Savannah River Advanced Surgery PC

Terms of Service

Effective Date: August 27, 2026 Last Updated: August 27, 2026

1. Introduction and Scope

These Terms of Service (the "Terms") are a legal agreement between you and Savannah River Advanced Surgery PC, a Georgia professional corporation ("SRAS PC," "we," "us," or "our"), governing your use of:

the website savannahriversurgery.com;
the website leandreamsweightloss.com;
any patient portal, mobile application, scheduling tool, secure messaging feature, or online store we make available through those websites (together with the websites, the "Sites"); and
the clinical and non-clinical services we make available through the Sites, including in-person surgical and general surgery care and the virtual medical weight management program we operate under the brand name LeanDreams (the "LeanDreams Program").

We refer to all of the above collectively as the "Services."

LeanDreams is a program and brand name operated by SRAS PC. It is not a separate legal entity, and it does not contract with you independently. Your agreement for care and for program services is with SRAS PC.

Please read these Terms carefully. They include an agreement to resolve most disputes through individual arbitration and a waiver of class actions, with a 30-day right to opt out (Section 29).

2. Acceptance of These Terms

By creating an account, purchasing a membership or program, completing an intake questionnaire, requesting an appointment, or otherwise using the Services, you agree to these Terms and to our Privacy Policy. If you are receiving clinical care, you also acknowledge our Notice of Privacy Practices, which governs how we use and disclose your protected health information.

If you do not agree to these Terms, do not use the Services.

These Terms are not a consent to treatment. Consent to treatment, including consent to telehealth care, is obtained separately in our clinical intake process.

3. Who We Are, and Who Does What

Savannah River Advanced Surgery PC ("SRAS PC") is the licensed medical practice. SRAS PC employs or contracts with the physicians and clinical staff who provide care, is the party that contracts with you for clinical services and program memberships, and is a covered entity under the Health Insurance Portability and Accountability Act of 1996 and its implementing regulations ("HIPAA"). SRAS PC is owned by Juaquito "Jay" M. Jorge, MD, FACS, FASMBS, DABOM, DABS.

Savannah River Practice Management LLC ("SRPM LLC") is a Georgia limited liability company that provides administrative and management services to SRAS PC, including technology, billing and collections support, scheduling, patient communications, and marketing. SRPM LLC does not practice medicine, does not employ or supervise clinicians in the delivery of care, does not direct clinical decision-making, and is not a party to your treatment relationship. To the extent SRPM LLC handles protected health information on our behalf, it does so as a business associate of SRAS PC under a written business associate agreement.

Independent third parties — including compounding and dispensing pharmacies, clinical laboratories, payment processors, shipping carriers, and technology vendors — provide certain goods and services in connection with the Services. They are independently licensed and responsible for their own professional services. We do not control, and are not responsible for, the professional judgment or performance of pharmacies or laboratories.

4. Not for Emergencies

THE SERVICES ARE NOT FOR MEDICAL EMERGENCIES. If you believe you are experiencing a medical emergency, call 911 or go to the nearest emergency department immediately. Do not use the Sites, the patient portal, secure messaging, email, or text messaging to report an emergency. Messages sent through the Services are not monitored continuously and may not be reviewed for some time.

If you are in a mental health crisis or having thoughts of harming yourself, call or text 988 (Suicide and Crisis Lifeline) or call 911.

5. No Physician-Patient Relationship Until a Provider Accepts You

Using the Sites, creating an account, submitting an intake form, or paying a fee does not, by itself, create a physician-patient relationship. A physician-patient relationship is formed only when a licensed provider affiliated with SRAS PC reviews your information and accepts you as a patient.

A provider may decline to accept you, or may decline to prescribe any particular medication or recommend any particular procedure, if in that provider's independent clinical judgment the requested care is not appropriate for you. We will refund program fees you have paid for clinical services that are not delivered because a provider declined to accept you, less any fees for services already rendered (for example, a completed consultation or laboratory testing).

6. Eligibility

To use the Services, you represent that:

You are at least 18 years of age. The LeanDreams Program is not available to anyone under 18.
You are physically located in the United States and in a state where the applicable Services are offered.
You are using the Services for yourself and not on behalf of another person, unless you are a parent or legal guardian of a minor surgical patient or hold a valid legal authority (such as a healthcare power of attorney) that we have verified.
You will provide accurate, current, and complete information, and will keep it updated.
You agree to be bound by these Terms.

Meeting these requirements does not guarantee that you will be accepted as a patient or that any particular service or medication will be offered to you. Providers may apply additional clinical criteria on a case-by-case basis.

