Effective Date: 10/05/2025
Last Updated: 10/05/2025

Agreement to Terms

By scheduling an appointment, receiving services, or using the website of Joyful Beauty NP (“we,” “our,” “us,” or “the Practice”), you (“you,” “your,” or “Patient”) agree to be bound by these Terms and Conditions. If you do not agree to these terms, please do not use our services or website.

Medical Services and Treatment

Provider Qualifications

Joyful Beauty NP is operated by Joy DeRoche, a board-certified Nurse Practitioner licensed to practice in New Hampshire. All services are provided within the scope of practice as defined by New Hampshire state law and professional nursing standards.

Services Offered

Our practice provides aesthetic and wellness services including but not limited to:

• Neurotoxin injections (Botox, Dysport, Letybo)
• Dermal filler treatments
• Sculptra treatments
• Kybella injections
• Microneedling with enhancement options
• Hair restoration therapies
• Biofiller treatments
• PRF injections
• IV hydration therapy
• Wellness shots

Medical Consultation Required

All aesthetic treatments require a medical consultation and assessment. We reserve the right to:

• Decline treatment if you are not a suitable candidate
• Require additional medical clearance from your primary care physician
• Modify treatment plans based on your medical history and current health status
• Postpone treatment if you present with active skin conditions, illness, or other contraindications

Patient Responsibilities

Medical History and Disclosure

You agree to:

• Provide complete and accurate medical history
• Disclose all medications, supplements, and medical conditions
• Inform us of any changes to your health status between appointments
• Follow all pre-treatment and post-treatment instructions
• Attend scheduled follow-up appointments

Informed Consent

• You will receive detailed information about your proposed treatment
• All risks, benefits, and alternatives will be explained
• You have the right to ask questions and receive satisfactory answers
• Written consent is required for all treatments
• You may withdraw consent at any time before treatment begins

Realistic Expectations

• Aesthetic treatments provide enhancement, not perfection
• Results vary among individuals and cannot be guaranteed
• Multiple treatments may be necessary to achieve desired results
• Maintenance treatments are typically required to sustain results

Scheduling and Appointments

Appointment Booking

• Appointments may be scheduled online, by phone, or in person
• All appointments are subject to availability
• We reserve the right to reschedule appointments due to emergencies or unforeseen circumstances

Cancellation Policy

• 24-Hour Notice Required: Appointments must be cancelled at least 24 hours in advance
• Late Cancellations: Cancellations with less than 24 hours notice may be subject to a cancellation fee
• No-Show Policy: Failure to appear for your appointment may result in a charge equal to 50% of the scheduled service fee
• Emergency Exceptions: We understand emergencies occur and will work with you on a case-by-case basis

Rescheduling

• Appointments may be rescheduled with appropriate notice
• Frequent rescheduling may result in appointment deposit requirements
• Peak time appointments (evenings, weekends) may have different cancellation policies

Payment Terms and Policies

Payment Methods

We accept:

• Cash and check
• Credit and debit cards
• Cherry and other approved financing options
• HSA/FSA cards (where applicable)

Payment Timing

• Consultation Fees: Due at time of service
• Treatment Fees: Payment required at time of service unless other arrangements are made
• Package Payments: Available for multiple treatment series
• Deposits: May be required for extensive treatments or new patients

Pricing and Fees

• All prices are subject to change without notice
• Current pricing will be provided during consultation
• Package deals and promotions have specific terms and expiration dates
• Additional fees may apply for:
  • Consultation appointments
  • After-hours appointments
  • Travel to off-site locations
  • Rush or expedited services

Refund Policy

• Service Refunds: Generally not available once treatment has been performed
• Package Refunds: Prorated refunds may be available for unused portions of treatment packages
• Product Refunds: Unopened products may be returned within 30 days with receipt
• Consultation Refunds: Consultation fees are generally non-refundable

Risks and Limitations

Treatment Risks

All medical and aesthetic procedures carry inherent risks including but not limited to:

• Allergic reactions
• Infection
• Bruising, swelling, or discomfort
• Asymmetry or irregularities
• Unsatisfactory results requiring additional treatment
• Rare but serious complications

Limitation of Liability

• Our liability is limited to the cost of the service provided
• We are not liable for indirect, consequential, or punitive damages
• We are not responsible for complications arising from failure to follow aftercare instructions
• We are not liable for results that do not meet your expectations if treatment was performed appropriately

Medical Emergencies

• If you experience a medical emergency, call 911 immediately
• Contact our office for non-emergency treatment-related concerns
• After-hours emergency contact information will be provided when appropriate

