Financial policy.
Membership Agreement
1. Patient-Clinician Relationship.
By your signature, you acknowledge that you are voluntarily becoming a patient of Lifestyles by Noor LLC and its affiliated clinician(s). As a patient, the services described in Section 2 will be made available to you pursuant to the terms of this Membership Agreement
2. Lifestyles by Noor LLC Services.
As a patient, you are eligible to receive primary care, preventive care, and urgent care services as outlined in the Detailed Service List. Services may evolve over time and will be reflected in the updated service list. All medical services are provided by appropriately licensed practitioners. Lifestyles by Noor LLC is not health insurance and does not bill insurance for covered services under this Agreement. Patients are encouraged to maintain separate health insurance coverage for services outside of this scope (e.g., labs, imaging, hospital care). The Practice reserves the right to decline or discontinue services under certain circumstances, including non-payment or inability to meet clinical needs.
3. Fees & Payment
Lifestyles by Noor LLC charges the Membership Fee listed below per Member to include all Covered Healthcare Services included on the Detailed Services List.
● Lifestyles Pinnacle Membership $800.00 per month/$9,600.00 per year.
● Lifestyles Elevate Membership: $400.00 per month/$4,800.00 per year.
● Lifestyles Foundation Membership: $300.00 per month/$3,600 per year.
● Lifestyles Transformation Package: $5,500.00
● One Time Provider Consult: $800.00
● Founding Gold Membership: $399/month
● Well Woman GYN Membership: $125/month; $1,500/year
Payment Terms
Membership fees are due in full at enrollment unless enrolled in an approved monthly auto-payment plan. Annual memberships may receive a 10% discount if paid in full. All payments must be kept current. Declined transactions may incur a $50 administrative fee. Services may be suspended for past-due accounts.
Refund Policy
All membership fees are non-refundable
New Patient Consultation Cancellation and No-Show Policy
Due to the high demand and dedicated time reserved for each new patient consultation, appointments that are missed or canceled with less than 24 hours’ notice will incur an $800 fee, which reflects the full cost of the reserved consultation time with Dr. Noor. By scheduling a new patient consultation, you acknowledge and agree to this policy.
Additional Services
Certain services may not be included in the membership fee and may incur additional charges.
4. Your Medical Information.
Your privacy is important to us. Lifestyles by Noor LLC complies with HIPAA regulations and maintains safeguards to protect your health information. By entering this Agreement, you consent to appropriate sharing of medical information as necessary for your care.
5. Digital Communications.
You consent to communication via phone, email, and electronic messaging. While reasonable safeguards are in place, electronic communication may not always be secure. Electronic communication should not be used for urgent or emergency matters. In emergencies, call 911 or go to the nearest emergency department.
6. Term and Termination.
This Agreement is valid for one year and will automatically renew unless canceled with at least 60 days’ written notice. The Practice may terminate this Agreement for reasons including non-payment, breach of agreement, or inappropriate behavior. Membership fees are non-refundable.
7. Independent Medical Judgment
All medical decisions are made at the sole discretion of the clinician, based on professional judgment and patient needs.
8. Terms of Usage
The Practice may establish additional policies or terms, which will be communicated in writing and will supplement this Agreement.
9. Change of Law
If legal or regulatory changes impact this Agreement, both parties agree to renegotiate terms in good faith. If no agreement is reached, either party may terminate the Agreement.
10.Severability and Assignment
If any provision is found invalid, the remaining provisions will remain in effect. This Agreement may not be assigned to another individual.
11. Notice.
Official communications must be made in writing via approved methods (mail, courier, etc.).
12.Legal Significance
This is a legally binding document. You acknowledge that you have had the opportunity to seek legal counsel prior to signing.
13.Governing Law; Arbitration
This Agreement is governed by the laws of the State of New Hampshire. Any disputes will be resolved through binding arbitration.
14.Waiver
Failure to enforce any part of this Agreement does not waive the right to enforce it in the future.
15.Miscellaneous
Section headings are for convenience only and do not affect interpretation
16.Entire Agreement
This document represents the full agreement between parties and supersedes all prior agreements.
If you have a complaint, please contact Lifestyles by Noor LLC clinic directly or Lifestyles by Noor LLC in any of the following ways:
Email: info@lifestylesbynoor.com
Mail: 1 Hampton Rd Suite 210, Exeter, NH 03833
Phone: (603) 686-5515
Fax: (603) 583-5610