Blood Work terms and conditions

1. Who provides your testing

These terms govern Passion Health Blood Work ("Blood Work"), the laboratory-testing service offered by PHP INS TX PLLC, doing business as Passion Health Primary Care, together with Passion Health Physicians, PLLC ("Passion Health," "we," "our"). The two practices are under common ownership and act as a single affiliated covered entity under HIPAA. Our website is passionhealthphysicians.com.

Passion Health is a physician-owned Texas medical practice. Every Blood Work test is ordered by a Passion Health physician, or by a nurse practitioner or physician assistant acting under the delegation and supervision of a Passion Health physician (Tex. Occ. Code §§157.001, 157.0512). Every ordering clinician holds a Texas license (physicians: Tex. Occ. Code §155.001; physician assistants: Tex. Occ. Code ch. 204; nurse practitioners: Tex. Occ. Code §301.152).

Samples are collected and tested by Clinical Pathology Laboratories (CPL), a laboratory certified under the Clinical Laboratory Improvement Amendments (42 U.S.C. §263a), at its patient service centers or at a Passion Health clinic. CPL may send some tests to another certified laboratory. Using a laboratory does not change who your treating practice is.

Contact: 214-666-6259 · appointments@passionhealthphysicians.com · 230 O'Connor Ridge Blvd., Suite 110, Irving, Texas 75038.

2. Website information, telemedicine and the treatment relationship

Test descriptions, biomarker and condition guides, prices and the path finder are general information. They are not individualized diagnosis or advice. Browsing the website, adding tests to a cart or contacting us does not by itself mean a clinician has agreed to order a test for you.

A laboratory may test a sample only on the request of an authorized person (42 C.F.R. §493.1241). Your order becomes a Passion Health clinician's order, and you become a Passion Health patient for that order, when the clinician reviews your request and signs the lab order. From then on all professional obligations apply, and nothing in these terms waives them.

Your order is reviewed remotely. Your clinician reviews your request, your message and any records you upload online, without examining you in person. We treat this remote review as telemedicine under Texas law: we get your consent first (Tex. Occ. Code §111.002), and your clinician is held to the same standard of care as at an in-person visit (Tex. Occ. Code §111.007). If the clinician needs to talk with you or examine you before ordering, we tell you.

A Blood Work order is one episode of testing and result review. It does not enroll you in primary care or a membership unless you buy one (Section 11). Please keep a primary care clinician, at Passion Health or another practice, for ongoing care.

3. Eligibility, identity and location

Blood Work is for adults 18 and older. We don't take orders for children through Blood Work; children can be seen at Passion Health clinics that see children, or by their own doctor. A guardian or an agent under a medical power of attorney may order and consent for an adult patient.

You must give accurate identity, contact, medication and health information. A government-issued photo ID is required for every Blood Work order: for example a driver's license or state ID, a passport from any country, a consular ID, a military ID or a permanent resident card. You upload a photo of it when you order, and CPL checks the same ID at your draw. If you request a check-up to use insurance, you also upload both sides of your insurance card. We do not ask about immigration or citizenship status and do not use any such information an ID may show (Section 1557 of the Affordable Care Act; Title VI of the Civil Rights Act). ID copies are kept in your medical record and protected with the safeguards and destruction Texas requires (Tex. Bus. & Com. Code §521.052).

Our clinicians are licensed in Texas, so Blood Work is available only to people who are in Texas when they order and who are drawn at a Texas CPL patient service center or a Passion Health clinic.

4. Emergencies and service limitations

Blood Work, our phone line, texts, email and the PHi portal are not emergency services. Call 911 or go to the nearest emergency room if you think you have a medical emergency. If you are thinking of harming yourself, call or text 988. Don't wait for a test result or a call back.

Most results are ready in 1 to 3 business days after your draw; some tests take longer, and we tell you when you order. CPL must alert us right away to a result that may be life-threatening (42 C.F.R. §493.1291(g)), and a clinician tries to reach you right away, the same day whenever possible. These are service expectations, not guarantees, and Blood Work does not include continuous monitoring.