Photography and Marketing

Treatment Documentation

• We may take photographs for medical record purposes
• Medical record photos are confidential and protected under HIPAA

Marketing Use

• Before/after photos for marketing require separate written consent
• You may revoke marketing consent at any time for future use
• Compensation is not provided for use of your photos in marketing materials
• Your identity will be protected unless you specifically consent to identification

Website Terms of Use

Acceptable Use

You agree to use our website only for lawful purposes and in accordance with these terms. You agree not to:

• Use the website in any way that violates applicable laws or regulations
• Transmit any harmful, threatening, abusive, or otherwise objectionable content
• Attempt to gain unauthorized access to our systems
• Interfere with the proper functioning of the website

Intellectual Property

• All website content is owned by Joyful Beauty NP or licensed to us
• You may not reproduce, distribute, or create derivative works without permission
• Trademarks and service marks are protected intellectual property
• User-generated content may be used by us in accordance with our Privacy Policy

Third-Party Links

• Our website may contain links to third-party websites
• We are not responsible for the content or practices of third-party sites
• Your use of third-party sites is subject to their own terms and conditions

Privacy and Confidentiality

HIPAA Compliance

• We comply with all HIPAA privacy and security requirements
• Your protected health information (PHI) is safeguarded according to federal law
• See our separate Privacy Policy for detailed information about information handling

Confidentiality

• All patient information is kept strictly confidential
• Information is shared only as permitted by law or with your written authorization
• Staff members are trained in confidentiality requirements and sign confidentiality agreements

Technology and Digital Services

Online Booking System

• Online appointment requests are not confirmed until verified by our staff
• Technical issues with online systems do not excuse missed appointments
• You are responsible for ensuring contact information is current and accurate

Electronic Communications

• Email and text communications are for convenience only
• Electronic communications are not secure and should not contain sensitive medical information
• We are not responsible for undelivered electronic messages

Telehealth Services

If we offer telehealth consultations:

• Technology requirements and limitations will be explained
• Telehealth has limitations compared to in-person examinations
• Technical difficulties may require rescheduling
• Privacy cannot be guaranteed over internet communications

Dispute Resolution

Informal Resolution

We encourage patients to discuss concerns directly with our staff or practice manager before pursuing formal dispute resolution.

Formal Complaints

• Written complaints should be directed to Joy DeRoche, Practice Owner
• We will respond to written complaints within 30 days
• Complaint procedures are available upon request

Legal Disputes

• These terms are governed by New Hampshire state law
• Disputes will be resolved in the courts of New Hampshire
• Both parties waive the right to jury trial for disputes arising from these terms
• Arbitration may be required for certain types of disputes

General Provisions

Modification of Terms

• We reserve the right to modify these terms at any time
• Changes will be posted on our website with an updated effective date
• Continued use of our services constitutes acceptance of modified terms
• Significant changes will be communicated to existing patients

Severability

If any provision of these terms is found to be invalid or unenforceable, the remaining provisions will continue in full force and effect.

Entire Agreement

These Terms and Conditions, together with our Privacy Policy and any written treatment agreements, constitute the entire agreement between you and Joyful Beauty NP.

Force Majeure

We are not liable for delays or failures in performance due to circumstances beyond our control, including but not limited to natural disasters, government actions, or public health emergencies.

Assignment

You may not assign or transfer your rights under these terms. We may assign these terms in connection with a sale or transfer of our practice.

Medical Disclaimers

Not Medical Advice

• Information on our website is for educational purposes only
• Website content does not constitute medical advice or establish a patient-provider relationship
• Always consult with qualified healthcare providers for medical decisions

Individual Results

• Treatment results vary among individuals
• Before/after photos may not be representative of your potential results
• Outcomes depend on many factors including your unique anatomy, healing response, and adherence to aftercare

Off-Label Use

Some treatments may involve off-label use of FDA-approved products. This will be discussed during consultation when applicable.

Contact Information

Practice Contact

Joyful Beauty NP
Address: 155 Main Street, Plaistow, NH 03865
Phone: (978) 702-3736
Email: [email protected]
Website: www.joyfulbeautymedspa.com

Questions About These Terms

If you have questions about these Terms and Conditions, please contact us using the information above or discuss them during your appointment.

Acknowledgment

By scheduling an appointment or receiving services, you acknowledge that you have read, understood, and agree to be bound by these Terms and Conditions. If you do not agree with any part of these terms, please discuss your concerns with us before proceeding with treatment.