PLUMP MEDICAL SPA INC.
Patient Terms & Conditions Agreement
Effective Date: January 1, 2026
4667 MacArthur Blvd, Suite 310 · Newport Beach, CA 92660 · (949) 568-7544
This Agreement governs all services, transactions, and interactions with Plump Medical Spa Inc.
1. AGREEMENT TO TERMS
By receiving services from Plump Medical Spa Inc. ("Clinic"), you represent, warrant, and agree that:
You are at least eighteen (18) years of age.
You are legally capable of entering into a binding agreement.
You have read, understood, and agree to all terms outlined herein.
These Terms apply to all services, purchases, memberships, packages, and interactions with the Clinic.
The Clinic reserves the right to update these Terms at any time with reasonable notice. Continued use of services following notice of any update constitutes acceptance of the revised Terms.
2. SERVICES
Plump Medical Spa Inc. provides elective medical and aesthetic treatments, including but not limited to injectables, laser procedures, energy-based skin treatments, body contouring, and wellness services.
All treatments provided by the Clinic are elective and not medically necessary. The Clinic makes no guarantee of specific results. Individual outcomes vary based on patient anatomy, health status, compliance with aftercare instructions, and other factors outside the Clinic's control.
Note: Procedure-specific informed consent forms are required for all clinical treatments and are provided separately from this Agreement.
3. ELECTRONIC CONSENT & SIGNATURES
You agree that electronic signatures, initials, and electronic acknowledgments are valid and legally binding to the same extent as original handwritten signatures under:
The Electronic Signatures in Global and National Commerce Act (ESIGN), 15 U.S.C. § 7001 et seq.
The Uniform Electronic Transactions Act (UETA), as adopted in California.
California Civil Code § 1633 et seq.
Electronic acceptance of this Agreement — including acceptance via checkbox, click-through, or digital signature — constitutes a legally binding agreement between you and the Clinic.
4. PAYMENT & FINANCIAL RESPONSIBILITY
4.1 Payment
Payment is due in full at the time of service unless otherwise specified in a separate written financing arrangement approved by the Clinic. Accepted payment methods include those approved by the Clinic at the time of service, which may include third-party financing through Cherry Financing or CareCredit. Financing arrangements are governed by the terms of the applicable third-party provider and are independent of this Agreement.
4.2 Refund Policy
The following items are non-refundable under all circumstances:
Services already rendered.
Prepaid services, treatment packages, and promotions.
Membership fees once a billing cycle has commenced.
Reservation deposits and booking fees.
Exceptions may be made solely at the Clinic's discretion or as required by applicable California law. No exception creates a general right of refund.
4.3 Billing Disputes & Chargebacks
You agree to contact the Clinic directly at (949) 568-7544 or info@plumpmedicalspa.com to resolve any billing concern before initiating a credit card dispute, chargeback, or reversal with your financial institution.
If a chargeback, reversal, or payment dispute is initiated without first providing the Clinic a reasonable opportunity to resolve the matter, or if a chargeback is determined to be unwarranted, you agree to the following:
You remain fully responsible for the original outstanding balance.
A chargeback processing fee of $150.00 per dispute will be assessed.
The Clinic reserves the right to pursue collection of any unpaid balance, including through a collections agency or legal proceedings, and you agree to be responsible for reasonable collection costs and attorneys' fees where permitted by California law.
This provision does not limit your rights to dispute billing errors in good faith as provided under the Fair Credit Billing Act (FCBA) or applicable California law.
4.4 Outstanding Balances & Late Fees
Outstanding balances not paid within thirty (30) days of the date due may:
Accrue interest at the maximum rate permitted by California law.
Be subject to a monthly administrative fee of up to $25.00.
Be referred to a third-party collections agency at the Clinic's discretion.
5. CANCELLATION & NO-SHOW POLICY
A minimum of forty-eight (48) hours' notice is required for all cancellations or rescheduling requests. The following consequences apply consistently and without exception:
Late cancellations (less than 48 hours' notice): a cancellation fee of $100.00 will be charged to the card on file.
No-shows (failure to appear without notice): a no-show fee of $100.00 will be charged and the appointment will be forfeited.
Late arrivals: appointments may be shortened or rescheduled at the Clinic's discretion. If rescheduled, the standard cancellation fee applies.
Repeat no-shows (two or more within twelve months): the Clinic reserves the right to require a deposit for all future bookings or to decline future scheduling.
Cancellation fees may be waived in the event of a documented medical emergency at the Clinic's sole discretion.
6. MEDICAL DISCLOSURE & INFORMED CONSENT
You acknowledge and agree that:
All medical and aesthetic treatments carry inherent risks, including but not limited to bruising, swelling, infection, allergic reaction, unsatisfactory cosmetic result, and rare serious complications.
You have fully and accurately disclosed all relevant medical history, current medications (prescription, over-the-counter, herbal, and supplement), known allergies, prior aesthetic treatments, and any relevant health conditions.
Failure to disclose accurate and complete medical information may increase the risk of complications. You accept full responsibility for any complications arising from incomplete or inaccurate disclosure.
