1. Medical services
Website content is general information and does not by itself create a clinician-patient relationship. A clinician-patient relationship is established only through a scheduled telehealth encounter or another process recognized by Texas law. Americare Telehealth refill evaluations are scheduled clinical encounters. Audio or video may be used when clinically and legally appropriate; video, testing, records, or an in-person evaluation may be required when necessary. We do not issue prescriptions or refills based on an online questionnaire alone.
2. Eligibility
To use our services you must:
- be at least 18 years old;
- be physically located in Texas at the time of each visit (we do not provide services to patients located outside Texas); and
- provide accurate identity, date of birth, contact, health, pharmacy, and location information.
Telehealth availability also depends on clinical appropriateness and applicable law.
3. Who provides care
Americare Telehealth is physician-led by Nicholas Atudonyang, MD, a physician licensed by the Texas Medical Board. If another appropriately licensed Texas clinician is scheduled to provide your care, we will disclose that clinician's name and professional credentials before care begins. In these Terms, "clinician" means the licensed professional who provides your visit.
4. No emergencies
Americare Telehealth is not an emergency service. Do not use the website, scheduling system, text messaging, or email for an emergency. Call 911 or go to the nearest emergency department for emergency symptoms. For a mental health crisis, call or text 988.
5. No guarantee of diagnosis, treatment, or prescription
Booking or paying for a visit does not guarantee a diagnosis, prescription, refill, laboratory order, referral, work note, or any particular treatment. Clinical decisions remain within the professional judgment of your treating clinician.
6. Refill service limitations
The refill service is limited to selected established, non-controlled maintenance medications when clinically appropriate. Controlled substances and the excluded categories listed on our website are not provided through this service. Before making a prescribing decision, your clinician may require records, laboratory testing, current vital signs, pharmacy or prescription-history verification, a photo of your current prescription label, additional video assessment or an in-person evaluation.
7. Insurance and payment
Where we participate with your health plan (for example, eligible Blue Cross and Blue Shield of Texas PPO plans), the insurance pathway has no $39 upfront payment. We verify coverage before the visit and bill the plan for covered services unless, before your visit, you choose in writing to pay out of pocket and ask us not to bill your plan. Insurance participation does not guarantee that a service will be covered or paid. You are responsible for copays, deductibles, coinsurance, non-covered services, and amounts your plan determines are your responsibility. If coverage cannot be verified, we will contact you before the visit and may offer the $39 self-pay option.
Cash-pay pricing applies when insurance is not used, not available, or you have elected self-pay, and is shown on our website and at booking before you pay.
8. Cancellations and refunds
Our Cancellation & Refund Policy applies to all reviews and visits and is shown before payment (see also our Prescribing & Pharmacy Policy). In short: if you cancel before your clinician begins reviewing your request, any fee you paid is refunded. Once the review begins, the fee is for the clinician's evaluation and is generally not refunded, even if a refill is not medically appropriate.
9. Pharmacy and medication costs
Fees paid to Americare Telehealth are for professional medical services and do not include the cost of medication. Americare Telehealth is not a pharmacy and does not sell, dispense, ship, or deliver prescription drugs. When a prescription is medically appropriate, it is transmitted to the pharmacy selected by the patient. Pharmacy availability, pricing, substitutions, prior authorization requirements, and dispensing decisions are controlled by the pharmacy and your plan.
10. Your responsibilities
You agree to provide accurate information, keep your contact information current, attend scheduled visits, follow reasonable clinical instructions, and not misuse the service to obtain medication fraudulently or for another person.
11. Communications
If you give us a phone number or email address, you agree that we may contact you about scheduling, care coordination, billing, and service-related matters. Message and data rates may apply to text messages. You can stop text messages at any time by replying STOP or telling us. You may ask us to contact you by a different method for confidential communications. Do not send detailed health information by ordinary text or email.
12. Third-party services
We use third-party services for scheduling, telehealth, payment, communications, hosting, and clinical operations. Current scheduling and telehealth workflows may use Google Workspace services, and payments may be processed by Stripe or another processor shown at booking. Their applicable terms may also apply. We do not guarantee uninterrupted availability of our website or third-party services.
13. Intellectual property
Americare Telehealth branding, original website text, graphics, and other proprietary materials may not be copied, republished, or used commercially without permission, except as allowed by law.
14. Educational content
Educational content on our website is not a substitute for individualized medical advice. Do not delay urgent or necessary medical care because of information on the website.
15. Limitation to the extent permitted by law
Nothing in these Terms limits rights or remedies that cannot lawfully be limited, including rights arising from professional medical duties. For non-medical website functions, liability is limited only to the extent permitted by applicable law.
16. Questions and complaints
If you have a concern about our services, please contact us first at 469-951-0477 or info@americaretelehealth.us so we can try to resolve it. You may also contact the Texas Medical Board (physicians) or the Texas Board of Nursing (nurse practitioners):
NOTICE CONCERNING COMPLAINTS
Complaints about physicians, as well as other licensees and registrants of the Texas Medical Board, including physician assistants, acupuncturists, surgical assistants, medical radiologic technologists, non-certified radiologic technicians, respiratory care practitioners, medical physicists, and perfusionists may be reported for investigation at the following address:
Texas Medical Board, Attention: Investigations, 1801 Congress Avenue, Suite 9.200, P.O. Box 2018, Austin, Texas 78768-2018.
Assistance in filing a complaint is available by calling the following telephone number: 1-800-201-9353.
For more information please visit our website at www.tmb.state.tx.us.
AVISO SOBRE LAS QUEJAS
Quejas sobre médicos, así como sobre otros profesionales médicos de la Junta Médica de Texas, incluyendo asistentes médicos profesionales, acupunturistas, asistentes quirúrgicos, tecnólogos médicos en radiología, técnicos radiólogos no certificados, profesionales de cuidados respiratorios, físicos médicos, y perfusionistas se pueden presentar en la siguiente dirección para ser investigadas:
Texas Medical Board, Attention: Investigations, 1801 Congress Avenue, Suite 9.200, P.O. Box 2018, Austin, Texas 78768-2018.
Si necesita ayuda para presentar una queja, llame al: 1-800-201-9353.
Para obtener más información, visite nuestro sitio web en www.tmb.state.tx.us.
Complaints about nurse practitioners
Complaints about nurse practitioners and other nurses may be reported to the Texas Board of Nursing, 1801 Congress Avenue, Suite 10-200, Austin, Texas 78701. Phone: (512) 305-7400 (enforcement: 512-305-6838). Email: complaints@bon.texas.gov. Website: www.bon.texas.gov.
17. Changes
We may update these Terms as our services change. The version posted on the website at the time of use applies, subject to applicable law.
18. Governing law
These Terms are governed by applicable federal law and the laws of the State of Texas, without altering any mandatory patient rights or professional obligations.
19. Contact
MedRefillCare.com by Americare Telehealth
Family Medicine and Research Center, PA
163 Town Pl Suite 68, Fairview, TX 75069
Call: 469-951-0477
Text: 469-951-0477
Email: info@americaretelehealth.us
This website and refill-booking pathway are for telehealth visits. In-person services, if separately offered by the practice, require a separately confirmed appointment.