Effective September 12, 2026. These Terms and Conditions (“Terms”) are an agreement between you and the company that operates the Thicket platform (“Thicket,” “we,” “us”). By creating an account, reserving a consult, or using this site, you accept these Terms. If you do not accept them, do not use Thicket.
1. Who does what
Thicket is a brand and a technology platform. It lets you reserve a consult, exchange secure messages, pay, and receive information. Thicket is not a medical provider, a pharmacy, or an insurer, and Thicket itself does not practice medicine.
Medical care is provided by LPMD Medical Group (LPMDMG), an independent medical practice, through clinicians licensed to treat patients in the state where you are located during your visit. LPMDMG clinicians alone decide whether to treat you, what to prescribe, and when to refer you elsewhere. A separate management services organization provides Thicket and LPMDMG with non-clinical business and administrative support. It does not influence clinical judgment.
Medication, when prescribed, is dispensed by an independent licensed pharmacy that you choose from the options presented to you. The pharmacy is responsible for dispensing, labeling, and pharmacy counseling.
2. Who can use Thicket
- You are at least 18 years old.
- You are physically located in one of the 50 United States or the District of Columbia at the time of your visit and will tell us truthfully where that is.
- You are seeking care for yourself, not for someone else, and you have the legal capacity to agree to these Terms.
- You will give complete and accurate information about your health, your history, your medications, and your identity, and you will update it when it changes.
3. What a consult is, and is not
Your $45 payment reserves a consult with an LPMDMG clinician. The clinician reviews your intake and health history, asks follow-up questions, and decides whether treatment is appropriate. A consult is a clinical evaluation. It is not a purchase of medication, and it never guarantees a prescription.
Thicket is not an emergency service and does not replace primary care, urgent care, or specialist care. If you have a medical emergency, call 911 or go to the nearest emergency department.
4. Chat first, video where required
Visits are delivered by secure asynchronous messaging by default. Video is used when a state requires it for a particular service, or when your clinician decides that seeing you is necessary to treat you safely. If your visit requires video, you will be told before you pay. Response times depend on volume, complexity, and whether more information is needed. Your use of telehealth is also governed by the Telehealth Informed Consent, which is part of these Terms.
5. Fees and payment
- The consult fee is $45, charged when you reserve. It covers clinician time and the platform. It does not include medication, labs, shipping charged by a pharmacy, or pharmacy fees, which are billed separately by the pharmacy if they apply.
- Thicket is cash pay. We do not bill insurance, Medicare, or Medicaid, and we do not submit claims on your behalf. You may submit your receipt to your insurer where that is permitted.
- You authorize us and our payment processor to charge the payment method you provide for the amounts you approve. Applicable taxes may be added where required.
- Prices may change. The price shown when you reserve is the price you pay for that consult.
6. Refunds
Refunds of the consult fee follow the Refund Policy, which is part of these Terms. In short: fully refundable before a clinician starts evaluating your case, when we determine your situation cannot safely be treated online, or when there is a billing error; partially refundable after a clinician has reviewed your history and intake and you choose not to continue; not refundable after a completed consultation, a no-show, a very late cancellation, or a completed evaluation whose plan you choose not to follow. Medication refunds are governed by the dispensing pharmacy.
7. Prescriptions, pharmacies, and shipping
- LPMDMG clinicians do not prescribe controlled substances, including opioids, benzodiazepines, and stimulants.
- Some medications are available from a retail pharmacy as FDA-approved products and from a compounding pharmacy as compounded formulations. Compounded drugs are prepared by a licensed compounding pharmacy for an individual patient and are not FDA-approved. Some options offered through Thicket are available only as compounded preparations and are used off-label. Your clinician will explain what that means before prescribing.
- You choose home delivery or local pharmacy pickup from the options available for your medication and state. Delivery times are estimates. Risk of loss for shipped medication passes to you on delivery to the address you provided.
- Take medication only as prescribed to you. Do not share it, combine it with other prescriptions without clinical direction, or adjust the dose yourself. Erection medicines must never be used with nitrates of any kind (including nitroglycerin), nitrite poppers, riociguat, cocaine or other stimulant drugs, or another erection medicine.
8. Your account and communications
Keep your login credentials private and tell us at once if you suspect unauthorized use. You agree to receive communications about your care and your account electronically, including secure messages, email, and text messages at the number you provide. Message and data rates may apply. You can stop text messages by replying STOP; care communications may then arrive by another channel.
9. Acceptable use
Do not misrepresent your identity, location, or health; do not seek care for another person; do not attempt to obtain a prescription by deception; do not interfere with the platform, scrape it, reverse engineer it, or use it to harass clinicians or staff. We may suspend or end access for violations, for safety, or where the law requires.
10. Content and intellectual property
The Thicket name, wordmark, design, and content belong to Thicket or its licensors. Educational content on this site is general information and is not personal medical advice. You may use the site for your own personal, non-commercial purposes.
11. Disclaimers and limitation of liability
The platform is provided as is. To the fullest extent permitted by law, Thicket disclaims warranties of any kind regarding the platform, and Thicket is not liable for indirect, incidental, or consequential damages arising from your use of it. Nothing in these Terms limits the professional responsibility of LPMDMG clinicians for the care they provide, or any right you have under law that cannot be waived.
12. Disputes
If you have a problem, contact us first and we will try to resolve it. These Terms are governed by the laws of the state in which Thicket’s operating company is organized, without regard to conflict-of-law rules, except where the law of your state of residence applies and cannot be waived. Complaints about clinical care may also be directed to the licensing board in your state; see State Notices.
13. Changes and contact
We may update these Terms. The effective date at the top tells you when they last changed. Continued use after a change means you accept it. Questions: support@thicket.health.