7. Where the Services Are Available

Our in-person surgical and general surgery services are provided in Georgia. Our clinicians care for patients from Georgia and South Carolina, including the Augusta, Evans, Aiken, and North Augusta communities.

Telehealth services, including the LeanDreams Program, are available only in states where our providers are licensed and where the services may lawfully be delivered. Availability may change. We may add or discontinue availability in any state at any time without prior notice.

8. Accounts, Registration, and Security

You may need an account to use parts of the Services. You agree to:

provide accurate and complete registration information, including a valid email address, telephone number, and mailing address, and promptly update it when it changes;
keep your username and password confidential and not share them with anyone;
maintain only one account;
log out at the end of each session, and safeguard any mobile device on which you access the Services;
promptly change your password if you believe it has been compromised; and
notify us immediately at customer@leandreamsweightloss.com if you learn of any unauthorized use of your account or any other security incident involving the Services.

You are responsible for all activity that occurs under your account. Because we cannot independently verify all of the information you give us, we are not responsible for consequences arising from information you provide that is inaccurate or incomplete. If information in your account is materially inaccurate or incomplete, or we reasonably suspect that it is, we may suspend or terminate your account and your use of the Services.

Access to the Services depends on your own compatible device, internet connection, and software. You are responsible for the costs of those.

We do not guarantee that the Sites will be available at all times. Access may be interrupted for maintenance, upgrades, or reasons outside our control.

9. Telehealth

Telehealth is the delivery of health care using electronic communications and information technology when the patient and the provider are in different locations. Telehealth offers real benefits, including convenience and improved access, and it also has limitations and risks, including the possibility that a provider cannot perform a physical examination, that information transmitted may be insufficient for good decision-making, that technology may fail or delay care, and that, despite reasonable safeguards, electronic transmission of health information could be intercepted.

Before receiving telehealth care, you will be asked to review and sign a separate Telehealth Informed Consent. That consent, not these Terms, governs your consent to telehealth treatment. You may withdraw your consent to telehealth at any time without affecting your right to future in-person care.

Some conditions cannot be safely evaluated or treated by telehealth. Your provider may require in-person evaluation, laboratory testing, or referral, and may decline to continue telehealth care if it is not clinically appropriate.

10. Independent Medical Judgment

All clinical decisions are made by licensed providers exercising their own independent professional judgment. Neither SRPM LLC nor any technology vendor, pharmacy, or laboratory directs or influences those decisions. Nothing on the Sites, including educational content, program descriptions, or marketing materials, is medical advice, and no content on the Sites should be used as a substitute for an evaluation by a qualified clinician.

Our providers are not obligated to prescribe any medication, order any test, or perform any procedure that they judge to be clinically inappropriate.

11. Medications, Including Compounded GLP-1 Medications; No Guarantee of Results

If a provider determines that medication is appropriate for you, that medication may include a compounded formulation of a GLP-1 or dual-agonist medication such as semaglutide or tirzepatide. You acknowledge and agree that:

Compounded medications are not FDA-approved products. They are not reviewed by the U.S. Food and Drug Administration for safety, effectiveness, or manufacturing quality. They are prepared by state-licensed compounding pharmacies for an identified patient pursuant to a valid prescription.
Compounded formulations may differ from commercially available brand-name products in concentration, inactive ingredients, packaging, storage requirements, and labeling.
Availability of compounded formulations may change based on regulatory developments and drug-shortage status, and a change in availability may require a change in your treatment plan or a transition to a different product at a different price.
All medications carry risks, including side effects that can be serious. You should review the information your provider and the dispensing pharmacy give you, ask questions, and report side effects promptly.
Individual results vary. Weight loss and other health outcomes depend on many factors, including adherence, diet, physical activity, medical history, and individual biology. We do not guarantee any specific amount of weight loss or any other clinical outcome. Any results described on the Sites, in testimonials, or in advertising are individual experiences and are not a promise or prediction of your results.
Medications prescribed to you are for your use only. Never share prescription medication with another person.
Prescription products cannot be returned for reuse or resale, and all sales of prescription products are final. If you believe an error was made in filling your prescription, contact us immediately at customer@leandreamsweightloss.com or 202-430-5326.

Not all prescriptions dispensed by pharmacies are packaged in child-resistant containers. Store all medications safely and out of the reach of children.

12. Pharmacy Services

SRAS PC is not a pharmacy and does not dispense medication. If a provider writes you a prescription, we may coordinate the transmission of that prescription to a contracted compounding or dispensing pharmacy licensed in the state where you are located, and we may coordinate dispensing and shipment to you. Your prescription may be filled by, or transferred among, our contracted pharmacies, and you authorize us to take those actions on your behalf.