A clinician may decide that a test isn't right for you, or that your symptoms need an examination, other tests or a higher level of care. We explain the next step and, where appropriate, offer a visit at a Passion Health clinic in Dallas–Fort Worth or through Online Care. Outside providers may charge separately.

5. Ordering, clinician review and consent

You order on this website. We don't take Blood Work orders by phone, text or email.

1. You choose tests and say how you will pay. If you want to use insurance, or you have Medicare or Medicaid, you send a check-up request instead of an order (Section 8).
2. You give your details: your name, date of birth, address and contact details, and a photo of your government-issued photo ID. You confirm that you are in Texas and that you are not enrolled in Medicare or Medicaid.
3. You tell your clinician about yourself in a voice or written message: why you want the tests, any symptoms, your health conditions, and the medicines and supplements you take. You can upload earlier results or records. You also choose when you want your results, whether we may view your medication history, and whether to send your results to your own doctor.
4. You give your consent and pay. You tick a box to agree to these terms and to the Consent to Laboratory Testing, which covers testing and remote (telemedicine) review, and a box to confirm you have received our Notice of Privacy Practices (45 C.F.R. §164.520(c)(2)). If your order includes an HIV test, the test is explained on the screen and you consent to it separately (Tex. Health & Safety Code §§81.105, 81.106). You then pay on Authorize.net's secure payment page.
5. A clinician reviews your order. Your order is accepted when a Passion Health clinician signs the lab order. The clinician may change or decline a test that isn't appropriate for you, may contact you with questions, and will tell you why if a test is declined.
6. We send the order to CPL electronically through our electronic health record and email your confirmation.

We keep a record of each consent you give, with the version of the document, the date and the time, in your medical record. Files you upload are sent over an encrypted connection to Passion Health's own systems and become part of that record.

6. Laboratory testing and sample collection

Walk in to a CPL patient service center or a Passion Health clinic; no appointment is needed. Bring your government-issued photo ID: CPL checks it before your draw and will not draw you without it. Follow the preparation we give you, for example fasting 8 to 12 hours for cholesterol and glucose, or a morning draw for testosterone. If you didn't prepare, tell the staff; a test may need to be repeated.

A blood draw can cause brief pain, a bruise, lightheadedness or fainting, and rarely infection or nerve irritation at the needle site. Tell the staff if you have fainted with blood draws before or take a blood thinner.

Sometimes a sample can't be tested, for example because it clotted, was too small or was delayed. If that happens because of the sample or the laboratory, we arrange a free redraw or refund that test (Section 10).

Laboratory tests have limits. Reference ranges vary by laboratory; results can be affected by food, exercise, medicines, supplements such as biotin, and illness; and no test is perfectly accurate. A result may lead to more testing.

7. Results and follow-up

When your results are ready, we let you know, and a Texas-licensed clinician reviews them and adds notes. You don't have to wait for the review: ask us and we send your results as soon as they arrive, or see them in the PHi patient portal once your account is set up (45 C.F.R. Part 171). If you'd rather hear from a clinician first, tell us and we'll hold them until then. We email or text you that results are ready, according to the choice you made when you ordered; we put results themselves in an ordinary text or email only if you ask. A positive HIV result is always given to you personally by a clinician (Consent to Laboratory Testing, section 5).

You have the right to ask for copies of your results and records. We send electronic records within 15 business days of a written request (Tex. Health & Safety Code §181.102; 45 C.F.R. §164.524). You can also ask CPL for your results (42 C.F.R. §493.1291(l)).

Every order includes the clinician's review and notes and an attempt to reach you right away about anything critical or urgent. A visit to go over your results is included only in Blood Work + Visit and Passion Direct Online. If a result needs treatment, your clinician explains the options, such as Passion Health Online Care (visits start at $59), a video visit or a clinic visit, at the fee disclosed before the service.

Passion Health reviews and communicates the results of the tests it orders. If you expect a result and haven't heard from us, please call 214-666-6259; that does not shift our responsibility to track results to you.

