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Monday – Friday,
9:00 am – 5:00 pm
Puraven Integrative Wellness, LLC P.O. Box 3041, Durham, NC 27715
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Services Provided in English, Spanish, Portuguese, and Kriolu di Cabo Verde.
COMPREHENSIVE DISCLAIMER, INFORMED CONSENT & TERMS OF SERVICE
INTRODUCTION
Welcome to Puraven Integrative Wellness. Please read this disclaimer carefully before accessing our website, engaging our services, enrolling in any program, or participating in any consultation, coaching session, or wellness offering. By accessing our website or engaging any Puraven Integrative Wellness service, you acknowledge that you have read, understood, and agreed to the terms outlined in this document.
This disclaimer applies to all services provided by Puraven Integrative Wellness including but not limited to integrative medicine consultations, functional medicine evaluation, holistic and lifestyle medicine, nutritional therapy, wellness coaching, group wellness programs, lifestyle boot camp programs, targeted injection therapies, patient advocacy services, corporate wellness partnerships, and all virtual and telehealth services.
SECTION 1 – NATURE OF SERVICES
Puraven Integrative Wellness provides a comprehensive range of integrative health services that combine conventional medicine, functional medicine, holistic healing, nutritional therapy, and lifestyle medicine – delivered by or under the direct supervision of a licensed healthcare practitioner with over 20 years of clinical experience.
Depending on the nature of your engagement with Puraven Integrative Wellness, your practitioner may serve in one or more of the following clinical capacities:
Your primary integrative healthcare provider responsible for your overall care
A collaborative specialist working alongside your existing healthcare team
A wellness and lifestyle coach providing education and behavioral support
A patient advocate supporting your navigation of the broader healthcare system
The specific nature of your clinical relationship with Puraven Integrative Wellness will be clearly established and documented at your initial consultation and may evolve over the course of your care. Regardless of the nature of your clinical relationship, all services are provided in accordance with applicable professional standards, ethical guidelines, and state and federal regulations governing the practice of medicine and healthcare in your jurisdiction.
SECTION 2 – INTEGRATIVE & CONVENTIONAL MEDICINE
Puraven Integrative Wellness provides integrative medicine services that combine the evidence-based principles of conventional medicine with the broader perspectives of functional, holistic, and lifestyle medicine. These services include but are not limited to:
Comprehensive health history evaluation and physical assessment
Advanced conventional and functional laboratory diagnostic ordering and interpretation
Pharmacological therapy evaluation, prescribing, and management
Integrative treatment planning across multiple dimensions of health
Coordination of care with other licensed healthcare providers
Chronic disease evaluation, management, and prevention
Preventive care and longevity medicine
All clinical services, including diagnostic ordering and pharmacological prescribing, are provided exclusively in states where your Puraven practitioner holds active licensure and in full compliance with applicable state and federal telehealth regulations.
While Puraven Integrative Wellness integrates holistic and functional medicine principles into all clinical care, our services do not replace emergency medical care, acute hospital-based treatment, or specialized surgical intervention. If you are experiencing a medical emergency, please call 911 or go to your nearest emergency room immediately.
SECTION 3 – FUNCTIONAL MEDICINE Puraven Integrative Wellness incorporates functional medicine principles and methodology as a core component of our integrative approach to patient care. Functional medicine evaluation at Puraven may include:
Root cause analysis of chronic symptoms and conditions
Advanced functional laboratory testing including metabolic panels, microbiome analysis, hormonal profiling, and inflammatory marker assessment
Nutritional deficiency and micronutrient evaluation
Gut health and intestinal permeability assessment
Metabolic and mitochondrial function evaluation
Environmental and lifestyle factor assessment
Functional medicine testing and evaluation complement-but are not a replacement for conventional medical diagnostic standards. Results from functional medicine assessments are interpreted within the full context of your complete clinical picture and are used to inform a comprehensive, personalized integrative care plan.