You have received, reviewed, and separately executed procedure-specific informed consent forms for each treatment performed.
Your consent to treatment is voluntary and may be withdrawn at any time prior to the commencement of a procedure.
Note: General terms contained in this Agreement do not replace procedure-specific informed consent. Both documents must be reviewed and executed.
7. LIMITATION OF LIABILITY
To the fullest extent permitted under California law, the Clinic's liability is limited as follows:
The Clinic shall not be liable for indirect, incidental, consequential, special, or punitive damages arising out of or related to the provision of elective aesthetic services.
Total liability for any claim arising out of or related to services shall not exceed the total amount paid by you for services rendered in the three (3) calendar months immediately preceding the event giving rise to the claim.
The Clinic is not liable for results, outcomes, or adverse effects arising from your failure to follow pre- or post-procedure instructions provided by the Clinic.
Nothing in this section limits the Clinic's liability where such limitation is prohibited by applicable California or federal law, including liability for gross negligence or willful misconduct.
8. INDEMNIFICATION
You agree to indemnify, defend, and hold harmless Plump Medical Spa Inc., its owner, physicians, providers, clinical staff, administrative staff, contractors, and affiliates from and against any and all claims, demands, losses, liabilities, damages, and expenses (including reasonable attorneys' fees) arising from or related to:
Your failure to disclose accurate or complete medical information.
Your violation of any provision of these Terms.
Your misuse of services or facilities.
Your conduct in connection with the Clinic's services.
9. PHOTOGRAPHY, VIDEO & RECORDING
9.1 Clinical & Operational Use
By receiving services, you consent to photography, video recording, and audio recording for the following purposes without additional consent:
Clinical medical documentation and treatment planning.
Quality assurance and internal staff training.
Legal documentation and risk management.
All such materials remain the exclusive property of Plump Medical Spa Inc. and are maintained as part of your confidential medical record.
9.2 Marketing & Promotional Use
Your image, likeness, or clinical photographs will NOT be used for any marketing, advertising, social media, educational, or promotional purpose without your explicit, separate written consent on the Clinic's Marketing & Media Release Form.
Execution of this Agreement does not constitute consent to any marketing or promotional use of your image or likeness. A separate signed release is required for any such use.
10. PRIVACY & HIPAA
Your personal health information is handled in accordance with:
The Health Insurance Portability and Accountability Act (HIPAA) where applicable.
The California Consumer Privacy Act (CCPA) and California Privacy Rights Act (CPRA).
All other applicable state and federal privacy laws.
The Clinic does not sell your personal information. Information may be shared with third-party service providers strictly as necessary for clinic operations, each of which is subject to appropriate confidentiality obligations.
Patient acknowledges that consultations and treatment visits may be audio recorded using an AI-assisted clinical documentation system for the purpose of accurate medical record-keeping, as further described in the Clinic's Privacy Policy and disclosed in appointment communications.
A full Notice of Privacy Practices (NPP) and Privacy Policy are available at plumpmedicalspa.com or upon request at the front desk.
11. MINORS POLICY
The Clinic does not provide aesthetic or elective medical services to individuals under the age of eighteen (18) without the following:
A parent or legal guardian present in the Clinic at the time of consultation and treatment.
Written informed consent executed by the parent or legal guardian on behalf of the minor.
A separate Minor Patient Consent Form completed and retained on file.
The Clinic reserves the right to decline services to any minor at its discretion, regardless of parental consent.
12. TELEHEALTH & REMOTE CONSULTATIONS
For any services provided via telehealth, virtual consultation, or remote communication (including but not limited to GLP-1 weight loss management consultations), you acknowledge and agree that:
Telehealth services are subject to California telehealth regulations, including Health & Safety Code § 1798.200 et seq.
The Clinic will obtain your verbal or written consent prior to any telehealth encounter.
Telehealth services may have limitations relative to in-person care, including inability to perform physical examination.
You have the right to decline telehealth services and request in-person care at any time.
13. AUDIO RECORDING & AI-ASSISTED DOCUMENTATION
Plump Medical Spa uses an AI-assisted documentation system including audio recording technology during patient consultations and treatment visits for the purpose of accurate medical note-taking, clinical documentation, and record-keeping. This technology allows Dr. Mortazavi to focus fully on patient care during visits while ensuring that clinical notes are comprehensive and accurate.
I understand and acknowledge that:
Audio recording may occur during my consultation, treatment, or any interaction with Dr. Mortazavi or clinical staff at Plump Medical Spa for the purposes of clinical documentation and medical record-keeping.
Recordings are processed through a secure AI-assisted transcription and note-taking platform and are used solely for the creation and maintenance of my medical record.
Recordings and any transcriptions generated from them are maintained with the same confidentiality standards as all other components of my medical record and are handled in accordance with HIPAA and applicable California privacy law, including California Penal Code Section 632.
Recordings are not shared with third parties except as necessary for the operation of the documentation platform, which is subject to appropriate confidentiality and data security obligations.
Recordings are not used for marketing, advertising, training of publicly available AI models, or any purpose other than clinical documentation without my separate explicit written consent.