If you have a primary care physician outside Passion Health and you agree, we send them your results and the clinician's notes within 72 hours after the review (Tex. Occ. Code §111.005(b)). If Passion Health is your primary care practice, your results are in your existing chart.

8. Prices, insurance and payment

Before we accept your order, we tell you the price, what is included and known exclusions. Visits, imaging, medicine and outside services are separate unless your purchase includes them.

Blood Work is self-pay. Blood Work doesn't bill insurance. The price shown is the full charge, and you pay before your order is sent to the lab. Panels include the blood draw and a clinician's review; single tests ordered without a panel add one $29 draw and review fee per order. Passion Health pays CPL for these tests at our client rate and bills you the Blood Work price, which also covers the clinician's order and review. Nothing is sent to any health plan, and you may ask us not to share the order with your plan (45 C.F.R. §164.522(a)(1)(vi)).

To use insurance, book a check-up. Insurance pays for tests a clinician orders as part of your care, so the clinician needs to see you first, in a clinic or by video. You send a check-up request on this website with a photo of your photo ID and both sides of your insurance card; we check your coverage and contact you to book the visit. At the visit the clinician orders the tests that fit your symptoms, conditions and risk factors, which may not be every test you had in mind. We bill your plan for the visit when we are in network, CPL bills your plan for the tests it covers, and you pay only your plan's copay, coinsurance or deductible. Your plan decides what it covers; we can't promise that it will pay, and if it denies a test, CPL bills you for that test. If a test may not be covered, we tell you the price in writing before your draw, and you choose whether to pay for it or leave it out. The $29 fee is not charged on tests ordered at a visit.

If you have a commercial plan and would rather pay yourself, you may place a Blood Work order at the listed price instead. That is your choice: we note it in your record, and nothing is sent to your plan.

Medicare. If you have Medicare, your tests are ordered at a visit, not through Blood Work. Medicare pays for a test only when the clinician treating you orders it and uses the result in your care (42 C.F.R. §410.32(a)), and only the laboratory that runs a test may bill Medicare for it (Social Security Act §1833(h)(5)(A)), so CPL, not Passion Health, bills Medicare. If Original Medicare may not pay for a test, such as a screening test it doesn't cover, you are asked to sign an Advance Beneficiary Notice (form CMS-R-131) before the draw, so you can decide whether to have the test and pay for it yourself (42 C.F.R. §411.404). If you're in a Medicare Advantage plan, we check coverage with your plan instead; the Advance Beneficiary Notice isn't used for those plans.

Medicaid and CHIP. Your tests are ordered at a visit, not through Blood Work. CPL bills your plan for covered tests, and Medicaid patients are never charged for a covered service (42 C.F.R. §447.15). If you want a test your plan doesn't cover, we tell you first and ask you to sign an acknowledgment, before the draw, that you will pay for it. TRICARE and other programs follow their own coverage and cost-sharing rules; we check before your visit. We don't take payment from you for a test that Medicare or Medicaid covers.

How you pay. You pay on Authorize.net's secure payment page, the same way Online Care payments are made. The payment page opens when you place your order, and your order goes to a clinician for review once payment is received. Your card number goes only to Authorize.net: it never reaches our staff, our phones or our systems, and we never ask for it by phone, text or email. Refunds go back to the same card.

Receipts, itemized statements and billing policies. Every charge comes with an itemized receipt. You can also ask for an itemized statement up to a year after your service, and we send it within 10 business days. Our written billing policies cover discounts for patients without insurance, whether interest is charged and how billing complaints are handled; ask us for a copy. If you overpay, we refund the overpayment within 30 days of finding it (Tex. Occ. Code §101.352).

Pricing errors: if a price is shown wrongly because of a typing or system error, we tell you the correct price before your order is accepted, and you decide whether to go ahead. Not insurance: payments to Passion Health are payments for services, not insurance premiums, and Passion Health is not an insurer. Billing questions: please tell us about a billing problem within 60 days of the charge so we can fix it quickly; telling us later does not take away any right the law gives you.