Each pharmacy is independently licensed and solely responsible for its own professional services, including compounding, labeling, dispensing, counseling, and shipping. You may instead choose to have any prescription filled at a pharmacy of your choice; in that case you are responsible for obtaining the medication and paying that pharmacy directly, and the price may differ from the price available through our program.

Contracted pharmacies and laboratories are intended third-party beneficiaries of Sections 11, 12, 13, 27, and 28 of these Terms.

13. Laboratory Products and Services

Some programs include or require laboratory testing. Laboratory services are performed by independent, licensed clinical laboratories. Where laboratory testing is included in a program, its cost is included in the total amount charged to you. Where it is not included, you are responsible for the laboratory's charges. Laboratory results are reviewed by your provider and become part of your medical record.

14. Memberships and Programs

Basic Membership. When you enroll in the LeanDreams Program, you are enrolled as a "Basic Member" in addition to any specific program you select. Basic Membership includes access to the Sites, customer support, pharmacy and clinical care coordination, health information management, and access to clinical support for questions about your prescriptions or care.

Medication programs. Medication programs are offered for defined terms and are priced by dose. Current programs, terms, and dose pricing are shown on our store at the time of purchase.

12-Week Executive Transformation Program. The 12-Week Executive Transformation Program is a fixed 12-week program that includes all program medications at all clinically indicated dosages for the duration of the program term. Because all clinically indicated dosages are included, the dose-change price adjustment described in Section 15 does not apply to this program. Dosage decisions within the program remain clinical decisions made by your care team with your agreement.

Program contents, inclusions, and pricing may change for future enrollments. Changes do not affect a program term you have already purchased, except as required by law or by a change in medication availability.

15. Fees, Pricing, and Payment

You pay a single total price. For subscription programs that include a provider consultation and a prescription, the total price you pay is made up of the amount charged for program and platform services, the amount charged by the pharmacy for the prescription, and the amount charged for the provider's professional services. Amounts attributable to pharmacies are collected on their behalf and remitted to them.

Authorization to charge. By providing a payment method and submitting an order or enrollment, you represent that you are authorized to use that payment method and you authorize us and our third-party payment processors to charge it for all amounts due, including applicable taxes and any shipping and handling charges. If a payment method is declined, we may reattempt processing. Our payment processors may receive updated card information from your card issuer, and you agree that we may use updated information for future charges. We and our providers have no obligation to deliver services until payment has been received and verified.

Prices and taxes. Prices are subject to change without notice, except that the price of an order we have already accepted will not change after acceptance. Prices for compounded medications may change with market and supply conditions. You are responsible for applicable sales, use, and similar taxes and fees; we will collect them where we are required to do so and will show an estimate at checkout, and the final amount may differ from the estimate.

Dose changes during a program term. If your clinician determines during your program term that a change in dose is medically appropriate, and you agree to that change, your pricing is adjusted as follows:

For the remainder of your current program term, you pay the prorated difference between your original dose and your new dose, based on the current monthly rate for each.
When your current term ends, you begin a new full program term at your new dose and its corresponding price.

Example: a patient on a three-month tirzepatide program at 2.5 mg who moves to 5 mg after the second month pays the difference between the 2.5 mg and 5 mg monthly rates for the third month, and then begins a new three-month program at the 5 mg price.

Dose changes are clinical decisions made by your care team with your agreement. They are never automatic and are never required in order to continue in the program. Current dose pricing is always available on our store. As noted in Section 14, this adjustment does not apply to the 12-Week Executive Transformation Program.

Product availability and order errors. Products are subject to availability, and we may limit quantities or decline any order or part of an order. If a pricing or description error occurs, we may correct it by revising your order, including adjusting the price, or by cancelling the order and refunding any amount already charged.

Shipping. You agree to pay shipping and handling charges shown at the time of purchase. Estimated delivery dates are not guaranteed. Unless we state otherwise, risk of loss or damage passes to you when we deliver the items to the carrier.

Surgical and in-person services. Fees for surgical consultations, procedures, and other in-person services are quoted separately and are not part of the LeanDreams Program subscription. Facility, anesthesia, pathology, radiology, and other services provided by third parties are billed separately by those parties, and their fees are not included in any amount you pay us. Where in-person services are billed to insurance, the applicable financial responsibility, assignment of benefits, and billing terms are set out in the practice's separate patient financial policy.

16. Subscriptions and Automatic Renewal

PLEASE READ THIS SECTION CAREFULLY. IT DESCRIBES A RECURRING CHARGE THAT WILL CONTINUE UNTIL YOU CANCEL.

Many products and services are sold on an automatically renewing subscription basis. The amount charged depends on the membership or program you select. Your payment method will be charged automatically at the intervals described for that product or service until you cancel.

Your subscription will automatically renew for another subscription period unless you cancel at least thirty (30) days before the applicable renewal processing date. We may, but are not required to, contact you to request updated information or to remind you of an upcoming renewal.

If your card expires or a payment cannot be processed, we may notify you and ask for an alternative payment method. Services may be paused or suspended until payment is resolved.

You may also ask us to pause your subscription for a specified period. Pauses are granted at our discretion and are subject to clinical appropriateness.

17. Cancellation and Refunds

How to cancel. You may cancel a subscription at any time by emailing customer@leandreamsweightloss.com or calling 202-430-5326. Cancellation takes effect at the end of your current subscription period. To avoid the next renewal charge, you must cancel at least thirty (30) days before the renewal processing date.

First-month refund. If you cancel your membership subscription within 30 days of initial enrollment, you are eligible for a full refund of your first month's fee. If you take that refund, your access to the membership ends immediately. "Initial enrollment" means the first time you sign up for the LeanDreams Program.

After 30 days. If you cancel more than 30 days after initial enrollment, you are not eligible for a refund, but you retain access to the program for the remainder of the period you have paid for.

Other refunds. Except as described above, and except where a refund is required by law, sales are final and we do not offer refunds, returns, or exchanges for products, including prescription products. We may grant refunds outside these Terms on a case-by-case basis in our discretion.

Reactivation. If you cancel while you have an active prescription on file, you may reactivate your membership by paying an amount equal to one month's fee for your previous plan. The reactivation fee and the new subscription fee are charged at the same time.

Termination of care. Cancelling a subscription ends your program membership. It does not, by itself, terminate a physician-patient relationship or affect your right to obtain copies of your medical records. If we or your provider need to end a treatment relationship, we will follow applicable professional standards for notice and for continuity of care.

18. Cash-Pay, Out-of-Network Model for the LeanDreams Program

The LeanDreams Program is a cash-pay program. SRAS PC and its providers are out-of-network for the LeanDreams Program and do not contract with, and do not bill, commercial health plans, Medicare, Medicaid, TRICARE, or any other federal or state healthcare program for program services or products.

By enrolling, you acknowledge and agree that:

You are choosing to obtain these services and products on a cash basis, outside of any insurance or federal or state healthcare program benefit.
You are solely responsible for all program fees, including amounts attributable to provider services, pharmacy products, and laboratory testing.
Neither you nor we, nor any contracted pharmacy, laboratory, or provider, will submit a claim to any federal or state healthcare program for the cost of services or products furnished through the LeanDreams Program.
Amounts you pay for the LeanDreams Program generally do not count toward any insurance deductible or out-of-pocket maximum.

This section applies to the LeanDreams Program. Surgical and other in-person services may be billed to insurance where applicable, subject to the practice's separate patient financial policy.

19. Electronic Communications, Email, and Text Messaging

By providing your email address and telephone number, you consent to receive communications from us electronically, including service, appointment, clinical, billing, and administrative messages, by email, telephone, secure portal message, and text message. Electronic communications satisfy any legal requirement that a communication be in writing.

SMS consent. By providing your mobile telephone number and opting in, you give your express written consent to receive text messages from SRAS PC and the LeanDreams Program at that number, including messages sent using an automatic telephone dialing system or other automated technology, for appointment reminders, care coordination, refill and shipment updates, billing notices, and — where you have separately opted in to marketing — promotional messages.

Consent is not a condition of purchase of any goods or services, and it is not a condition of receiving care.
Message frequency varies.
Message and data rates may apply.
Reply STOP to any message to opt out of further text messages. Reply HELP for help, or contact us at customer@leandreamsweightloss.com or 202-430-5326.
Carriers are not liable for delayed or undelivered messages.
Supported carriers may change without notice.
Opting out of text messages may affect our ability to reach you about appointments, refills, and shipments. You may still receive transactional communications by email, telephone, or mail.

Email marketing. You may unsubscribe from marketing email at any time using the unsubscribe link in any marketing message, or by contacting us. You will continue to receive non-marketing messages about your care and your account.

Security limits of email and text. Email and standard text messaging are not fully secure. Do not send detailed health information by unencrypted email or text. Use the patient portal or secure messaging for clinical information whenever possible. If you choose to communicate with us by unencrypted email or text after being informed of this risk, you accept that risk.

20. Privacy and Protected Health Information

SRAS PC is a covered entity under HIPAA. Health information we create, receive, maintain, or transmit about you in connection with providing or paying for your care is protected health information, and our uses and disclosures of it are governed by HIPAA, by applicable Georgia and South Carolina law, and by our Notice of Privacy Practices.

Our Privacy Policy describes how we handle information collected through the Sites that is not protected health information, including website visitor data, cookies, analytics, and advertising technologies.

If the Privacy Policy and the Notice of Privacy Practices conflict with respect to protected health information, the Notice of Privacy Practices controls. If either document conflicts with these Terms with respect to the handling of health information, the Notice of Privacy Practices and Privacy Policy control as to their subject matter.

Vendors that create, receive, maintain, or transmit protected health information on our behalf — including SRPM LLC — do so as business associates under written business associate agreements.

21. Acceptable Use

You agree not to, and not to help or permit anyone else to:

use the Services for any unlawful purpose or in violation of any applicable law or regulation;
transmit through the Services any unlawful, infringing, harmful, harassing, defamatory, threatening, hateful, or otherwise objectionable material, or any unsolicited advertising, solicitation, or promotional material;
misrepresent your identity or affiliation, or use the Services for or as any person other than yourself except as expressly permitted in Section 6;
share, sell, or disclose your username or password, permit anyone else to use your account, create more than one account, or use anyone else's account;
collect or disclose information about other users of the Services;
reverse engineer, disassemble, or decompile any part of the Services, or attempt to do so;
gain or attempt to gain unauthorized access to the Services, to other users' accounts or information, or to any connected network or system, or circumvent any security or technological protection measure;
use any robot, spider, scraper, or other automated system or process to access, monitor, or copy the Services, or send more requests to our servers in a given period than a person could reasonably produce using a conventional browser;
introduce any virus, worm, spyware, Trojan horse, or other harmful code, or take any action that could damage, disable, overburden, or impair the Services;
alter, modify, or remove any content, trademark, warranty, disclaimer, or proprietary notice on the Services;
license, sublicense, sell, resell, transfer, assign, distribute, frame, co-brand, or otherwise commercially exploit any part of the Services, or use the Services to build or improve a competing product or service;
capture, record, screenshot, share, or retain any video or audio of a clinical encounter, or any image of another patient or of our staff, without our prior written permission; or
access the Services from a mobile device on which the manufacturer-approved operating system has been modified or "jailbroken." Doing so may defeat security features that protect your health information and is a material breach of these Terms.

We may investigate and take appropriate action, including suspending or terminating your account and reporting conduct to law enforcement.

22. Intellectual Property and Limited License

The Sites and their content — including text, graphics, photographs, video, audio, logos, program names, page layout, look and feel, software, and the selection and arrangement of content — are owned by SRAS PC or its licensors and are protected by copyright, trademark, and other laws. LeanDreams, Lean Dreams Weight Loss, Savannah River Advanced Surgery, and associated logos are marks of SRAS PC or its affiliates.

We grant you a limited, personal, non-exclusive, non-transferable, revocable license to access and use the Sites and their content for your own personal, non-commercial purposes during any period in which you are an enrolled member or an active patient, subject to these Terms. You may download or print materials for your own non-commercial use. All other rights are reserved.

You may not use any of our names, marks, or logos in advertising, publicity, or in any way suggesting sponsorship or affiliation without our prior written permission. Nothing on the Sites grants any license or right to use any trademark by implication, estoppel, or waiver.

If you send us suggestions, ideas, or other feedback about the Services, you grant us a perpetual, irrevocable, royalty-free license to use it for any purpose without obligation to you. Do not send us confidential information or health information as "feedback."

Patient testimonials, photographs, and video. We will not use your name, image, photograph, video, or testimonial in marketing without your separate signed written authorization, which you may revoke in writing at any time as described in our Notice of Privacy Practices.

23. Third-Party Goods, Services, and Links

Goods and services furnished by pharmacies, laboratories, carriers, payment processors, and other third parties are "Third-Party Goods and Services." Those parties are solely responsible for their own goods and services. The Sites may also link to third-party websites and resources that we do not control. We provide links for convenience only and do not endorse and are not responsible for third-party content, products, services, or privacy practices. Your dealings with third parties are between you and them.

