Last revised: March 2, 2018
properties (e.g., websites and mobile applications) owned and controlled by Thirty Madison, Inc. d/b/a Keeps, including the
https://wwww.keeps.com website (the “Site”), as well as the services (“Services”) and
products (“Products”) available to users through the Site. Thirty Madison, Inc. (“Thirty
Madison”, “we,” “us,” and “our”) contracts with Keeps Medical Group MO, P.C. and its affiliated entities, Keeps Medical Group, P.A., Keeps Medical Group NJ, P.C. and Michael Karagas, M.D., P.C., (collectively defined as “Keeps Medical Group”) regarding online telehealth medical consultations and secure messaging
between Keeps Medical Group physicians (individually the “Provider” and collectively the “Providers”)
and their patients. (See Section 19 for supplemental terms applicable to Providers.) The professional medical
services (which are provided by Keeps Medical Group) and the non-clinical Site services (which are provided by
“you” and “your” means you, your dependent(s) if any, and any other person accessing
your Thirty Madison Account.
Services and purchase of Products. By clicking “accept”, you acknowledge that you have read,
you are not authorized to access or use this Site or Services; promptly exit this Site.
ARBITRATION. ACCORDINGLY, YOU AGREE TO GIVE UP YOUR RIGHT TO GO TO COURT (INCLUDING IN A CLASS ACTION
NEUTRAL ARBITRATOR and NOT a judge or jury and your claims cannot be brought as a class action. Please review
the Section below entitled Dispute Resolution; Arbitration Agreement for the details regarding your agreement to
arbitrate any disputes with Thirty Madison.
made a part of this Agreement. You agree that information provided by you in connection with the Services
shall also be governed by the Keeps Medical Group Notice of
Privacy Practices, and is hereby incorporated and made a part of this Agreement.
Services Provided – No Medical Care or Advice by Thirty Madison, Inc.
We offer an online communication platform for Providers and their patients to connect via the Site through
the use of synchronous and asynchronous telecommunications technologies. The Site facilitates communication
between patients and Providers.
Thirty Madison does not provide medical advice or care. Thirty Madison contracts with Keeps Medical Group,
an independent, physician-owned medical group with a network of United States based Providers who provide
clinical telehealth services. Keeps Medical Group Providers deliver clinical services via the Thirty Madison
platform to their patients. Providers are independently contracted or employed by Keeps Medical Group.
Providers are not contracted or employed by Thirty Madison. The Providers, and not Thirty Madison, are
responsible for the quality and appropriateness of the care they render to you.
The Providers are
independent of Thirty Madison and are merely using the Site as a way to communicate with you. Any
information or advice received from a Provider comes from them alone, and not from Thirty Madison. Your
interactions with the providers via the Site are not intended to take the place of your relationship with
your regular health care practitioners or primary care physician. Neither Thirty Madison, nor any of its
subsidiaries or affiliates or any third party who may promote the Site or Service or provide a link to the
Service, shall be liable for any professional advice obtained from a Provider via the Site or Service, nor
any information obtained on the Site. Thirty Madison does not recommend or endorse any specific Providers,
tests, physicians, medications, products, or procedures. You acknowledge that your reliance on any Providers
or information delivered by the Providers via the Site or Service is solely at your own risk and you assume
full responsibility for all risks associated herewith.
Thirty Madison does not make any representations or warranties about the training or skill of any Providers
who deliver services via the Site or Service. You will be provided with available Providers based solely on
the information you submit to the Site. You are ultimately responsible for choosing your particular
The content of the Site and the Services, including without limitation, text, copy, audio, video,
photographs, illustrations, graphics and other visuals, is for informational purposes only and does not
constitute professional medical advice, diagnosis, treatment, or recommendations of any kind by Thirty
Madison. You should always seek the advice of your qualified health care professionals with any questions or
concerns you may have regarding your individual needs and any medical conditions. All information provided
by Thirty Madison, or in connection with any communications supported by Thirty Madison, is intended to be
for general information purposes only, and is in no way intended to create a provider-patient relationship
as defined by state or federal law. While Thirty Madison facilitates your selection of, and communications
with, Providers, Thirty Madison does not provide medical services, and the doctor-patient relationship is
between you and the Keeps Medical Group Provider you select.
Not for Emergencies
IF YOU ARE EXPERIENCING A MEDICAL EMERGENCY, YOU SHOULD DIAL “911” IMMEDIATELY.
Thirty Madison’s Site and Services are not for
medical emergencies or urgent situations. You should not disregard or delay to seek medical advice based on
anything that appears or does not appear on the Site. If you believe you have an emergency, call 9-1-1
immediately. You should seek emergency help or follow up care when recommended by a Provider or
when otherwise needed. You should continue to consult with your primary provider and other healthcare
professionals as recommended. Always seek the advice of a physician or other qualified healthcare provider
concerning questions you have regarding a medical condition and before stopping, starting, or modifying any
treatment or modification.
Risks of Telehealth Services
By using the Services, you acknowledge the potential risks associated with telehealth services. These
include but are not
limited to the following: information transmitted may not be sufficient (e.g. poor resolution of images) to
allow for appropriate medical or health care decision making by the Provider; delays in evaluation or
treatment could occur due to failures of electronic equipment; a lack of access to your medical records may
result in adverse drug interactions or allergic reactions or other judgment errors; although the electronic
systems we use incorporate network and software security protocols to protect the privacy and security of
health information, those protocols could fail causing a breach of privacy of your health information.
Neither Thirty Madison nor Keeps Medical Group endorse any specific medication, pharmacy, or pharmacologic
product. If a Provider prescribes a medication, he/she will limit
supply based upon state regulations and will only prescribe a medication as determined in his/her own
discretion and professional judgment. There is no guarantee a prescription will be written. Providers do not
prescribe DEA controlled substances or scheduled medications, or certain other drugs which may be harmful
because of their potential for abuse. Providers reserve the right to deny care for actual or potential
misuse of the Services.
You agree that any prescriptions that you acquire from a Provider will be
solely for your personal use. You agree to fully and carefully read all provided product information and
labels and to contact a physician or pharmacist if you have any questions regarding the prescription. Thirty
Madison and Keeps Medical Group fully honor patient freedom of choice and, if you receive a prescription for
a medication, you always have the option to instruct Keeps Medical Group to transmit that prescription to
the pharmacy of your choice.
Not an Insurance Product
Neither Thirty Madison nor Keeps Medical Group are insurers. The Services are not insurance products, and
the amounts you
pay to Thirty Madison or Keeps Medical Group are not insurance premiums. If you desire any type of health or
other insurance, you will need to purchase such insurance separately.
Availability of Services
Thirty Madison and Keeps Medical Group operate subject to state and federal regulations, and the Services
may not be available in your state. You represent that you are not a person barred from enrolling for
and/or receiving the Services under the laws of the United States or other applicable jurisdictions in which
you may be located. Access to and use of the Site and/or the Services is limited exclusively to users
located in States within the United States where the Services are available. Services are not available to
users located outside the United States. Accessing the Site or Services from jurisdictions where
content is illegal, or where we do not offer Services, is prohibited.
Ordering and Purchasing or Products
Order Acceptance and Shipment
Your placement of an order does not necessarily ensure that we will accept your order. We may require
information regarding your order if you have not provided all the information required by us to completed.
a properly completed order and authorization of your form of payment is received, we will process your order
Product for shipment. If, for some reason, we determined that we cannot ship your Product(s) within thirty
days following our receipt of a properly completed order, we will cancel your order and advise you of such
action. We do not accept orders from dealers, wholesalers or other customers who intend to resell items
on our Site.
Typographical Errors and Incorrect Pricing
In the event a Product or Service is listed at an incorrect price due to typographical error or error in
pricing information received from a third party, we shall have the right to refuse or cancel any orders
placed for the Product(s) and/or Service(s) listed at the incorrect price. We shall have the right to refuse
or cancel any such orders whether or not the order has been confirmed and your credit or debit
card charged. If you credit or debit card has already been charged for the purchase and your order is
canceled, we will promptly issue a credit to your credit or debit card account in the amount of the charge.
Risk of Loss
All Products purchased from our Site are delivered to shipment carriers. The risk of loss and title for such
Products pass to you when they are delivered to the carrier.
You may return Products in accordance with our Returns
Policy posted on our Site.
Eligibility; Site Access, Security and Restrictions; Passwords
In order to access the Site and the Services, you represent and warrant that you are older than 18
old. You agree to fully, accurately, and truthfully create your Thirty Madison Account (“Account”),
including but not limited to your name, mailing address, phone number, email address, and password, which
your Thirty Madison ID and credentials. The Thirty Madison ID and/or credentials are personal to you, and
are solely responsible for maintaining the confidentiality of your Thirty Madison ID and/or credentials, and
all activities that occur under such Thirty Madison ID and/or credentials. You agree to prohibit anyone else
from using your Thirty Madison ID and/or credentials and agree to immediately notify Thirty Madison of any
actual or suspected unauthorized use of your Thirty Madison ID and/or credentials or other security concerns
which you become aware. Your access to the Site may be revoked by Thirty Madison at any time
with or without cause.