9. Your right to a Good Faith Estimate

You have the right to receive a "Good Faith Estimate" explaining how much your medical care will cost.

Under the law, health care providers need to give patients who don't have insurance or who are not using insurance an estimate of the bill for medical items and services. You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services, including related costs like medical tests, prescription drugs, equipment and hospital fees. Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item; you can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service. If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. Make sure to save a copy or picture of your Good Faith Estimate.

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 1-800-985-3059.

How Blood Work does this. We tell you about this right before you pay, and we send every self-pay patient a written Good Faith Estimate when we confirm the order, before your draw. You can also ask for one at any time, and asking us about the cost counts as asking for one; federal rules give us up to 3 business days to send it (45 C.F.R. §149.610). A website price does not replace your written estimate. Under Texas law you can also ask any physician for an estimate of charges (Tex. Occ. Code §101.352).

10. Cancellations and refunds

If a clinician doesn't approve your order, for any reason, we issue a full refund to your card within 10 business days, without you having to ask, and nothing is billed to any insurer.

You can cancel any time before your sample is collected for a full refund. Call 214-666-6259 or email us.

After your sample is collected, the order can't be cancelled because testing begins. We refund any test that isn't performed, and if the laboratory can't complete a test because of a problem with the sample or the lab, we arrange a free redraw or refund that test.

Video visits included with Blood Work + Visit can be rescheduled or cancelled up to 2 hours before the start time at no charge. If a visit can't be completed because of a technical failure, we complete it by phone, reschedule at no charge, or refund the visit portion.

If we stop offering a test you have paid for before your sample is collected, we refund it in full. We issue refunds to the original card within 10 business days; your card company may take a few more days to show them.

11. Visits and memberships

Blood Work + Visit and Passion Direct Online include a video visit with a Passion Health clinician. Your telemedicine consent, described in the Consent to Laboratory Testing, covers the visit as well as the review of your order (Tex. Occ. Code §111.002).

Passion Direct Online is an optional direct primary care membership with its own written agreement stating its price, billing, included services, exclusions, cancellation and eligibility; it isn't available to people who live near a Passion Health clinic. A direct primary care agreement is not health insurance (Tex. Occ. Code §§162.253, 162.256), and it does not guarantee a particular clinician, unlimited visits or a prescription. We never enroll you in recurring billing because you bought a one-time order: we show you the price, how often you are charged and how to cancel, and get your express consent, before any recurring charge.

12. Privacy, accounts and communications

Our Notice of Privacy Practices explains how we use and protect your health information under HIPAA (45 C.F.R. Parts 160 and 164), the Texas Medical Records Privacy Act (Tex. Health & Safety Code ch. 181) and physician confidentiality law (Tex. Occ. Code ch. 159). Agreeing to these terms is not an authorization to sell your health information or use it for advertising, and we do neither. Our Privacy Policy and Cookie Policy explain how the rest of our website handles information. Blood Work pages don't use advertising pixels or tools that share what you view with advertisers or social media. They use only what is needed to run the site, such as your browser's session storage for your cart, and fonts loaded from Google Fonts.

Texts and email. Ordinary text and email are not fully private. If you text or email us, keep it to your name, phone number and the tests you want, and use the phone or the PHi portal for anything more. We send texts and emails about your order to the number and address you give us; message frequency varies, message and data rates may apply, and you can reply STOP to stop texts or HELP for help. We never use them for marketing without your separate written consent. If you agree when you order, our automated or AI voice assistant may also call you about your order. An AI assistant tells you it is an AI at the start of every call or chat.

Electronic records and signatures. You agree that we may give you notices, receipts, consents, these terms and your results electronically, through the PHi portal, email or text, and that ticking a consent box on this website is your signature (15 U.S.C. §7001; Tex. Bus. & Com. Code ch. 322). To receive them you need a phone or a device with internet access, and an email address or mobile number. You can ask for a paper copy of any of them at any time, at no charge, by calling 214-666-6259, and you can withdraw this agreement for future communications by telling us; we will then use mail.

