Terms of Service

1. Overview

Therisse is a telehealth platform that connects patients with independently licensed, board-certified physicians for hormone replacement therapy consultations and ongoing care. Therisse is a brand of Ironoak Holdings LLC, a Texas limited liability company ("we," "us," "our"). By using our services, you agree to these Terms of Service.

2. Medical Disclaimer

Therisse is not a medical provider. All medical services, including consultations, diagnoses, prescriptions, and treatment plans, are provided by independently licensed physicians through our telehealth platform partner. The physician-patient relationship exists between you and your treating physician. Therisse facilitates access to these services but does not practice medicine.

Therisse is not a substitute for emergency medical care. If you are experiencing a medical emergency, call 911 immediately or seek in-person care at an urgent care facility or Emergency Department.

Telehealth is not a substitute for in-person care. Where appropriate, your treating physician may recommend that you seek evaluation or treatment with a primary care provider, specialist, or local urgent care. You are encouraged to maintain a primary care provider; if you do not have one, you can find one through a local search or by contacting your state medical society.

There is no guarantee that any patient will be treated by a participating physician. As determined by the provider, care or specific treatments may not be appropriate for each patient. Each physician reserves the right to deny care for potential misuse of services or for any other reason if, in the professional judgment of the provider, the provision of services is not medically or ethically appropriate. There is no guarantee that a prescription will be issued; whether a prescription is appropriate is determined in the professional judgment of the treating physician.

3. Eligibility

You must be at least 18 years of age and reside in a state where our services are available. You must provide accurate and complete health information during your assessment. Providing false or misleading health information may result in termination of services.

4. Plans & Billing

Current programs, plans, and prices are shown before you place your order. You authorize the price shown, but you are only charged once a physician approves you and your medication ships. Some plans bill on a recurring basis; the price you see is the full price, with no separate consultation fee.

You may cancel at any time, with no cancellation fee, by emailing support@therisse.com or through the customer portal link in your billing receipt.

5. Refund Policy

If you request a refund before a physician reviews your case, or if a physician determines that treatment is not appropriate for you, you will receive a full refund. Medication that has already been prescribed and shipped is not refundable.

For any billing question or refund request, please contact support@therisse.com before initiating a chargeback, and we will work with you to resolve it.

6. Medications & Pharmacy

Medications prescribed by your physician are dispensed by a licensed pharmacy. Individual treatment plans vary based on your symptoms, lab results, and medical history. Results vary by individual. Your physician will discuss expected outcomes, risks, and alternatives during your consultation. Certain hormone replacement and GLP-1 formulations are compounded by a 503A pharmacy and are not individually FDA-approved as compounded; the active ingredients used are FDA-approved. Your physician will inform you when a prescribed medication is being used off-label.

Pharmacy choice: Therisse partners with Strive Compounding Pharmacy (503A) for fulfillment, but you have the right to direct your prescription to any pharmacy of your choosing. To do so, contact support@therisse.com and we will coordinate with your treating physician.

Insurance: Therisse is a cash-pay telehealth service. You agree that you will not submit a claim for telemedicine services received through Therisse to Medicare, Medicaid, any other federal payor, or any state or private payor. Therisse does not bill insurance and does not accept insurance for the telemedicine services it facilitates.

7. Communications Consent

By using Therisse, you consent to your treating physician and their support staff communicating with you for purposes related to your care through secure messaging, phone, text, email, and video visits. You may withdraw consent to a specific channel at any time by emailing support@therisse.com, except that secure messaging remains a required channel for clinical communications while you have an active treatment plan.

8. Privacy

Your privacy is important to us. Please review our Privacy Policy for details on how we collect, use, and protect your information.

9. Limitation of Liability & Indemnification

To the maximum extent permitted by law, Ironoak Holdings LLC shall not be liable for any indirect, incidental, consequential, or punitive damages arising from your use of Therisse. Our total liability shall not exceed the amount you paid for services in the twelve months preceding any claim.

You agree to indemnify and hold harmless MD Integrations Inc., its officers, employees, contractors, and the physicians who contract with MD Integrations to provide care through the Therisse platform, from and against any claims, damages, losses, or expenses arising from your use of the Therisse platform or services provided through it, except to the extent caused by the indemnified party's gross negligence or willful misconduct.

10. Governing Law

These Terms are governed by the laws of the State of Texas without regard to conflict of law provisions. Any disputes shall be resolved in the courts of Travis County, Texas.

11. Filing a Complaint

If you have a clinical or professional-conduct concern about a treating physician, you may file a complaint with the state medical board that issued the physician's license. The state medical board for the state in which you reside or in which the physician is licensed is the appropriate venue. A directory of state medical boards is maintained by the Federation of State Medical Boards at fsmb.org/contact-a-state-medical-board.

For complaints about the Therisse service itself, including billing, shipping, or account issues, please contact support@therisse.com. We will respond to legitimate billing issues within five business days.

12. Changes to Terms

We may update these Terms from time to time. Continued use of our services after changes constitutes acceptance of the updated Terms.

13. Contact

Questions about these Terms? Contact us at support@therisse.com.

Ironoak Holdings LLC
Austin, Texas