You are prohibited from violating or attempting to violate the security of the Site, including, without
limitation, (a) accessing data not intended for such user or logging onto a server or an account which the
is not authorized to access; or (b) attempting to probe, scan or test the vulnerability of a system or
or to breach security or authentication measures without proper authorization; or (c) accessing or using the
You may not use any scraper, crawler, spider, robot or other automated means of any kind to access
copy data on the Site, deep-link to any feature or content on the Site, bypass our robot exclusion headers
other measures we may use to prevent or restrict access to the Site. Violations of system or network
may result in civil or criminal liability. Thirty Madison will investigate occurrences that may
involve such violations and may involve, and cooperate with, law enforcement authorities in prosecuting
who are involved in such violations. You agree not to use any device, software or routine to
or attempt to interfere with the proper working of this Site or any activity being conducted on this Site.
When you use the Site or Services, or send e-mails, messages, and other communications from your desktop or
mobile device to us, you are communicating with us electronically. You consent to receive communications
electronically. You agree that (a) all agreements and consents can be signed electronically and (b) all
disclosures, and other communications that we provide to you electronically satisfy any legal requirement
such notices and other communications be in writing. Thirty Madison and Keeps Medical Group may contact
by telephone, mail, or email to verify your account information. Thirty Madison and Keeps Medical Group may
request further information from you and you agree to provide such further information to ensure that you
not fraudulently created your Account. If you do not provide this information in the manner requested within
days of the request, we reserve the right to suspend, discontinue, or deny your access to and use of the
and the Services until you provide the information to us as requested.
Consent to Receive Calls and Text Messages
By providing your mobile number, you are agreeing to be contacted by or on behalf of Thirty Madison and
Medical Group at the mobile number you have provided, including calls and text messages, to receive
informational, Product or Service related (e.g., progress tracking, refill reminders, checkup reminders,
and marketing communications relating to the Site and Services. Message and data rates may
help, text the word HELP to (833) 745-3377. To stop receiving text
messages text the work STOP (833) 745-3377. We may
confirm your opt out by text message. If you subscribe to multiple types of text messages from us,
may unsubscribe you from the service that most recently sent you a message and/or respond to your STOP
by texting you a request to identify services you wish to stop. Keep in mind that if you stop receiving text
messages from us you may not receive important and helpful information and reminders about your progress and
Ownership Of The Site And Related Materials; Additional Restrictions
All pages within this Site and any material made available for download are the property of Thirty Madison,
its licensors or suppliers, as applicable. The Site is protected by United States and international
and trademark laws.
its licensors, suppliers, publishers, rights holders, or other content providers. Neither the Site and
Services, nor any part of the Site and Services, may be reproduced, duplicated, copied, sold, resold,
visited, or otherwise exploited for any commercial purpose without express written consent of Thirty
Madison. You may not frame or utilize framing techniques to enclose any trademark, logo, or other
proprietary information (including images, text, page layout, or form) of Thirty Madison without express
written consent. You may not use any meta tags or any other "hidden text" utilizing Thirty Madison’s name or
trademarks without the express written consent of Thirty Madison. You may not misuse the Site or Services.
You may use the Site and Services only as permitted by law. The content of the Site, including without
limitation the files, documents, text, photographs, images, audio, and video, and any materials accessed
through or made available for use or download through this Site may not be copied, distributed, modified,
reproduced, published or used, in whole or in part, except for purposes authorized or approved in writing by
Thirty Madison. You may not frame or utilize framing techniques to enclose, or deep linking to, any name,
trademarks, service marks, logo, content or other proprietary information (including; images, text, page
layout, or form) of Thirty Madison without our express written consent.
No Users Under 18 Years Old
The Site and Services are only for users of the age of 18. If you are under the age of 18, please do not
to register with us at this Site or provide any personal information about yourself to us. If we learn
that we have collected personal information from someone under the age of 18, we will promptly delete that
information. If you believe we have collected personal information from someone under the age of 18,
please email us at email@example.com
Accuracy of Information; Functionality
Although Thirty Madison attempts to ensure the integrity and accurateness of the Site and Product
descriptions, it makes no representations, warranties or guarantees whatsoever as to the
or accuracy of the Site, Product descriptions and other content on the Site. It is possible that the Site
include typographical errors, inaccuracies or other errors, and that unauthorized additions, deletions and
alterations could be made to the Site by third parties. In the event that an inaccuracy arises,
inform Thirty Madison so that it can be corrected. If a Product described on our Site is not as
described when you receive it, or the packaging on the Site does not match the product to receive, your sole
remedy is to return it to us in unused and undamaged condition. Information contained on the Site may be
or updated without notice. Additionally, Thirty Madison shall have no responsibility or liability
information or content posted to the Site from any non-Thirty Madison affiliated third party.