Optional authorizations. Except where the law requires or permits disclosure (for example, public-health reporting), we share your information outside treatment, payment and health care operations only with your separate written authorization. If you wish, you may authorize Passion Health to share your contact details with Passion Health Research Institute, LLC so it can tell you about research studies you may qualify for; declining never affects your care.

Calls and your account. Calls to our offices may be recorded for quality and training when we tell you so at the start of the call. Keep your PHi portal password private and tell us right away if you think someone else has used your account.

Nondiscrimination and accessibility. Passion Health does not discriminate on the basis of race, color, national origin, sex, age or disability. To ask for an interpreter or an aid, or to report a concern, contact our Section 1557 Coordinator, Anantha Chentha, MD, at 214-666-6259 (TTY: 711) or mycare@passionhealthphysicians.com. Read the Nondiscrimination and language help notice and the Blood Work accessibility statement.

13. Website use and intellectual property

Use the website for lawful personal purposes. Do not impersonate others, give false information, access another person's account, disrupt our systems or misuse confidential information. These rules do not limit honest reviews, complaints or patient advocacy. Website content is protected by intellectual-property law; you may keep materials we give you for your own care.

14. Access restrictions, ending the relationship and records

We may restrict website or portal access for fraud, security threats, abusive conduct or misuse; this does not end our clinical obligations or your right to your medical records. Ending a treatment relationship follows Texas Medical Board rules, including notice and continuity of care.

Your results and orders become part of your Passion Health medical record, which is stored in the United States and kept for at least seven years after your last treatment (22 TAC §163.2). Records are not deleted when an account ends. You can ask for a copy by calling 214-666-6259.

15. Clinical responsibility, complaints and disputes

Test results and outcomes cannot be guaranteed, and technology can fail. Nothing in these terms waives rights that cannot lawfully be waived, excuses a failure to meet professional standards, or limits our responsibility for clinical care. Please bring service or billing concerns to 214-666-6259 or appointments@passionhealthphysicians.com. You can always contact regulators, licensing boards, your health plan or the courts.

The website itself. General website content and the website's technical operation (not the clinical care you receive) are provided as they are, without warranties the law does not require. To the extent Texas law allows, and never for clinical care, personal injury or anything the law does not let us limit, Passion Health's liability for a website or technical problem is limited to the amount you paid for the affected order, which we refund.

Talking to us first. If you have a dispute with us, please contact us first; we will try to resolve it within 30 days. This does not limit your right to go to a court, a regulator or a licensing board at any time.

Complaints about physicians and physician assistants can be filed with the Texas Medical Board (notice below, in English and Spanish). Nurse practitioners are licensed by the Texas Board of Nursing (www.bon.texas.gov).

These terms create no mandatory arbitration and no class-action waiver. Texas law governs to the extent applicable, without displacing controlling federal law or mandatory protections.

16. General terms

Whole agreement. These terms, the Consent to Laboratory Testing and, if you enroll, a program agreement are the whole agreement between you and Passion Health for Blood Work; the Notice of Privacy Practices explains your privacy rights. If a part is unenforceable, the rest still applies. If we don't enforce a term once, we can still enforce it later. Assignment. You may not transfer your rights under these terms; Passion Health may transfer them to a successor practice that takes over your care, and we will tell you if that happens. Events beyond our control. If a power, internet, laboratory or payment failure, a disaster, a public-health emergency or a government order stops us from providing a service, we tell you as soon as we can and refund any test we could not perform. Notices from us come through the PHi portal, email, text or mail at the details you gave us; notices to us go to appointments@passionhealthphysicians.com or 230 O'Connor Ridge Blvd., Suite 110, Irving, Texas 75038. Time limits. We do not shorten the time the law gives you to bring a claim.

17. Changes and acceptance

The version and effective date appear at the top. Material changes apply going forward and do not change orders we have already accepted. You can read and keep these terms at any time, and you accept them by ticking the consent box when you order. Separate agreements are used for your consent to testing and telemedicine, HIV testing, sharing results with your own clinician, text messages, the optional research-contact authorization, any membership and any marketing.

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