Everything we do for you, what it costs, and how we protect your privacy — written in plain language and readable right here on the page. Review it, then sign electronically in minutes.
No legal maze and no PDF to download. Here's exactly what we do, what it costs, and how we protect your privacy — with the complete terms laid out below.
Medical advocacy, care coordination, and liaison support — designed to work alongside your treating team, never to replace it.
Always communicated and agreed before you commit. Your first 30-minute consultation is complimentary.
Your information is protected with HIPAA-conscious safeguards and never sold, rented, or traded.
24+ hours' notice earns a full refund or credit toward a future appointment.
The complete agreement follows below
16 sections written to be read and understood. Sign at the end of the page when you're ready.
Confidential
Legally Binding
Secure & Private
Sections 1–8 · Parties, services, fees, and confidentiality
This Service Agreement (“Agreement”) is entered into between Systems of Care Doc (“we,” “us,” “our”) and the individual or family signing below (“Client,” “you”). It takes effect on the date you electronically sign it and remains in effect until terminated by either party under Section 13.
We provide non-clinical medical advocacy, care coordination, and liaison services. Our role is to help you understand, organize, and navigate the healthcare system — not to replace it. Services may include:
Dr. Tania Mason-Eastmond is a licensed physician; however, the advocacy and coordination services described here are distinct from an ongoing treating physician–patient relationship. Signing this Agreement does not create a physician–patient relationship unless we separately agree to that in writing.
We do not diagnose, prescribe, or provide emergency care under this Agreement. If you are experiencing a medical emergency, call 911 or go to your nearest emergency department immediately.
24+ hours' notice
Full refund or credit toward a future appointment.
Less than 24 hours
A 50% cancellation fee may apply.
No-show
The full consultation fee is charged.
If we reschedule
Full refund or an alternative time at no additional charge.
All information you share with us — before, during, or after a session — is treated as confidential. We comply with applicable privacy laws and maintain HIPAA-conscious safeguards for protected health information. We do not sell, rent, or trade your information. It is shared only with your written authorization, with providers involved in coordinating your care and with your consent, or when required by law. Full details are in our Privacy Policy and HIPAA Notice.
You agree to:
Routine communication may take place by email, phone, or secure messaging. Standard email and text messages are not fully secure channels, so we avoid sending detailed clinical information through unencrypted channels. You may ask us to use a specific method or address for communication at any time.
You retain full control over your healthcare decisions. Our recommendations are advisory. You are free to accept, decline, or seek alternative guidance at any time, and we encourage you to maintain your relationships with your treating providers.
All written materials, summaries, templates, and educational content we provide are the property of Systems of Care Doc and are for your personal use. They may not be reproduced, distributed, or used commercially without our prior written consent.
To the fullest extent permitted by law, Systems of Care Doc, its owner, and its staff shall not be liable for indirect, incidental, consequential, or special damages arising from the use of our services, except as explicitly provided in this Agreement. Our total liability is limited to the fees paid for the specific service giving rise to the claim. Nothing in this Agreement limits rights you may have under applicable law.
Either party may terminate this Agreement with reasonable written notice. Upon termination, we will provide a summary of services rendered and any applicable refunds consistent with our cancellation policy. We may decline or discontinue services if we determine they are not appropriate for the situation or if the working relationship has become untenable.
We may update this Agreement from time to time. The current version will always be available on this page, and material changes will be communicated to active clients. Continued use of our services after changes take effect constitutes acceptance of the revised terms.
This Agreement is governed by the laws of the State of New Jersey, without regard to conflict-of-law provisions. If you have a concern, we ask that you raise it with us directly first so we can work toward a resolution in good faith.
By typing or drawing your signature and submitting the form below, you confirm that:
Add your signature and submit. A completed copy of your signed agreement is emailed straight to us, and we'll confirm receipt with you.
Still have a question before you sign? Contact us — we're happy to walk through any section with you.
Electronic Signature
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Once your agreement is signed, you can securely pay for consultations and services online. All payments are encrypted and processed through Stripe.