Thirty Madison and Keeps Medical Group each reserves complete and sole discretion with respect to
operation of the Site and the Services. We may withdraw, suspend, or discontinue any functionality or
the Site or the Services among other things. We are not responsible for transmission errors, corruption, or
compromise of information carried over local or interchange telecommunications carrier. We are not
for maintaining information arising from use of the Site or with respect to the Services. We reserve the
to maintain, delete, or destroy all communications or information posted or uploaded to the Site or the
in accordance with our internal record retention and/or destruction policies.
Links to Other Sites
Thirty Madison makes no representations whatsoever about any other website that you may access through
Site. When you access a non-Thirty Madisonsite, please understand that it is independent from Thirty
Madison, and that Thirty Madison has no control over the content on that website. In addition, a
to a non-Thirty Madison website does not mean that Thirty Madison endorses or accepts any
responsibility for the content, or the use, of the linked site. It is up to you to take precautions to
that whatever you select for your use or download is free of such items as viruses, worms, Trojan horses,
other items of a destructive nature. If you decide to access any of the third party sites linked
this Site, you do this entirely at your own risk.
If you submit, upload, post or transmit any health information, medical history, conditions, problems,
personal information, consent forms, agreements, requests, comments, ideas, suggestions, information, files,
videos, images or other materials to us or our Site (“User Information”), you agree not to
any User Information that (1) is false, inaccurate, defamatory, abusive, libelous, unlawful, obscene,
threatening, harassing, fraudulent, pornographic, or harmful, or that could encourage criminal or unethical
behavior, (2) violates or infringes the privacy, copyright, trademark, trade dress, trade secrets or
intellectual property rights of any person or entity, or (3) contains or transmits a virus or any other
component. You agree not to contact other site users through unsolicited e-mail, telephone calls, mailings or
any other method of communication. You represent and warrant to Thirty Madison and Keeps Medical
that you have the legal right and authorization to provide all User Information to Thirty Madison and
Keeps Medical Group for use as set forth herein and required by Thirty Madison and the Keeps
You agree not to (i) access the Site or use the Services in any unlawful way or for any unlawful purpose;
post or transmit (a) a message under a false name, or (b) any data, materials, content, or information
(including, without limitation, advice, and recommendations) (collectively “Information”) which
(1) libelous, defamatory, obscene, fraudulent, false, or contrary to the ownership or intellectual property
rights of any other person, or (2) contains or promotes any virus, worm, Trojan horse, time bomb, malware,
other computer programing or code that is designed or intended to damage, destroy, intercept, download,
interfere, manipulate, or otherwise interrupt or expropriate the Site or the Services, personal information,
software, equipment, servers, or Information or facilitate or promote hacking or similar conduct; (iii)
impersonate or misrepresent your identity or falsely state or misrepresent your affiliation with a person or
entity; (iv) tamper, hack, spoof, copy, modify, or otherwise corrupt the administration, security, or proper
function of the Site or the Services; (v) use robots or scripts with the Site; (vi) attempt to reverse
reverse assemble, reverse compile, decompile, disassemble, translate, or otherwise alter, defraud, or create
false results from any executable code, information on, or received by this Site; (vii) to have any
antispyware software running that is set to override the internet browser’s cookies setting; (viii)
incorrectly identify the sender of any message transmitted to Thirty Madison. You may not alter the
or origin of electronic mail, messages, or posting; (ix) harvest or collect PHI about any other individual
uses the Site or the Services; (x) infringe or facilitate infringement on any copyright, patent, trademark,
trade secret, or other proprietary, publicity, or privacy rights of any party, including such rights of
You agree to defend, indemnify and hold harmless Thirty Madison, Keeps Medical Group, and the
Providers from and against all third party claims, damages and expenses (including reasonable
attorneys’ fees) against or incurred by us arising out of any User Information you upload to
transmit through the Site.
Claims of Copyright Infringement
We disclaim any responsibility or liability for copyrighted materials posted on our site. If
believe that your work has been copied in a manner that constitutes copyright infringement, please follow
procedures set forth below.
Thirty Madison respects the intellectual property rights of others and expects its users to do the
accordance with the Digital Millennium Copyright Act ("DMCA"), we will respond promptly to
notices of alleged infringement that are reported to Thirty Madison’s Designated Copyright Agent,
Notices of Alleged Infringement for Content Made Available on the Site
If you are a copyright owner, authorized to act on behalf of one, or authorized to act under any exclusive
right under copyright, please report alleged copyright infringements taking place on or through our Site by
sending us notice ("Notice") complying with the following requirements.
- Identify the copyrighted works that you claim have been infringed.
