the validity or enforceability of the class action waiver in Section 11.7.

11.7 Class action and jury trial waiver. YOU AND AMSARA HEALTH EACH AGREE THAT DISPUTES WILL BE RESOLVED ONLY ON AN INDIVIDUAL BASIS AND NOT AS A PLAINTIFF OR CLASS MEMBER IN ANY PURPORTED CLASS, COLLECTIVE, CONSOLIDATED, OR REPRESENTATIVE PROCEEDING. THE ARBITRATOR MAY NOT CONSOLIDATE MORE THAN ONE PERSON’S CLAIMS OR PRESIDE OVER ANY FORM OF REPRESENTATIVE PROCEEDING. TO THE FULLEST EXTENT PERMITTED BY LAW, EACH PARTY WAIVES ANY RIGHT TO A TRIAL BY JURY. If the class action waiver is found unenforceable as to a particular claim or request for relief, that claim or request shall be severed and litigated in court under Section 11.11, and the remainder shall proceed in arbitration.

11.8 Fees and costs. Arbitration filing, administrative, and arbitrator fees are allocated under the JAMS Consumer Arbitration Minimum Standards: for Disputes you initiate, your share of such fees is limited to the amount of the then-current JAMS consumer filing fee, and Amsara Health pays the remainder; for Disputes Amsara Health initiates, Amsara Health pays all such fees. Each party bears its own attorneys’ fees and costs unless the arbitrator awards them under applicable law or finds that a claim or defense was frivolous or brought for an improper purpose, in which case the arbitrator may award reasonable attorneys’ fees and costs to the prevailing party.

11.9 Thirty-day right to opt out. You may opt out of the arbitration agreement in Sections 11.5 through 11.8 by sending written notice to amsarahealthsupport@thepause.ai with the subject line “Arbitration Opt-Out” within thirty (30) days after the date you first enroll (or, for existing members, within thirty (30) days after the effective date of these Terms). The notice must include your name, the email address on your account, and a clear statement that you wish to opt out of arbitration. Opting out does not affect any other provision of these Terms, including the informal resolution and mediation requirements and the class action waiver, and does not affect your membership or benefits.

11.10 Exceptions. Notwithstanding the foregoing, either party may (a) bring an individual claim in small claims court in Maricopa County, Arizona if the claim qualifies and remains in that court; (b) seek temporary or preliminary injunctive relief in court to preserve the status quo or protect confidential information or intellectual property pending arbitration; and (c) file a complaint with the Arizona Board of Nursing, the Arizona Medical Board, the Arizona Attorney General, or any other regulatory body. Nothing in this Section limits any right you have under Arizona consumer protection law that cannot be waived by agreement.

11.11 Venue for non-arbitrable matters. To the extent any Dispute is not subject to arbitration, the parties consent to the exclusive jurisdiction and venue of the state courts located in Maricopa County, Arizona and the United States District Court for the District of Arizona, and waive any objection based on inconvenient forum.

11.12 Confidentiality. The parties shall keep the existence, content, and result of any mediation or arbitration confidential, except as necessary to enforce or challenge an award, to comply with law or a regulatory request, or to consult legal, tax, or financial advisers. Nothing in this clause restricts you from communicating with a regulator or from making truthful statements required by law.

11.13 Time limit on claims. To the extent permitted by law, any Dispute must be commenced by delivery of a Notice of Dispute within one (1) year after the claim accrues; otherwise it is permanently barred. This clause does not shorten any limitation period that Arizona law does not permit the parties to shorten.

11.14 Severability and survival. Except as provided in Section 11.7, if any part of this Section 11 is found unenforceable, that part shall be severed and the remainder enforced. This Section survives cancellation, termination, or expiration of your membership and these Terms.

11.15 Changes to this Section. Amsara Health will give you at least thirty (30) days’ written notice of any material change to this Section 11. Changes do not apply to a Dispute for which a Notice of Dispute was delivered before the change took effect. If you do not agree to a change, you may reject it by written notice within thirty (30) days, in which case the prior version continues to govern Disputes between you and Amsara Health.

Questions about your membership? Contact us at amsarahealthsupport@thepause.ai.

Amsara Health · 4250 N Drinkwater Blvd, Suite 300, Scottsdale, AZ 85251 · amsarahealth.com