I have the right to ask questions about this recording practice before consenting to treatment.
By accepting these Terms and Conditions I voluntarily consent to audio recording during my visits at Plump Medical Spa for the clinical documentation purposes described above.
If I have any questions or concerns about this recording practice I agree to raise them with the Clinic before my visit at (949) 568-7544 or info@plumpmedicalspa.com.
14. BINDING ARBITRATION AGREEMENT
14.1 Agreement to Arbitrate
ANY DISPUTE, CLAIM, OR CONTROVERSY ARISING OUT OF OR RELATING TO SERVICES PROVIDED BY PLUMP MEDICAL SPA INC., INCLUDING BUT NOT LIMITED TO TREATMENTS, BILLING, CONSENT, OR ANY INTERACTION WITH THE CLINIC, SHALL BE RESOLVED EXCLUSIVELY THROUGH FINAL AND BINDING ARBITRATION. THIS AGREEMENT IS GOVERNED BY THE FEDERAL ARBITRATION ACT (FAA), 9 U.S.C. § 1 ET SEQ., AND APPLICABLE CALIFORNIA LAW.
14.2 Delegation Clause
The arbitrator, and not any court or agency, shall have exclusive authority to resolve any dispute relating to the interpretation, applicability, enforceability, or formation of this arbitration agreement, including any claim that all or part of this Agreement is void or voidable.
14.3 Waiver of Jury Trial
BOTH PARTIES KNOWINGLY, VOLUNTARILY, AND INTENTIONALLY WAIVE THE RIGHT TO A JURY TRIAL WITH RESPECT TO ANY DISPUTE COVERED BY THIS AGREEMENT.
14.4 Class Action & Representative Action Waiver
All claims must be brought on an individual basis only. To the fullest extent permitted by applicable law:
No class action lawsuits.
No collective or consolidated actions.
No representative actions, including those brought under California's Private Attorneys General Act (PAGA), except where such waiver is prohibited by law.
14.5 Small Claims Exception
Either party may bring an individual claim in small claims court in Orange County, California, provided the claim qualifies under that court's jurisdictional limits and procedures.
14.6 Arbitration Procedures
Arbitration shall be conducted as follows:
Administered by the American Arbitration Association (AAA) under its Consumer Arbitration Rules, or a mutually agreed alternative arbitration provider.
Location: Orange County, California, or via remote hearing by mutual agreement.
Governing law: State of California.
The arbitrator may award any individual remedy or relief available under applicable law.
The arbitrator's award shall be final, binding, and may be entered as a judgment in any court of competent jurisdiction.
14.7 Costs & Fees
Each party shall bear its own attorneys' fees and costs in connection with arbitration, unless otherwise required by law or the arbitration rules. The Clinic shall pay arbitration filing fees to the extent required by AAA Consumer Arbitration Rules.
14.8 Severability of Arbitration Agreement
If any provision of this arbitration agreement is found to be unenforceable, the remainder shall remain in full force and effect, except as follows: if the class action waiver in Section 14.4 is deemed invalid or unenforceable, the entire arbitration agreement shall be null and void, and the parties shall litigate the dispute in a court of competent jurisdiction.
14.9 Survival
This arbitration agreement survives the completion of services, termination of the patient relationship, and the expiration or termination of this Agreement.
15. GOVERNING LAW & VENUE
This Agreement shall be governed by and construed in accordance with the laws of the State of California, without regard to conflict of law principles.
For any claim or dispute not subject to the arbitration agreement in Section 14, the exclusive venue shall be the state or federal courts located in Orange County, California. Both parties consent to personal jurisdiction in such courts.
16. MISCELLANEOUS
Severability: If any provision of this Agreement is found to be invalid, illegal, or unenforceable, the remaining provisions shall continue in full force and effect.
Waiver: Failure by the Clinic to enforce any provision of this Agreement shall not constitute a waiver of that provision or any other right.
Entire Agreement: These Terms, together with any procedure-specific informed consent forms, the Clinic's Notice of Privacy Practices, Privacy Policy, and any separately executed agreements, constitute the entire agreement between the parties and supersede all prior or contemporaneous representations or agreements.
Amendment: The Clinic reserves the right to modify these Terms with reasonable notice. Material changes will be communicated in writing or via the Clinic's website.
Assignment: You may not assign your rights or obligations under this Agreement without the prior written consent of the Clinic.
PATIENT ACKNOWLEDGMENT
By electronically signing and submitting this Agreement, I confirm that:
I have read this Agreement in its entirety and understand all terms and conditions set forth herein.
I have had a reasonable opportunity to ask questions and seek independent legal advice before accepting.
I agree to all financial responsibilities, cancellation policies, and conditions outlined in this Agreement.
I understand that this Agreement contains a binding arbitration clause and a waiver of my right to a jury trial.
I understand that procedure-specific informed consent forms are required separately for each treatment I receive.
I voluntarily consent to audio recording during my visits for clinical documentation purposes as described in Section 13.
I understand that this Agreement operates alongside the Clinic's Privacy Policy and Notice of Privacy Practices, both of which are available at plumpmedicalspa.com.