- Identify the material or link you claim is infringing (or the subject of infringing activity) and
access to which is to be disabled, including at a minimum, if applicable, the URL of the link shown
Site where such material may be found.
- Provide your mailing address, telephone number, and, if available, email address.
- Include both of the following statements in the body of the Notice:
"I hereby state that I have a good faith belief that the disputed use of the copyrighted material is
authorized by the copyright owner, its agent, or the law (e.g., as a fair use)."
"I hereby state that the information in this Notice is accurate and, under penalty of perjury,
that I am the
owner, or authorized to act on behalf of the owner, of the copyright or of an exclusive right under
copyright that is allegedly infringed."
- Provide your full legal name and your electronic or physical signature.
Deliver this Notice, with all items completed, to firstname.lastname@example.org
With the exception of your electronic medical record, Thirty Madison and Keeps Medical Group, as applicable,
retain all right, title, and interest in and to the Site, the Services and any information, products,
documentation, software, or other materials on the Site, and any patent, copyright, trade secret, trademark,
service mark, or other intellectual property, or proprietary right in any of the foregoing, except for
information on the Site licensed by Thirty Madison or Keeps Medical Group (in that case, the license
retains all right, title, and interest therein). The information available through the Site and the Services
the property of Thirty Madison or Keeps Medical Group, as applicable. You agree not to store, copy, modify,
reproduce, retransmit, distribute, disseminate, rent, lease, loan, sell, publish, broadcast, display, or
circulate such information to anyone. Use, reproduction, copying, or redistribution of Thirty Madison or
Medical Group trademarks, service marks, and logos are strictly prohibited without the prior written
of Thirty Madison or Keeps Medical Group, as applicable. The immediately foregoing sentence also applies to
party trademarks, service marks, and logos posted on the Site. Nothing contained on the Site should be
construed as granting, by implication, estoppel, waiver or otherwise, any license or right to use any
trademarks, service marks or logos displayed on the Site without the written grant thereof by Thirty
Keeps Medical Group or the third party owner of such trademarks, service marks, and/or logos. The
may contain other proprietary notices and copyright information, the terms of which you agree to follow.
Thirty Madison may delete any information provided by you that it deems in its sole discretion fraudulent,
abusive, defamatory, obscene, or in violation of copyright, trademark, or other intellectual property or
ownership right of any other person or entity.
Disclaimer of Warranties
THIRTY MADISON DOES NOT WARRANT THAT ACCESS TO OR USE OF THE SITE WILL BE UNINTERRUPTED OR ERROR-FREE OR
THAT DEFECTS IN THE SITE WILL BE CORRECTED. THIS SITE, INCLUDING ANY CONTENT OR INFORMATION CONTAINED WITHIN
IT OR ANY SITE-RELATED SERVICE, IS PROVIDED "AS IS," WITH ALL FAULTS, WITH NO REPRESENTATIONS OR WARRANTIES
OF ANY KIND, EITHER EXPRESSED OR IMPLIED, INCLUDING, BUT NOT LIMITED TO, THE IMPLIED WARRANTIES OF
MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, QUALITY OF INFORMATION, QUIET ENJOYMENT, AND
TITLE/NON-INFRINGEMENT. THIRTY MADISON DOES NOT WARRANT THE ACCURACY, COMPLETENESS OR TIMELINESS OF THE
INFORMATION OBTAINED THROUGH THE SITE.
YOU ASSUME TOTAL RESPONSIBILITY AND RISK FOR YOUR USE OF THIS SITE, SITE-RELATED SERVICES, AND LINKED
WEBSITES. THIRTY MADISON DOES NOT WARRANT THAT FILES AVAILABLE FOR DOWNLOAD WILL BE FREE OF VIRUSES, WORMS,
TROJAN HORSES OR OTHER DESTRUCTIVE PROGRAMMING. YOU ARE RESPONSIBLE FOR IMPLEMENTING PROCEDURES SUFFICIENT
TO SATISFY YOUR NEEDS FOR DATA BACK UP AND SECURITY.
