Terms of Service

Optimal State Health is a physician-led telehealth medical practice owned and operated by Dr. Ahmad Ibrahim, DO. We provide hormone, metabolic, and wellness care — including testosterone replacement therapy, peptide therapy, medical weight loss, libido and sexual health care, and longevity care — to patients located in California.

This Website is informational. Clinical services, including consultations, prescriptions, lab orders, and ongoing care, are delivered through our HIPAA-compliant patient portal (CharmHealth) and are also governed by separate clinical agreements and informed consent forms. If those documents conflict with these Terms on a clinical matter, the clinical documents control.

Browsing this Website, reading its content, booking a consultation, or submitting a contact form does not by itself create a doctor-patient relationship. That relationship begins only after you complete intake, sign the required consent forms, and are accepted as a patient through our clinical platform.

Our services are not intended for medical emergencies. If you are experiencing a medical emergency, call 911 or go to the nearest emergency room. Messages and portal communications are not monitored for urgent issues around the clock, and Optimal State Health does not provide emergency or urgent care.

Care is delivered by telehealth, primarily through secure video visits and portal messaging. Before treatment, you will be asked to review and accept our Telehealth Informed Consent, which explains the nature, benefits, risks, and limitations of telehealth care.

To receive clinical services, you must:

• Be at least 18 years old
• Be physically located in California at the time of each visit (we are currently licensed to practice in California only)
• Have a device with a camera, microphone, and reliable internet connection for video visits
• Provide accurate identification when requested

Anyone may access the Website for informational purposes.

Booking a consultation does not guarantee that any treatment or prescription will be provided. All treatment decisions are made by Dr. Ibrahim based on your history, labs, and his independent clinical judgment. Treatment may be declined, adjusted, paused, or discontinued if it is not clinically appropriate or safe.

Some medications we may prescribe are compounded by state-licensed pharmacies. Compounded medications are not FDA-approved and have not been reviewed by the FDA for safety, effectiveness, or quality. Some uses of medications may be off-label. These will be discussed with you before you start.

As a patient, you agree to:

• Provide complete, accurate, and up-to-date health information, including medications, supplements, and medical conditions
• Complete lab work and follow-up visits recommended for safe monitoring of your treatment
• Use medications only as prescribed, and not share them with anyone else
• Tell us promptly about side effects, new symptoms, or changes in your health
• Keep your portal login secure and not allow others to use your account

Continued treatment may depend on completing required monitoring. For your safety, prescriptions may be paused if labs or follow-ups are overdue.

Prescriptions may be sent to a pharmacy of your choice or, when appropriate, to a partner pharmacy that ships directly to you. Pharmacies are independent of Optimal State Health and are responsible for dispensing, shipping, and their own pricing and policies. We are not responsible for pharmacy delays, shortages, or shipping issues, although we will help where we can.

Medications and supplies dispensed to you generally cannot be returned or refunded once shipped, consistent with pharmacy regulations.

• Cancellation notice: please give at least 24 hours' notice to cancel or reschedule an appointment.
• Late cancellations and no-shows: appointments canceled with less than 24 hours' notice, or missed without notice, may be subject to a fee.
• Late arrivals: if you join a video visit more than 10 minutes late, the visit may need to be rescheduled.

• Your initial consultation is free. There is no obligation to start treatment afterward.
• You approve your price first. Plans are personalized. Before treatment begins, you will be told the exact price of your plan, and nothing is started or charged until you agree to it. Depending on your plan, labs and medications may or may not be included.
• Changes to your plan. If your plan changes — for example, a new dose or an added therapy — you will be told the new price and must approve it before it takes effect.
• General price changes. If we change pricing for an existing membership, active members will be notified at least 30 days in advance.
• How payment works. Payments are processed securely by Stripe through our patient portal (CharmHealth), not on this Website. Memberships are billed monthly. By approving your plan, you authorize recurring charges until you cancel.
• Insurance. Our membership is not billed to insurance. Some labs or medications may be eligible for insurance coverage depending on your plan, but coverage is not guaranteed.

• You may cancel anytime by emailing support@optimalstatehealth.com or messaging us through the patient portal.
• Cancellation takes effect at the end of your current billing cycle. Fees already paid for the current period are not refunded.
• There are no cancellation fees, termination penalties, or long-term contracts.
• If you cancel while on treatment, we will help you understand how to stop or transition safely.

Content on this Website is provided for general informational and educational purposes only. It is not medical advice and is not a substitute for diagnosis or treatment by a qualified healthcare provider. Never disregard professional medical advice or delay seeking it because of something you read here.

Individual results vary. Descriptions of potential benefits are based on clinical evidence and experience and are not a guarantee of any specific outcome.

All Website content, including text, images, logos, graphics, and design, belongs to Optimal State Health and is protected by copyright and trademark laws. You may not copy, distribute, modify, or create derivative works from it without our prior written permission.

When using the Website, you agree not to:

• Use it for any unlawful purpose or to send unsolicited communications
• Attempt to gain unauthorized access to the Website, the patient portal, or related systems
• Transmit viruses, malware, or other harmful code
• Scrape or collect information from the Website using automated tools
• Impersonate another person or provide false information

The Website is provided “as is” and “as available,” without warranties of any kind, express or implied, including warranties of merchantability, fitness for a particular purpose, or non-infringement. We do not warrant that the Website will be uninterrupted, error-free, or free of harmful components.

To the fullest extent permitted by law, Optimal State Health, Dr. Ibrahim, and affiliated parties are not liable for any indirect, incidental, special, consequential, or punitive damages arising from your use of, or inability to use, the Website.

Our total liability for any claim arising from your use of the Website will not exceed the greater of the amount you paid to Optimal State Health in the 12 months before the claim or $100. Nothing in these Terms limits liability that cannot be limited under California law, including liability related to the provision of medical care.

The Website may link to third-party sites and services, including our patient portal, scheduling tools, labs, and pharmacies. We don't control and aren't responsible for their content or practices. See our Privacy Policy for details on the services we use.

These Terms are governed by the laws of the State of California, without regard to conflict-of-law principles. Disputes will be resolved in the state or federal courts located in Los Angeles County, California.

Before pursuing formal legal action, you agree to first contact us at support@optimalstatehealth.com so we can try to resolve the issue informally. We will make good-faith efforts to resolve concerns within 30 days.

We may update these Terms from time to time. Changes will be posted on this page with an updated date. Your continued use of the Website or our services after changes are posted means you accept the revised Terms.

If any provision of these Terms is found unenforceable, it will be limited or removed to the minimum extent necessary, and the rest of the Terms will remain in effect.

Questions about these Terms? Reach us at: