Informed Consent

General Information
Malla Ventures, Inc., and its affiliates (collectively “Malla”, “we”, “our” or “us”) provides nutrition and dietitian services through its dietitians, nutritionists, and other clinicians and sub-clinical specialists (the “Care Team”). This Agreement describes Malla’s clinical services and programs. It is important for you to read this document and discuss any questions you might have with us.

Our Services and Technology
When you become a member of Malla (a “Member”), you will be given access to the mobile or desktop application of Malla (the “Platform”) and our Care Team. The Platform provides video and messaging access to functional medicine-trained registered dietitians and licensed nutritionists, personalized health plans and content, symptom tracking, access to advanced lab testing, and discounts on Malla products.

Payment and Billing
Each bill for all charges must be paid by the date shown on the bill. By providing us with your credit card information, you are authorizing us to charge your credit card for agreed upon purchases and save your credit card information for future transactions on your account. You agree that all people or companies (third parties) who pay any part of your Malla bill shall pay these amounts directly to Malla.

Telehealth Informed Consent - Risks and Benefits
Your Care team will engage with you via telehealth using voice calls, video calls and messaging services. They may make health recommendations, as needed. Telehealth care is a flexible and convenient way to get healthcare, but it may not be right for treating certain symptoms or illnesses that need an in-person doctor or urgent care visit. If you are having a medical emergency, call 9-1-1 or go to the nearest emergency room.

Laws and protections for in-person health visits also apply to telehealth visits. This includes confidentiality of information, access to health records, and sharing of information that could identify you personally. We will sometimes record telehealth visits including video and voice call visits. However, at the beginning of the visit you may ask that the visit not be recorded. These recordings will be used by us to improve quality and products. However, if you do not wish for your visit to be recorded, please let us know at the beginning of your visit. You have a right to know who is attending each telehealth visit.

Telehealth services are convenient and offer better access to health care. However, as with any health service, there are potential risks associated with using technology. These risks include service problems due to technology or internet failures, not having enough information to make health care decisions, rare security errors, and other risks. You agree to take on the risk for information lost due to technology problems. 

Communications
As part of providing services, we may communicate with you, including for purposes such as appointment reminders and announcements. If you have provided us with a cell phone number and email address, we may send you SMS text messages and emails. Text messages and emails are not always secure because they travel over networks that we do not control.

By signing below and providing us your cell phone number and email address, you permit us to contact you by SMS text message and email. You may also ask us to stop by contacting your Care Team. You understand that you may have to pay data costs to receive SMS text messages that we send to your mobile phone.

Complaint Policy
All Members have the right to communicate grievances regarding their care. Should you wish to make a formal complaint about one of your care providers you may do so in writing and submit the concern to Malla at support@malla.co.

Agreement and Consent
If you have questions about any of the contents of this clinical services agreement, our procedures, or your role in this process, please discuss them with your Care Team. Remember that the best way to assure quality treatment is to keep communication open and direct with your clinician(s).

By signing, you indicate that you have read and understood this document, and that you agree to abide by its terms. Further, you certify that if you are signing as a personal representative of the Member, you have legal authority to provide consent for the treatment of the Member.