WARRANTIES RELATING TO PRODUCTS OR SERVICES OFFERED, SOLD AND DISTRIBUTED BY THIRTY MADISON ARE SUBJECT TO
SEPARATE WARRANTY TERMS AND CONDITIONS, IF ANY, PROVIDED BY THIRTY MADISON OR THIRD PARTIES WITH OR IN
CONNECTION WITH THE APPLICABLE PRODUCTS OR SERVICES
Limitation of Liability Regarding Use of Site
EXCEPT AS PROVIDED BY LAW, AND WITHOUT LIMITATION:
THIRTY MADISON SHALL NOT BE LIABLE FOR THE ACTS OR OMISSIONS OF KEEPS MEDICAL GROUP OR THE PROVIDERS. THIRTY
MADISON AND ANY THIRD PARTIES MENTIONED ON THIS SITE ARE NEITHER RESPONSIBLE NOR LIABLE FOR ANY DIRECT,
INDIRECT, INCIDENTAL, CONSEQUENTIAL, SPECIAL, EXEMPLARY, PUNITIVE, OR OTHER DAMAGES WHATSOEVER (INCLUDING,
WITHOUT LIMITATION, THOSE RESULTING FROM LOST PROFITS, LOST DATA, OR BUSINESS INTERRUPTION) ARISING OUT OF
OR RELATING IN ANY WAY TO THE SITE, SITE-RELATED SERVICES, CONTENT OR INFORMATION CONTAINED WITHIN THE SITE,
AND/OR ANY LINKED WEBSITE, WHETHER BASED ON WARRANTY, CONTRACT, TORT, OR ANY OTHER LEGAL THEORY AND WHETHER
OR NOT ADVISED OF THE POSSIBILITY OF SUCH DAMAGES. YOUR SOLE REMEDY FOR DISSATISFACTION WITH THE SITE,
SITE-RELATED SERVICES, AND/OR LINKED WEBSITES IS TO STOP USING THE SITE AND/OR THOSE SERVICES. TO THE EXTENT
ANY ASPECTS OF THE FOREGOING LIMITATIONS OF LIABILITY ARE NOT ENFORCEABLE, THE MAXIMUM LIABILITY OF THIRTY
MADISON TO YOU WITH RESPECT TO YOUR USE OF THIS SITE IS $500 (FIVE HUNDRED DOLLARS). YOU HEREBY AGREE TO
WAIVE, TO THE FULLEST EXTENT PERMITTED BY LAW, ALL LAWS THAT LIMIT THE EFFICACY OF SUCH INDEMNIFICATIONS OR
No Third Party Rights
remedies on any persons other than you, Thirty Madison, Keeps Medical Group, and its affiliates.
to you, Thirty Madison, Keeps Medical Group, and its affiliates, nor shall any provision give any third
any right of subrogation or action over against you, Thirty Madison, Keeps Medical Group, and its
prior written consent. Thirty Madison may freely transfer, assign, or delegate all or any part of the Terms
benefit of the heirs, successors, and permitted assignees of the parties.
Supplemental Terms Applicable to Providers
event of a conflict between the supplemental terms and any other terms herein, the supplemental terms shall
To be a healthcare provider using the Site (“Provider” or “you”) you must be a licensed physician contracted
or employed by Keeps Medical Group, and must agree to comply with all laws, medical board rules and other
rules and regulations applicable to you as a Provider or otherwise. Your relationship with the Thirty
Madison users (including your Keeps Medical Group patients) is directly between you and the patient. The
patient will never have a physician-patient relationship with Thirty Madison. Thirty Madison does not
practice medicine and offers no medical services. As set forth more fully below, Provider is solely
responsible for all agreements, consents, notices and other interactions with patients and other consumers.
Without limiting the generality of the foregoing, Provider is solely responsible for all billings and
collections from patients and other consumers, and Thirty Madison shall have no liability whatsoever to
Provider with respect to any amounts owed by any patient or other consumer to Provider.
Thirty Madison does not provide any medical advice, legal advice, or representations in any way regarding
any legal or medical issues associated with Provider, goods or services offered by Provider, including but
not limited any compliance obligations or steps necessary to comply with any state or federal laws and
regulations. Provider should seek legal counsel regarding any legal and compliance issues, and should not
rely on any materials or content associated with the Services in determining Provider’s compliance
obligations under law. Provider and Thirty Madison agree that Thirty Madison is not providing, to Customer
or anyone else, medical advice or legal advice.
Provider will use the Site and Services only in accordance with applicable standards of good medical
practice. While software products such as the Site and Services can facilitate and improve the quality of
service that Provider can offer patients, many factors, including the provider/patient relationship can
affect a patient outcome, and with intricate and interdependent technologies and complex decision-making it
is often difficult or impossible to accurately determine what the factors were and in what proportion they
affected an outcome. Provider shall be solely responsible for its use of the Site and Services, and the
provision of medical services to Provider’s patients. In this regard, Provider releases Thirty Madison and
waives any and all potential claims against Thirty Madison as a result of Provider’s use of the Site and
Services, and the provision of services to Provider’s patients.
As a result of the complexities and uncertainties inherent in the patient care process, Provider agrees to
defend, indemnify and hold Thirty Madison harmless from any claim by or on behalf of any patient of
Provider, or by or on behalf of any other third party or person claiming damage by virtue of a familial or
financial relationship with such a patient, which is brought against Thirty Madison, regardless of the cause
if such claim arises for any reason whatsoever, out of Provider’s use or operation of the Site and Services.
