End User License Agreement
Last Modified: February, 2025

TextCare by One to One Health is an employer-sponsored 24/7 telehealth service and the TextCare App enables secure patient-provider communication. Users can initiate asynchronous telehealth care, respond to ongoing conversations, or request a synchronous visit via voice or video using the TextCare app.

Key Highlights:

  • TextCare is NOT an emergency service. If you have a medical emergency, call 911 immediately.
  • Licensed healthcare providers and support staff deliver all services, maintaining privacy in accordance with HIPAA and relevant federal and state laws. Our Privacy Policy can be found [here].
  • Consent to Treatment: TextCare records your consent to treatment during your first medical encounter while documenting your health history. The TextCare health history questionnaire includes the Patient Agreement and documents your consent to treatment. TextCare may ask you to update your health history in subsequent encounters. The digital form and agreement can be accessed [here].
  • Guaranteed Treatment: TextCare does not guarantee diagnoses, prescriptions, or treatments and may direct patients to seek appropriate in-person care at any point during asynchronous or synchronous telehealth visits. TextCare does not prescribe DEA-controlled substances.
  • Communication Methods: TextCare may message you via SMS, app notifications, phone, or email. You can manage notifications through settings or opt out of each channel or completely, at any time.
  • TextCare is NOT an insurance provider. Any costs for in-person care, diagnostic tests, specialty services, or prescriptions remain the patient’s responsibility.
  • Service Availability: TextCare operates within specific state and federal regulations; some features may be restricted based on your location.
  • Data Retention and Deletion: Users may request that we delete their TextCare app account at any time by emailing hello@121.health. Account deletion does not delete your health records. One to One Health maintains records in accordance with HIPAA and other state and federal laws. You can contact One to One’s privacy officer at privacy@12.health to request or amend your records.

By using TextCare, you agree to the legally binding terms outlined below. If you do not accept these terms, you may not use the app or TextCare services.

 

Terms of Use

  1. Healthcare Services

TextCare provides a platform for eligible patients to communicate with healthcare providers for virtual consultations, treatment plans, and medical guidance. Services include:

  • Asynchronous and synchronous telehealth visits
  • Secure patient messaging with providers
  • Virtual prescriptions and treatment recommendations
  • Provider-initiated follow-ups

TextCare does not replace in-person care and is not a substitute for emergency services. TextCare follows the most restrictive state policies regarding telehealth prescriptions and does not prescribe DEA-controlled substances (e.g., opioids, amphetamines).

  1. Service Availability & Geographic Restrictions
  • Access to TextCare is limited to the United States where the service is legally permitted.
  • State-specific restrictions may apply to certain prescriptions, services, or communication modalities.
  • One to One Health does not guarantee the availability of providers 24/7.

Some features may be subject to additional terms (“Additional Terms”), which must be accepted before use.

  1. Privacy, HIPAA, & Data Retention
  • TextCare complies with HIPAA, ensuring the confidentiality of your health information.
  • Some messaging services (e.g., SMS/MMS or email) are HIPAA-compliant when users acknowledge the risks and elect to communicate via such channels.
  • Health Record Retention: TextCare retains records as required by law, even if you delete your account.
  • Right to Access & Amend Data: Users can request copies of their medical records and corrections to inaccuracies, in accordance with HIPAA and other relevant laws.
  • Users may request deletion of their TextCare app account at any time by emailing TextCare’s support team at hello@121.health. Upon receipt of your request, One to One Health will delete your account within a reasonable timeframe. However, some data must be retained for legal and regulatory compliance.
    • Immediate Deletion: Certain personal information, such as login credentials and account preferences, will be removed from active databases upon account deletion.
    • HIPAA & Medical Record Retention: Health records and treatment history cannot be deleted upon request due to federal and state laws requiring healthcare providers to retain medical records for a minimum period.
    • Archived & De-Identified Data: Some data may be retained in secure archives or in de-identified form for research, analytics, or compliance purposes.
    • Third-Party Disclosures: If your data was shared with third parties (e.g., pharmacies, labs, other healthcare resources, or population health analytics services contracted by a patient’s healthcare plan), deletion from TextCare does not guarantee its deletion from those external entities. Users must contact third-party services directly to request deletion.
  • Retention Periods
    • One to One Health retains different types of data for varying durations:
    • Medical Records: Retained for the legally mandated period (7 years per HIPAA and state laws).
    • Account & Billing Information: Retained for financial and legal record-keeping as required by applicable laws.
    • Customer Support & Communications: If you have interacted with the TextCare support team, One to One Health may retain reasonable records of these interactions for quality assurance and legal compliance.
  • Ensuring Data Security
    • One to One Health implements a secure deletion process to ensure that personal data is safely removed from active systems when no longer required. However, backup copies may persist temporarily due to system redundancies, disaster recovery measures, and legal obligations.

For full details, see One to One Health’s Privacy Policy [here].

  1. User Accounts & Security
  • You must provide accurate, current, and complete registration information.
  • You are responsible for maintaining the confidentiality of your account credentials.
  • You may not share login credentials or impersonate others.
  • One to One Health reserves the right to terminate accounts for unauthorized activity.
  1. Third-Party Services & Integrations
  • TextCare may integrate with external pharmacies, labs, population health analytic services, or billing services. One to One Health is not responsible for their accuracy or security, but signs BAA agreements with all processors of protected data.
  • Users must review third-party privacy policies before use.
  1. Intellectual Property
  • TextCare’s content, trademarks, and software are owned by One to One Health and may not be copied, modified, or redistributed.
  • Users may not reverse-engineer or tamper with the app’s functionality.
  1. Consent to Electronic Communications

By using TextCare, you consent to receive emails, SMS/MMS texts, and app notifications related to:

  • Appointment reminders and prescription updates
  • Care plan instructions
  • Service alerts and promotional content

Users can opt out of promotional emails and texts by replying “STOP” or adjusting notification preferences or by emailing hello@121.health.

  1. Telehealth & Medical Disclaimers
  • TextCare does not guarantee diagnoses, prescriptions, or treatments and may direct patients to seek in-person care ranging from recommendations to seek immediate emergency medical services to referrals to appropriate primary care services or specialists.
  • All prescriptions and treatment plans are at the discretion of licensed providers.
  • The service is not liable for delays, technical issues, or errors in telehealth consultations.
  1. Limitation of Liability

To the fullest extent permitted by law:

  • One to One Health is not liable for service errors or external healthcare costs.
  • Users assume all risks associated with virtual care, including technology failures or miscommunications.
  • One to One Health’s liability is limited to fees paid for direct services, if relevant for some users.
  1. Termination of Access & Violations

One to One Health reserves the right to suspend or terminate your account for:

  • Fraudulent activity or misrepresentation
  • Abuse, harassment, or improper use of the service, in accordance with relevant federal and state laws
  • Violation of federal or state telehealth laws
  • Such account suspensions or terminations will comply with relevant federal and state laws

One to One Health may cooperate with law enforcement authorities regarding illegal activity.

  1. Governing Law

Med Investors Development, LLC doing business as One to One Health is a limited liability company (LLC) organized under the laws of the State of Tennessee, with its principal place of business in Chattanooga, Tennessee. This Agreement shall be governed by and construed in accordance with the laws of the State of Tennessee, except to the extent preempted by federal law.

TextCare operates in compliance with state-specific regulations governing the licensed practice of medicine. While One to One Health is organized in Tennessee, the provision of telehealth services is subject to the laws and medical licensing requirements of each state in which care is delivered.

Any legal proceedings or claims arising from the use of this app or the TextCare service shall be initiated in Tennessee, unless otherwise required by state or federal law governing healthcare services.

  1. Customer Support

For assistance, contact hello@121.health. One to One Health reserves the right to modify app functionality without notice.

  1. International Use

The app is not intended for international users. Access outside the U.S. is at your own risk.

  1. Modifications to Terms of Use

One to One Health may update these Terms at any time. Continued use of the app constitutes acceptance of any changes.

 

Acknowledgment & Acceptance

By using TextCare, you confirm that you:

  • Understand that TextCare is not a replacement for in-person care or emergency services.
  • Agree to securely manage your health data and communications.
  • Accept all terms regarding liability, access restrictions, and data policies.

For full details, please review the Patient Agreement & Privacy Policy [here].