24. Changes to the Services and to These Terms

We may add, change, suspend, or discontinue any part of the Services at any time, with or without notice. We may also modify these Terms. If we make a material change, we will post the updated Terms with a new "Last Updated" date and, where required by law or where the change materially affects your subscription, provide notice by email or through the Sites. Changes are effective when posted unless we say otherwise. Your continued use of the Services after a change takes effect means you accept the updated Terms. Changes will not apply retroactively to a dispute of which we already had notice.

25. Suspension and Termination

We may suspend or terminate your account, membership, or access to the Services at any time if you breach these Terms, if we suspect fraudulent, abusive, or unlawful activity, if continued service is not clinically appropriate, if payment fails, or if we discontinue the Services. You may stop using the Services at any time and may cancel as described in Section 17.

On termination, your license under Section 22 ends. Sections 3, 11, 12, 13, 15, 18, 20, 22, 26, 27, 28, 29, and 31 survive termination, along with any other provision that by its nature should survive. Termination does not affect your rights as a patient to your medical records or to appropriate continuity of care.

26. DISCLAIMER OF WARRANTIES

EXCEPT AS EXPRESSLY STATED IN THESE TERMS, AND EXCEPT AS PROVIDED IN SECTION 27.3, THE SITES AND THE NON-CLINICAL PORTIONS OF THE SERVICES ARE PROVIDED "AS IS" AND "AS AVAILABLE," WITHOUT WARRANTIES OF ANY KIND, WHETHER EXPRESS, IMPLIED, OR STATUTORY. TO THE FULLEST EXTENT PERMITTED BY LAW, WE DISCLAIM ALL IMPLIED WARRANTIES, INCLUDING IMPLIED WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, TITLE, AND NON-INFRINGEMENT.

WE DO NOT WARRANT THAT THE SITES WILL BE UNINTERRUPTED, TIMELY, SECURE, OR ERROR-FREE, THAT DEFECTS WILL BE CORRECTED, OR THAT THE SITES ARE FREE OF VIRUSES OR OTHER HARMFUL COMPONENTS. WE DO NOT WARRANT THE PERFORMANCE OF THIRD-PARTY GOODS AND SERVICES, INCLUDING THOSE OF PHARMACIES, LABORATORIES, AND CARRIERS.

WE DO NOT GUARANTEE ANY PARTICULAR HEALTH OUTCOME, ANY AMOUNT OF WEIGHT LOSS, OR THE AVAILABILITY OF ANY PARTICULAR MEDICATION OR DOSAGE.

NOTHING IN THIS SECTION LIMITS OR DISCLAIMS ANY DUTY OF CARE OWED TO YOU BY A LICENSED HEALTHCARE PROVIDER, OR ANY WARRANTY THAT CANNOT BE DISCLAIMED UNDER APPLICABLE LAW. SOME JURISDICTIONS DO NOT ALLOW CERTAIN DISCLAIMERS, SO SOME OF THE ABOVE MAY NOT APPLY TO YOU.

27. LIMITATION OF LIABILITY

27.1 Excluded damages. TO THE FULLEST EXTENT PERMITTED BY LAW, AND SUBJECT TO SECTION 27.3, NEITHER SRAS PC NOR SRPM LLC NOR THEIR RESPECTIVE OWNERS, OFFICERS, EMPLOYEES, CONTRACTORS, OR AGENTS WILL BE LIABLE FOR ANY INDIRECT, INCIDENTAL, SPECIAL, CONSEQUENTIAL, EXEMPLARY, OR PUNITIVE DAMAGES, OR FOR LOST PROFITS, LOST DATA, OR BUSINESS INTERRUPTION, ARISING OUT OF OR RELATING TO YOUR USE OF THE SITES OR THE NON-CLINICAL PORTIONS OF THE SERVICES, EVEN IF WE HAVE BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES.

27.2 Cap. TO THE FULLEST EXTENT PERMITTED BY LAW, AND SUBJECT TO SECTION 27.3, OUR TOTAL AGGREGATE LIABILITY FOR ALL CLAIMS ARISING OUT OF OR RELATING TO THE SITES OR THE NON-CLINICAL PORTIONS OF THE SERVICES WILL NOT EXCEED THE TOTAL AMOUNT OF FEES YOU PAID TO US IN THE TWELVE (12) MONTHS IMMEDIATELY PRECEDING THE EVENT GIVING RISE TO THE CLAIM.

27.3 What this section does NOT limit. THIS SECTION AND SECTION 26 DO NOT APPLY TO, AND DO NOT LIMIT, CAP, WAIVE, OR DISCLAIM, ANY CLAIM FOR PROFESSIONAL MEDICAL NEGLIGENCE OR MEDICAL MALPRACTICE, PERSONAL INJURY, WRONGFUL DEATH, GROSS NEGLIGENCE, WILLFUL MISCONDUCT, OR FRAUD, OR ANY LIABILITY THAT CANNOT BE LIMITED UNDER APPLICABLE LAW. Claims of that kind are governed by the law of the State of Georgia (or other applicable state law), including its standards of care, statutes of limitation and repose, expert-affidavit requirements, and damages rules. WE DO NOT ASK YOU TO WAIVE, AND YOU DO NOT WAIVE, ANY RIGHT TO PURSUE SUCH A CLAIM.

27.4 Allocation of risk. The limitations in Sections 26 and 27.1–27.2 reflect a reasonable allocation of risk for the non-clinical, technology, e-commerce, and administrative aspects of the Services and are an essential basis of our agreement. Some jurisdictions do not allow certain limitations, so some of the above may not apply to you.

28. Indemnification and Release

You agree to indemnify, defend, and hold harmless SRAS PC, SRPM LLC, and their respective owners, officers, employees, contractors, and agents, and our contracted pharmacies and laboratories and their respective officers, employees, and agents, from and against any third-party claims, demands, losses, liabilities, damages, costs, and expenses (including reasonable attorneys' fees) arising out of or relating to: (a) your breach of these Terms; (b) your misuse of the Services; (c) information you provide that is inaccurate or incomplete; (d) your sharing, resale, or transfer of medication prescribed to you; or (e) your violation of any law or of the rights of a third party.

If a dispute arises between you and any other user, pharmacy, laboratory, carrier, payment processor, or other third party, we have no obligation to become involved. To the fullest extent permitted by law, you release us and the parties listed above from claims and damages of every kind arising out of such disputes. This release does not apply to any claim described in Section 27.3.

29. Governing Law; Dispute Resolution; Arbitration; Class-Action Waiver

PLEASE READ THIS SECTION CAREFULLY. IT AFFECTS HOW DISPUTES BETWEEN US ARE RESOLVED AND LIMITS YOUR ABILITY TO PARTICIPATE IN A CLASS ACTION. IT INCLUDES A 30-DAY RIGHT TO OPT OUT OF ARBITRATION.

29.1 Governing law. These Terms and any dispute arising out of or relating to them or to the Services are governed by the laws of the State of Georgia, without regard to its conflict-of-laws rules, except that the Federal Arbitration Act governs the interpretation and enforcement of the arbitration agreement in this Section. Nothing in this Section changes the substantive law that applies to a claim for professional medical negligence, personal injury, or wrongful death, or the venue rules that apply to such a claim.

29.2 Informal resolution first. Before starting an arbitration or a court proceeding, you agree to contact us in writing at the address in Section 32 and describe the dispute and the relief you seek, and to give us sixty (60) days to try to resolve it informally. We will do the same before initiating a proceeding against you. This step is a condition to starting a proceeding, and it does not shorten any applicable limitations period.

29.3 Agreement to arbitrate. IF WE CANNOT RESOLVE A DISPUTE INFORMALLY, YOU AND WE AGREE THAT ANY DISPUTE, CLAIM, OR CONTROVERSY ARISING OUT OF OR RELATING TO THESE TERMS, THE SITES, OR THE NON-CLINICAL, COMMERCIAL, BILLING, SUBSCRIPTION, ADVERTISING, OR TECHNOLOGY ASPECTS OF THE SERVICES WILL BE RESOLVED BY BINDING INDIVIDUAL ARBITRATION administered by the American Arbitration Association under its Consumer Arbitration Rules then in effect. The arbitration will be seated in Augusta, Georgia, and may be conducted by document submission, telephone, or videoconference where the AAA rules permit. The arbitrator may award any relief a court could award on an individual basis. Judgment on the award may be entered in any court of competent jurisdiction. We will pay filing and arbitration fees to the extent required by the AAA Consumer Arbitration Rules.

29.4 Claims not subject to arbitration. This arbitration agreement does not apply to: (a) any claim for professional medical negligence or medical malpractice, personal injury, or wrongful death; (b) any claim that may be brought in small-claims court, so long as it remains an individual claim in that court; or (c) a request for temporary or preliminary injunctive relief to protect intellectual property or account security, which either party may seek from a court.