To the extent applicable, Provider will obtain Thirty Madison’s prior written consent to any settlement or
judgment in which Provider agrees to any finding of fault of Thirty Madison or defect in the Site or
Services. Thirty Madison will promptly notify Provider in writing of any claim subject to this
indemnification, promptly provide Provider with the information reasonably required for the defense of the
same, and grant to Provider exclusive control over its defense and settlement.
If you submit, upload, transmit, or post any consents, notices, advice, recommendations, comments, files,
videos, images or other materials to us or our Site (“Provider Content”) or provide any Provider Content to
patients or other consumers, you agree not to provide any Provider Content that (1) is defamatory, abusive,
libelous, unlawful, obscene, threatening, harassing, fraudulent, pornographic, or harmful, or that could
encourage criminal or unethical behavior, (2) violates or infringes the privacy, copyright, trademark, trade
dress, trade secrets or intellectual property rights of any person or entity, or (3) contains or transmits a
virus or any other harmful component. Provider is solely responsible for obtaining all necessary agreements
and consents from, and providing all required notices to, patients and other consumers. You agree not to
contact other users through unsolicited e-mail, telephone calls, mailings or any other method of
communication. You represent and warrant to Thirty Madison that you have the legal right and authorization
to upload all Provider Content at the Site. Thirty Madison shall have a royalty-free, irrevocable,
transferable right and license to use the Provider Content however Thirty Madison desires, including without
limitation, to copy, modify, delete in its entirety, adapt, publish, translate, create derivative works from
and/or sell and/or distribute such Provider Content and/or incorporate such Provider Content into any form,
medium or technology throughout the world. Thirty Madison is and shall be under no obligation (1) to
maintain any Provider Content in confidence; (2) to pay to you any compensation for any Provider Content; or
(3) to respond to any Provider Content.
Thirty Madison does not regularly review Provider Content, but does reserve the right (but not the
obligation) to monitor and edit or remove any Provider Content submitted to the Site. You grant Thirty
Madison the right to use the name that you submit in connection with any Provider Content. You agree not to
use a false email address, impersonate any person or entity, or otherwise mislead as to the origin of any
Provider Content. You are and shall remain solely responsible for the content of any Provider Content you
post to the Site or provide to patients or other consumers. Thirty Madison and its affiliates take no
responsibility and assume no liability for any Provider Content submitted by you or any third party.
Dispute Resolution; Arbitration Agreement
We will try work in good faith to resolve any issue you have with Site, including Products and Services
ordered or purchased through the Site, if you bring that issue to the attention of our customer service
department. However, we realize that there may be rare cases where we may not be able to resolve an issue to
a customer's satisfaction.
You and Thirty Madison agree that any dispute, claim or controversy arising out of or relating in any way to
Site, shall be determined by binding arbitration instead of in courts of general jurisdiction. Arbitration
is more informal than bringing a lawsuit in court. Arbitration uses a neutral arbitrator instead of a judge
or jury, and is subject to very limited review by courts. Arbitration allows for more limited discovery than
in court, however, we agree to cooperate with each other to agree to reasonable discovery in light of the
issues involved and amount of the claim. Arbitrators can award the same damages and relief that a court can
award, but in so doing, the arbitrator shall apply substantive law regarding damages as if the matter had
been brought in court, including without limitation, the law on punitive damages as applied by the United
governs the interpretation and enforcement of this provision, and that you and Thirty Madison are each
waiving the right to a trial by jury or to participate in a class action. This arbitration provision shall
If you desire to assert a claim against Thirty Madison, and you therefore elect to seek arbitration, you
must first send to Thirty Madison, by certified mail, a written notice of your claim ("Notice"). The Notice
to Thirty Madison should be addressed to: 79 Madison, 8th FL, New York, NY 10016 ("Notice Address"). If
Thirty Madison desires to assert a claim against you and therefore elects to seek arbitration, it will send,
by certified mail, a written Notice to the most recent address we have on file or otherwise in our records
for you. A Notice, whether sent by you or by Thirty Madison, must (a) describe the nature and basis of the
claim or dispute; and (b) set forth the specific relief sought ("Demand"). If Thirty Madison and you do not
reach an agreement to resolve the claim within 30 days after the Notice is received, you or Thirty Madison
may commence an arbitration proceeding or file a claim in small claims court. During the arbitration, the
amount of any settlement offer made by Thirty Madison or you shall not be disclosed to the arbitrator. You
may download or copy a form Notice and a form to initiate arbitration from the American Arbitration
