Welcome to PharmXHealthOne
This page provides access to PharmXHealthOne’s new-patient registration materials, privacy notices, general consents, financial policies, and treatment-specific documents.
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Please review the documents that apply to your care before signing. If you have questions or need help accessing a document, contact our team at 561-778-8121 or health@pharmxhealthone.com. Paper copies and assistance are available upon request.
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Forms may be completed through the authorized patient system when available or on paper.
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Before You Sign
Your registration acknowledgment confirms that the documents have been made available to you. It does not replace separate consent required for a particular medication, treatment, procedure, or service. You may ask questions before deciding whether to proceed. Completing registration, signing a consent, or making a payment does not guarantee eligibility for a particular treatment or a specific healthcare outcome.
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Acknowledgment of receipt of the HIPAA Notice of Privacy Practices does not waive your privacy rights.
Consent to healthcare communications does not automatically enroll you in recurring promotional or PHO Event & Community SMS messages. Enrollment in that optional messaging program is handled separately.
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Payment and Outside Services
PharmXHealthOne is cash-pay only for its healthcare services. Please review the applicable financial policy and the charges presented to you before authorizing a service or purchase.
Independent laboratories, pharmacies, and other outside healthcare organizations may have separate charges and requirements. Providing insurance information for outside laboratory services does not mean that PharmXHealthOne accepts or bills your insurance.
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Treatment-Specific Documents
Your healthcare professional will identify any additional consents, disclosures, or instructions required for your proposed care. General registration and consent documents do not authorize every treatment offered by PharmXHealthOne.
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Emergency Notice
PharmXHealthOne does not provide emergency medical services or an after-hours emergency clinical service.
For a medical emergency, call 911 or go to an emergency department. Do not wait for a response to an email, voicemail, website form, or patient-portal message.
Required New Patient Documents
Please review the following documents:
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Required New Patient Consent, Policy, and Acknowledgment Forms
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Treatment-specific consent forms, if applicable
HIPAA Notice of Privacy Practices
PHO makes its HIPAA Notice of Privacy Practices available to every patient. This Notice explains how PHO may use and disclose protected health information, also known as PHI, for treatment, payment, healthcare operations, and other purposes permitted or required by law. It also explains patient privacy rights, PHO’s legal duties, and how to contact PHO with privacy questions or complaints.
Patients may request a paper copy of the HIPAA Notice at any time.
Required Consents, Policies, and Acknowledgments
PHO makes the required new-patient consent, policy, and acknowledgment forms available to patients before non-emergency evaluation or care. These forms may include:
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General Consent for Evaluation and Treatment
Telehealth and Remote Care Consent
HIPAA Notice of Privacy Practices Acknowledgment
Electronic Communications Consent
Patient Portal Access, Use, Communication, and Security Agreement
Cash-Pay Financial Responsibility and Third-Party Billing Agreement
Good Faith Estimate and Self-Pay Patient Notice
Laboratory Testing, Specimen Collection, and Required Monitoring Consent
ePrescribe, Pharmacy Communication, and Medication History Consent
Authorization to Release or Discuss Medical Information, when applicable
No-Refund, Final-Sale, and Non-Returnable Services Agreement
Appointment Cancellation, Late Arrival, No-Show, and Scheduling Policy
Payment Authorization, Card-on-File, Subscription Billing, and Chargeback Policy
Patient Rights, Responsibilities, Emergency, Urgent Care, and Primary Care Limitation Acknowledgment
Functional Medicine, Preventive Care, Natural Medicine, Wellness, and Scope-of-Practice Disclaimer
Compliance, Privacy, PHI Safeguards, and Practice Operations Acknowledgment
Global New Patient Acknowledgment and Agreement
View Full New Patient Consent and Policy Packet
Download Required Consent and Policy Packet PDF
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See Forms and Policies Page for other PHO Policies, Consents, and PHO Discrlaimers
Refund, Return, and Product Policy
At PharmXHealthOne, we are committed to delivering safe, effective, and personalized healthcare. Due to the nature of our services and custom-prescribed medical products, we uphold the following policies regarding refunds, returns, and subscription billing.
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Product Refunds and Returns
All medication and wellness product purchases from PharmXHealthOne are final sale and non-refundable. This includes, but is not limited to:
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Prescription medications
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Compounded treatments
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Nutraceuticals and supplements
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Hormone therapies
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Peptide and injectable treatments
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Our medications are compounded and prescribed specifically for each patient, based on individual medical assessments. For this reason, we cannot accept returns or issue refunds for any product once the order has been placed.
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Patients should review all pricing, product, prescription, subscription, and treatment information carefully before payment or order placement. Questions should be directed to PHO staff before ordering or purchasing.
Treatment-Specific Forms
The new-patient forms and global acknowledgment do not replace treatment-specific consent forms. If a patient receives or requests a specific treatment, service, medication, infusion, injection, procedure, device-based treatment, hormone therapy, weight-loss therapy, peptide-related therapy, compounded medication, IV therapy, aesthetic service, or other service, PHO may require additional treatment-specific consent forms and instructions.
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Treatment-specific consents may include additional risks, contraindications, no-refund terms, monitoring requirements, expected follow-up, lab requirements, and instructions that are not repeated in the general new-patient packet.
Emergency and Urgent Care Notice
PHO is not an emergency provider and should not be used as a substitute for 911, emergency room care, urgent care, hospital care, or crisis services.
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If you are experiencing chest pain, severe shortness of breath, stroke-like symptoms, severe allergic reaction, severe bleeding, severe infection, suicidal thoughts, loss of consciousness, or any medical emergency, call 911 or go to the nearest emergency room immediately.
Do not wait for a PHO appointment, portal message, voicemail reply, prescription, or callback for emergency symptoms.
Questions
For questions about forms, policies, privacy practices, billing, or patient onboarding, please contact:
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PharmXHealthOne Integrated Medical Clinic
2828 S Seacrest Blvd, Suite 216
Boynton Beach, FL 33435
Phone: (561) 778-8121
Email: health@pharmxhealthone.com
Website: www.pharmxhealthone.com