SECTION 4 – HOLISTIC & LIFESTYLE MEDICINE
Puraven Integrative Wellness incorporates holistic and lifestyle medicine principles across all services and programs. Holistic and lifestyle medicine services at Puraven may include:
Mind-body therapeutic approaches and stress physiology intervention
Sleep optimization protocols and circadian rhythm support
Movement medicine and physical activity guidance
Nervous system regulation and breathwork practices
Behavioral change coaching and habit formation support
Environmental health assessment and optimization
Emotional wellness and resilience building strategies
Holistic and lifestyle medicine services are designed to complement and enhance not replace conventional medical treatment. Individual results from lifestyle and behavioral interventions vary significantly based on personal commitment, consistency of implementation, and individual biological response.
SECTION 5 – NUTRITIONAL MEDICINE & SUPPLEMENTATION
Puraven Integrative Wellness incorporates evidence-based nutritional medicine as a foundational component of all integrative care plans. Nutritional medicine services may include personalized therapeutic dietary protocols, anti-inflammatory nutrition planning, metabolic and gut-restorative nutrition, and micronutrient optimization.
Regarding dietary supplementation, Puraven Integrative Wellness acknowledges that modern soil depletion has significantly reduced the nutritional density of even the healthiest whole-food diets-making targeted, evidence-based supplementation a clinical necessity for many patients. We assess and address individual supplementation needs – including but not limited to vitamin B12 for plant-based patients, vitamin D for those with limited sun exposure, magnesium, omega-3 fatty acids, and other clinically identified deficiencies on an individualized basis.
All supplements recommended by Puraven Integrative Wellness are sourced exclusively from carefully vetted, professional-grade companies that meet the highest standards of purity, potency, and third-party testing – ensuring that every product recommended is safe, effective, and worthy of your trust.
Please note that dietary supplements are not regulated by the U.S. Food and Drug Administration in the same manner as prescription medications. Nutritional recommendations and supplement protocols are not intended to diagnose, treat, cure, or prevent any disease. Always inform all members of your healthcare team of any supplements you are taking – particularly if you are on prescription medications to avoid potential interactions.
SECTION 6 – WELLNESS COACHING & PROGRAMS
Puraven Integrative Wellness offers a range of wellness coaching services and structured wellness programs including individual coaching sessions, monthly coaching subscriptions, the Wellness Core group and individual programs, the 8-Week Root Cause Reset Boot Camp, and the Wellness VIP integrative health partnership.
All wellness coaching services and programs are designed to educate, support, and empower participants in making positive, sustainable lifestyle changes. These services:
Are not a substitute for professional medical diagnosis or treatment
Are not intended to treat, cure, prevent, or diagnose any disease or medical condition
Should be undertaken in conjunction with not in place of care from your licensed healthcare provider unless Puraven Integrative Wellness is serving as your primary care provider as established at your initial consultation
May not be appropriate for all individuals particularly those with serious, complex, or unstable medical conditions
Results described in program materials, testimonials, or any Puraven Integrative Wellness communications represent individual experiences and are not guaranteed. Individual outcomes vary significantly based on personal biology, health history, lifestyle factors, program adherence, and other variables outside Puraven Integrative Wellness’s control.
Participants in all Puraven wellness programs are strongly encouraged to consult with their primary care physician or specialist before beginning any new nutrition, exercise, or lifestyle program – particularly if they have existing medical conditions, are pregnant or nursing, or are currently taking prescription medications – unless Puraven Integrative Wellness is serving as their primary integrative care provider.
SECTION 7 – TARGETED INJECTION THERAPIES Puraven
Integrative Wellness offers targeted injection therapy services – including neuromodulator injections (Botox and Xeomin) for chronic migraine and muscle tension, hyaluronic acid joint injections for arthritis and joint degeneration, and trigger point injections for myofascial pain and muscle spasm as clinically indicated and appropriate for each individual patient.