29.5 CLASS-ACTION AND JURY-TRIAL WAIVER. TO THE FULLEST EXTENT PERMITTED BY LAW, YOU AND WE EACH AGREE THAT ARBITRABLE DISPUTES WILL BE BROUGHT ONLY IN AN INDIVIDUAL CAPACITY, AND NOT AS A PLAINTIFF OR CLASS MEMBER IN ANY CLASS, COLLECTIVE, CONSOLIDATED, OR REPRESENTATIVE PROCEEDING. THE ARBITRATOR MAY NOT CONSOLIDATE CLAIMS OR PRESIDE OVER ANY CLASS OR REPRESENTATIVE PROCEEDING. FOR ARBITRABLE DISPUTES, YOU AND WE EACH WAIVE THE RIGHT TO A TRIAL BY JURY. If this paragraph is found unenforceable as to a particular claim or remedy, that claim or remedy will be severed and heard in court, and the remainder will be arbitrated.

29.6 YOUR RIGHT TO OPT OUT OF ARBITRATION. YOU MAY OPT OUT OF THIS ARBITRATION AGREEMENT AND THE CLASS-ACTION WAIVER BY SENDING WRITTEN NOTICE WITHIN THIRTY (30) DAYS after you first accept these Terms (or, if we later materially amend this Section, within 30 days after that amendment takes effect). Send your notice to Savannah River Advanced Surgery PC, Attn: Legal, 1109 Medical Center Dr., Building 3, Augusta, GA 30909, or by email to customer@leandreamsweightloss.com with the subject line "Arbitration Opt-Out," and include your full name, the email address on your account, and a statement that you are opting out of arbitration. Opting out will not affect your access to the Services or your care in any way.

29.7 Court venue. For any dispute that is not subject to arbitration, or if you validly opt out, you and we agree to the exclusive jurisdiction and venue of the state courts located in Richmond County or Columbia County, Georgia, or the United States District Court for the Southern District of Georgia, Augusta Division, and each party consents to personal jurisdiction there. This venue provision does not apply to any claim described in Section 29.4(a), which is governed by the venue rules applicable to such claims.

29.8 Time limit. Except for claims described in Section 29.4(a) and except where a longer period is required by law, any claim arising out of or relating to these Terms or the non-clinical aspects of the Services must be brought within one (1) year after the claim arises, or it is permanently barred.

30. Copyright Complaints

If you believe content on the Sites infringes your copyright, send a notice with the information required by the Digital Millennium Copyright Act — identification of the work, identification of the allegedly infringing material and its location, your contact information, a statement of good-faith belief, a statement that the information is accurate, a statement under penalty of perjury that you are authorized to act for the owner, and your signature — to our designated agent at Savannah River Advanced Surgery PC, Attn: Copyright Agent, 1109 Medical Center Dr., Building 3, Augusta, GA 30909, or customer@leandreamsweightloss.com. We may remove or disable access to allegedly infringing material and terminate repeat infringers.

31. Miscellaneous

Entire agreement. These Terms, together with the Privacy Policy and, for clinical care, the Notice of Privacy Practices, applicable consent forms, and the patient financial policy, are the entire agreement between you and us regarding the Services, and supersede any prior terms, including any prior terms and conditions previously posted on leandreamsweightloss.com.

Order of precedence. If these Terms conflict with a signed consent form or the patient financial policy as to clinical care or billing for in-person services, the signed document controls. As to protected health information, the Notice of Privacy Practices controls.

Severability. If any provision is held unenforceable, it will be limited or severed to the minimum extent necessary, and the remaining provisions will remain in full force.

No waiver. Our failure to enforce any provision is not a waiver of it.

Assignment. You may not assign these Terms without our written consent. We may assign these Terms in connection with a reorganization, merger, sale of assets, or similar transaction, subject to applicable law governing patient records and health information.

Third-party beneficiaries. Except as stated in Section 12, there are no third-party beneficiaries of these Terms.

No agency. Nothing in these Terms creates any partnership, joint venture, employment, or agency relationship between you and us. SRPM LLC is an independent management company and is not your provider.

Force majeure. Neither party is liable for delay or failure to perform non-clinical obligations due to causes beyond its reasonable control, including natural disasters, utility or network failures, labor disputes, epidemics, drug shortages, regulatory action, or acts of government.

Headings. Headings are for convenience only and do not affect interpretation.

32. How to Contact Us

Savannah River Advanced Surgery PC 1109 Medical Center Dr., Building 3 Augusta, GA 30909 Phone: 803-220-1716 Fax: (706) 739-4728

LeanDreams Program support — account, billing, cancellation, and prescription questions Email: customer@leandreamsweightloss.com Phone: 202-430-5326

Privacy Officer — privacy questions, records requests, and privacy complaints Michael Whitmer Email: ops@leandreamsweightloss.com