Association at www.adr.org. If you are required to pay a filing fee, after Thirty Madison receives notice at
the Notice Address that you have commenced arbitration, it will promptly reimburse you for your payment of
the filing fee, unless your claim is for more than US $10,000. The arbitration will be governed by the
Commercial Arbitration Rules and the Supplementary Procedures for Consumer Related Disputes (collectively,
administered by the AAA. The AAA Rules and Forms are available online at www.adr.org, by calling the AAA at
1-800-778-7879, or by requesting them from us by writing to us at the Notice Address. The arbitrator is
Thirty Madison and you agree otherwise, any arbitration hearings will take place in the county (or parish)
of your billing address. (If you reside outside of the United States, any arbitration hearings will take
place in your country of residence at a location reasonably convenient to you, but will remain subject to
the AAA Rules including the AAA rules regarding the selection of an arbitrator). If your claim is for US
$10,000 or less, we agree that you may choose whether the arbitration will be conducted solely on the basis
of documents submitted to the arbitrator, through a telephonic hearing, or by an in-person hearing as
established by the AAA Rules. If your claim exceeds US $10,000, the right to a hearing will be determined by
the AAA Rules. Regardless of the manner in which the arbitration is conducted, the arbitrator shall issue a
reasoned written decision sufficient to explain the essential findings and conclusions on which the award is
based. If the arbitrator issues you an award that is greater than the value of Thirty Madison’s last written
settlement offer made before an arbitrator was selected (or if Thirty Madison did not make a settlement
offer before an arbitrator was selected), then Thirty Madison will pay you the amount of the award or US
$1,000, whichever is greater. Except as expressly set forth herein, the payment of all filing,
administration and arbitrator fees will be governed by the AAA Rules. Each party shall pay for its own costs
and attorneys' fees, if any. However, if any party prevails on a statutory claim that affords the prevailing
party attorneys' fees, or if there is a written agreement providing for payment or recovery attorneys’ fees,
the arbitrator may award reasonable fees to the prevailing party, under the standards for fee shifting
provided by law.
YOU AND COMPANY AGREE THAT EACH MAY BRING CLAIMS AGAINST THE OTHER ONLY IN YOUR OR ITS INDIVIDUAL CAPACITY,
AND NOT AS A PLAINTIFF OR CLASS MEMBER IN ANY PURPORTED CLASS OR REPRESENTATIVE PROCEEDING. Further, unless
both you and Thirty Madison agree otherwise, the arbitrator may not consolidate more than one person's
claims with your claims, and may not otherwise preside over any form of a representative or class
proceeding. The arbitrator may award declaratory or injunctive relief only in favor of the individual party
seeking relief and only to the extent necessary to provide relief warranted by that party's individual
If this Agreement to Arbitrate provision is found to be unenforceable, then (a) the entirety of this
remain in full force and effect; and (b) exclusive jurisdiction and venue for any claims will be in state or
federal courts located in and for New Castle County, Delaware.
We will not be deemed to be in breach of these terms or liable for any breach of these terms or our privacy
policy due to any event or occurrence beyond our reasonable control, including without limitation, acts of
terrorism, war, invasion, failures of any public networks, electrical shortages, earthquakes or floods,
disorder, strikes, fire or other disaster.
You agree to defend, indemnify, and hold harmless Thirty Madison, Keeps Medical Group, and any
affiliates from and against any and all rights, demands, losses, liabilities, damages, claims, causes of
actions, and suits (no matter whether at law or equity), fees, costs, and attorney’s fees of any kind
whatsoever arising directly or indirectly out of or in connection with: (i) your use or misuse of the Site,
Policy; (iii) the content or subject matter of any information you provide to Thirty Madison, Keeps
Group, or any Provider or customer service agent; and/or (iv) any negligent or wrongful act or omission by
in your use or misuse of the Site, Products or Services or any information on the Site, including without
limitation, infringement of third party intellectual property rights, privacy rights, or negligent or
Thirty Madison reserves the right, in its sole discretion, to terminate your access to all or part of this
Site, with or without cause, and with or without notice. Thirty Madison reserves the right to modify
held by a court or other tribunal of competent jurisdiction to be unenforceable, such provisions shall be
pertaining to the subject matter hereof. In its sole discretion, Thirty Madison may from time-to-time revise
may be superseded by expressly designated legal notices or terms located on particular pages within
Copyright/Trademark Information. Copyright ©2018 Thirty Madison, Inc. All rights reserved. All
trademarks, logos and service marks (“Marks”) displayed on the Site are our property
or the property of other third parties. You are not permitted to use these Marks without our prior written
consent or the consent of such third party which may own the Marks.
How to Contact Us:
Thirty Madison, Inc.
79 Madison, 8th FL
New York, NY 10016
Telephone: (833) 745-3377