The following terms apply to all injection therapy services:
All injection therapies are clinical procedures performed by or under the direct supervision of a licensed healthcare practitioner
Injection therapy services require in-person evaluation and administration and are not available via telehealth or virtual consultation
All injection therapies carry inherent risks which will be fully disclosed, discussed, and documented prior to any procedure
A separate informed consent form specific to each injection therapy will be provided, reviewed, and signed prior to treatment
By consenting to injection therapy services, you acknowledge that you have been fully informed of the associated risks, benefits, alternatives, and expected outcomes, and that you have had the opportunity to ask questions and receive satisfactory answers prior to proceeding
Injection therapy results vary by individual and are not guaranteed
SECTION 8 – TELEHEALTH & VIRTUAL SERVICES
Puraven Integrative Wellness operates primarily as a virtual integrative medicine practice and delivers services via secure, HIPAA-compliant telehealth platforms. By engaging in virtual consultations or services with Puraven Integrative Wellness, you acknowledge and agree that:
Telehealth services have inherent limitations compared to in-person clinical care and may not be appropriate for all medical conditions or situations
You are responsible for ensuring you are in a private, secure, and distraction-free location during all virtual consultations and coaching sessions
Technical difficulties may occasionally affect the quality or continuity of virtual sessions in such cases your practitioner will make reasonable efforts to reconnect or reschedule your session promptly
You consent to the use of secure electronic communication platforms for the delivery of your healthcare services
Clinical services including diagnostic ordering and pharmacological prescribing via telehealth are provided only in states where your Puraven practitioner holds active licensure
It is your responsibility to verify that telehealth services are permissible under the laws of your state or jurisdiction
Puraven Integrative Wellness reserves the right to decline or discontinue telehealth services in jurisdictions where licensure or regulatory requirements are not met or change
SECTION 9 – PATIENT ADVOCACY SERVICES
Puraven Integrative Wellness may provide patient advocacy services to support patients in navigating the broader conventional healthcare system – including but not limited to assistance with understanding diagnoses, treatment options, medical records, insurance matters, and communication with other healthcare providers.
Patient advocacy services provided by Puraven Integrative Wellness:
Are supportive and educational in nature and do not constitute legal advice
Do not create a legal obligation on the part of any third-party healthcare provider or institution
Are subject to the same confidentiality and privacy protections as all other Puraven Integrative Wellness services
Are provided as a complement to not a replacement for qualified legal, insurance, or healthcare administrative counsel where applicable
SECTION 10 – CORPORATE WELLNESS PARTNERSHIPS
Puraven Integrative Wellness offers corporate wellness programs and partnerships designed to support the health, vitality, and productivity of organizational teams and employees. Corporate wellness services are subject to the following terms:
All corporate wellness programs are educational and wellness-focused in nature and do not constitute individual medical care or treatment for program participants
Participants in corporate wellness programs who require individual clinical evaluation or treatment will be directed to schedule a personal consultation with Puraven Integrative Wellness or another qualified healthcare provider
Corporate wellness program content is designed for general wellness education and is not tailored to the specific medical needs of any individual participant
Puraven Integrative Wellness maintains full professional independence in the design and delivery of all corporate wellness content program content is never influenced by corporate sponsor preferences or commercial interests
A separate corporate wellness partnership agreement outlining specific program terms, scope, deliverables, and responsibilities will be provided and executed prior to the commencement of any corporate wellness engagement
SECTION 11 – FINANCIAL TERMS & PAYMENT POLICY
Puraven Integrative Wellness is currently a self-pay practice and does not bill insurance directly. The following financial terms apply to all services:
Payment is due at the time of service unless a payment plan has been formally established in advance
We accept all major credit and debit cards, Health Savings Account cards, Flexible Spending Account cards, and Medical Savings Account cards
Monthly coaching subscriptions are billed automatically on a recurring monthly basis and may be canceled with 30 days’ written notice prior to the next billing cycle
Wellness program enrollments are non-refundable once program materials have been accessed or the program has commenced
Puraven Integrative Wellness will provide detailed receipts and superbills upon request to support potential out-of-network insurance reimbursement reimbursement is not guaranteed and varies by individual insurance plan
Many Puraven services may qualify as eligible medical expenses under HSA, FSA, or Medical Savings Account plans – patients are encouraged to verify eligibility with their plan administrator
Payment plans are available upon request for select services and programs payment plan terms will be documented in a separate written agreement
SECTION 12 – PRIVACY & CONFIDENTIALITY
Puraven Integrative Wellness is fully committed to protecting the privacy and confidentiality of your personal health information in accordance with the Health Insurance Portability and Accountability Act (HIPAA) and all applicable state privacy laws in North Carolina, and any other state in which services are provided.
Your personal health information will never be shared with third parties without your explicit written consent – except as required by law or as necessary for the direct coordination of your clinical care with other licensed healthcare providers you have authorized.
