Informed Consent & Privacy Summary

Consent to Treatment

By booking and receiving RevivaGo services, you consent to the following:

• A licensed healthcare provider (Nurse Practitioner, Registered Nurse, or licensed paramedic) will administer intravenous (IV) therapy at your chosen location.
• Your provider will insert a small needle into a vein in your arm to deliver fluids, vitamins, and/or medications based on the treatment you selected.
• A typical IV session takes 30 to 60 minutes depending on the treatment.
• Your provider may assess your vital signs (blood pressure, heart rate, oxygen level) before and during treatment.

Risks & Side Effects

IV therapy is generally safe when administered by licensed professionals. However, like any medical procedure, it carries some risks:

• Common: Minor bruising, soreness, or redness at the needle site.
• Less common: Allergic reaction to an ingredient, vein inflammation (phlebitis), or a cool sensation during infusion.
• Rare: Infection at the injection site, air embolism, or fluid overload.

Your provider is trained to minimize these risks and will monitor you throughout treatment. If you experience any adverse reaction during or after your session, contact us immediately or call 911 if it is an emergency.

Medical Screening

Before your first treatment, you will complete a medical intake form. This asks about:

• Your medical history and any diagnosed conditions.
• Medications you currently take (including supplements).
• Known allergies, especially to vitamins, minerals, or IV-related substances.
• Whether you are pregnant or nursing.

This information is reviewed by a healthcare provider to ensure IV therapy is safe and appropriate for you. RevivaGo may decline to provide services if the medical review identifies contraindications. This is for your safety.

You are responsible for providing accurate and complete medical information. Omitting or falsifying information on your intake form could lead to an adverse health event.

What Information We Collect

• Identity: Your name, email, phone number, and date of birth.
• Location: The address where you receive treatment.
• Health: Medical history, medications, allergies, vitals, and treatment records.
• Payment: Credit or debit card details (processed securely — we do not store your full card number).
• Website activity: Pages you visit, how you found us, and how you use our site.

Why We Collect It

• To provide safe, personalized clinical care.
• To schedule and manage your appointments.
• To process payments for services.
• To send appointment confirmations, reminders, and follow-ups via email and text message.
• To improve our services and website.
• To comply with healthcare regulations and Arizona state law.

Who Sees Your Information

Your information is shared only with:

• The licensed provider who treats you and the supervising physician overseeing your care.
• Our secure payment processor (Stripe) to complete your transaction.
• Our messaging service (Twilio) to send you appointment-related texts.
• Law enforcement or regulatory bodies, only when required by law.

We never sell your personal information or health records to anyone.

Communication Consent

By providing your phone number and email address, you consent to receive:

• Appointment-related messages: Booking confirmations, reminders, provider-on-the-way notifications, and post-treatment follow-ups. These are considered transactional and are sent regardless of marketing preferences.
• Marketing messages (optional): Promotions, health tips, and service updates. You may opt out of marketing messages at any time without affecting your ability to book services.

Standard message and data rates from your wireless carrier may apply to SMS messages.

How Long We Keep Your Records

We retain your medical records for at least 6 years from your last treatment, as required by Arizona law. Payment records are kept for 7 years for tax compliance. Website analytics data is retained for up to 26 months. When retention periods expire, data is securely deleted or de-identified.

Your Rights

You have the right to:

• See your records: Request a copy of your medical and personal information.
• Fix errors: Ask us to correct inaccurate information.
• Delete your data: Request deletion of your account and personal data (medical records may be retained as required by law).
• Withdraw consent: You may stop treatment at any time during a session and may close your account at any time.
• File a complaint: If you believe your privacy rights have been violated, you may file a complaint with us or with the U.S. Department of Health and Human Services.

To exercise any of these rights, email hello@revivago.com.

Important Reminders

• RevivaGo is not an emergency medical service. If you are experiencing a medical emergency, call 911.
• IV therapy is not a substitute for regular care from your primary care physician.
• Results vary between individuals. We do not guarantee specific outcomes.
• You may stop treatment at any time by informing your provider.