Monarch Med NP

Effective Date: February 2, 2026
Last Updated: February 2, 2026

These Website Terms & Conditions (“Terms”) govern your use of https://MonarchMedNP.com (the “Website”), operated by Up River Wellness (DBA Monarch Med NP) (“we,” “us,” or “our”). By using this Website, you agree to these Terms. If you do not agree, do not use the Website.

1) Website Purpose and No Medical Advice

This Website is provided for general informational purposes only and is not medical advice. Content on this Website is not a substitute for professional medical evaluation, diagnosis, or treatment. Do not ignore or delay seeking medical care because of something you read on this Website.

If you think you may have a medical emergency, call 911 or go to the nearest emergency department.

2) No Patient Relationship Through the Website

Using this Website, sending a message through a Website form, or signing up for a newsletter does not create a provider–patient relationship. A provider–patient relationship is established only through a scheduled clinical visit and completion of required intake/consent processes.

3) Do Not Send Private Health Information (PHI) Through Website Forms

Website forms and email may not be secure methods of communication. Do not submit sensitive medical or personal health information through Website forms. For clinical questions, scheduling, membership enrollment, or secure communication, use the patient portal/EHR.

4) Patient Portal / Third-Party Services (OptiMantra)

Scheduling, membership enrollment, payments, and portal communications may be provided through a third-party electronic health record (“EHR”) / patient portal, such as OptiMantra. When you click links to the portal, you are leaving our Website and are subject to the portal provider’s terms and privacy practices. We are not responsible for third-party websites or services.

5) Telehealth Location Requirement

Telehealth services (if offered) require that you are physically located in the State of Nevada at the time of the appointment. We do not provide telehealth services to patients located outside Nevada at this time.

6) Medicare

Monarch Med NP is not accepting Medicare patients at this time.

7) Membership and Services

We may offer membership-based care and/or specific services (such as hormone therapy and medical weight management). Any descriptions of services, pricing, or inclusions on this Website are for informational purposes and may change. Final terms, consents, and applicable policies are provided during the onboarding and enrollment process and/or within the patient portal.

Foundational Assessment: We may require an initial appointment (“Foundational Assessment”) before starting ongoing care. Fees, what is included, and what is excluded (including lab costs) will be disclosed before you book.

8) Billing, Cancellations, and Refunds

Billing terms (including membership fees, payment timing, cancellation, and refund policies) will be provided during booking/enrollment and/or inside the patient portal. If you have questions, contact us using the information below.

9) Messaging and Response Times

If secure portal messaging is available, it is intended for non-urgent communication related to your care plan. Our typical response time is within 48 business hours (Monday–Thursday; excluding holidays). Messaging is not monitored 24/7 and is not for emergencies.

10) Intellectual Property

Unless otherwise stated, all content on this Website—including text, logos, graphics, images, and design—is owned by or licensed to Up River Wellness (DBA Monarch Med NP) and is protected by intellectual property laws. You may view, download, and print content for personal, non-commercial use only. You may not reproduce, distribute, modify, or create derivative works without our written permission.

11) Acceptable Use

You agree not to:

• Use the Website in a way that violates any law or regulation

• Attempt to gain unauthorized access to the Website, servers, or systems

• Transmit malware, spam, or harmful code

• Interfere with the Website’s security or functionality

• Use the Website to harass, threaten, or infringe on others’ rights

12) Disclaimer of Warranties

This Website is provided on an “AS IS” and “AS AVAILABLE” basis. We make no warranties of any kind, express or implied, regarding the Website’s operation or content, including accuracy, completeness, reliability, or fitness for a particular purpose.

13) Limitation of Liability

To the fullest extent permitted by law, Up River Wellness (DBA Monarch Med NP) will not be liable for any indirect, incidental, special, consequential, or punitive damages arising out of or related to your use of the Website. Our total liability for any claim related to the Website will not exceed $100 or the amount you paid us to access the Website (if any), whichever is greater.

14) Indemnification

You agree to defend, indemnify, and hold harmless Up River Wellness (DBA Monarch Med NP) from and against claims, liabilities, damages, losses, and expenses (including reasonable attorneys’ fees) arising from your use of the Website, violation of these Terms, or infringement of any rights of a third party.

15) Privacy

Your use of the Website is also subject to our Privacy Policy and, where applicable, our HIPAA Notice of Privacy Practices. Please review those documents for details about how information is handled.

16) Changes to These Terms

We may update these Terms at any time by posting an updated version on this page and revising the “Last Updated” date. Your continued use of the Website after changes become effective means you accept the updated Terms.

17) Governing Law and Venue

These Terms are governed by the laws of the State of Nevada, without regard to conflict-of-law principles. Any dispute arising from these Terms or your use of the Website will be brought in the state or federal courts located in Washoe County, Nevada, unless otherwise required by law.

18) Contact Information

Monarch Med NP
5150 Mae Anne Ave, Suite 405 PMB 1207
Reno, NV 89523
Email: Monarchmednp@gmail.com