Please refer to our separate Puraven Integrative Wellness Privacy Policy for complete details on how we collect, store, use, protect, and disclose your personal and health information.
SECTION 13 – INDIVIDUAL RESULTS & NO GUARANTEES
Puraven Integrative Wellness is deeply committed to delivering the highest standard of integrative clinical care and we are genuinely invested in your health outcomes. However, individual results from all Puraven services including clinical consultations, functional medicine evaluation, nutritional therapy, lifestyle coaching, wellness programs, and injection therapies vary significantly and cannot be guaranteed.
Health outcomes are influenced by a wide range of factors, including individual biology, genetic predisposition, medical history, lifestyle factors, medication use, program adherence, and other variables entirely outside Puraven Integrative Wellness’s control.
No specific clinical outcome, symptom resolution, weight loss result, disease remission, or improvement in any health condition is guaranteed by engaging any Puraven Integrative Wellness service or program.
Testimonials and patient success stories shared by Puraven Integrative Wellness reflect individual experiences and are not intended to imply that all patients will achieve similar results.
SECTION 14 – LIMITATION OF LIABILITY
To the fullest extent permitted by applicable law, Puraven Integrative Wellness, its founder, practitioners, staff, affiliates, contractors, and representatives shall not be liable for any direct, indirect, incidental, consequential, special, or punitive damages arising from or related to your use of or reliance upon any information, content, program, service, recommendation, or communication provided by Puraven Integrative Wellness whether delivered in person, virtually, digitally, or in writing.
You engage with Puraven Integrative Wellness services, programs, and content with full awareness of the inherent risks and limitations of integrative medicine and wellness services, and you assume full personal responsibility for your health decisions and their outcomes.
SECTION 15 – THIRD-PARTY CONTENT, PRODUCTS & LINKS
Puraven Integrative Wellness may reference, recommend, or link to third-party websites, laboratory services, supplement companies, telehealth platforms, or other external resources for informational or clinical purposes. Such references do not constitute a blanket endorsement, warranty, or guarantee of any third-party product, service, or information beyond the specific vetting criteria applied by Puraven Integrative Wellness to supplement and laboratory partners.
Puraven Integrative Wellness is not responsible for the content, accuracy, availability, privacy practices, or service quality of any third-party website, platform, or resource referenced or linked from our communications or website.
SECTION 16 – EMERGENCY SITUATIONS
Puraven Integrative Wellness does not provide emergency medical services. If you are experiencing a medical emergency – including but not limited to chest pain, difficulty breathing, severe allergic reaction, stroke symptoms, loss of consciousness, or any other life-threatening condition please call 911 or go to your nearest emergency room immediately.
Do not attempt to contact Puraven Integrative Wellness through any communication channel in lieu of emergency services. Virtual consultations and coaching sessions are not an appropriate substitute for emergency medical care under any circumstances.
SECTION 17 – CHANGES TO THIS DISCLAIMER
Puraven Integrative Wellness reserves the right to update, modify, revise, or expand this disclaimer at any time and without prior notice particularly in response to changes in applicable laws, regulations, telehealth standards, or the scope of services offered by Puraven Integrative Wellness.
Your continued engagement with Puraven Integrative Wellness services following any update to this disclaimer constitutes your acknowledgment and acceptance of the revised terms. We encourage you to review this disclaimer periodically to ensure you remain fully informed of its current terms.
SECTION 18 – GOVERNING LAW
This disclaimer and all terms contained herein shall be governed by and construed in accordance with the laws of the State of North Carolina without regard to conflict of law principles – except where superseded by the laws of Virginia, Massachusetts, or any other state in which Puraven Integrative Wellness holds active licensure and provides services.
ACKNOWLEDGMENT By accessing the Puraven Integrative Wellness website, scheduling a consultation, enrolling in a program, or engaging any Puraven Integrative Wellness service, you acknowledge that you have read this disclaimer in its entirety, that you fully understand its contents, and that you agree to be bound by its terms.
If you have any questions about this disclaimer or any aspect of our services before proceeding, please contact us directly before engaging our services.
CONTACT
Puraven Integrative Wellness
Email: contact@puraven.com
Website: www.puraven.com
Phone: 984-386-1834
Last Updated: 2026
© 2026 Puraven Integrative Wellness. All rights reserved.
