GoldCare operates as a **Private Membership Association (PMA)**. The PMA is a written agreement between everyone involved with GoldCare: member-patients, clinicians and staff. It sets out shared expectations and a code of conduct so we can work together with clear, agreed-upon standards.

**GoldCare is HIPAA compliant and operates under the rules of its Private Membership Association (PMA).** See [Privacy and your data](https://chatwoot-web-production-8008.up.railway.app/hc/goldcare/articles/privacy-and-your-data)

## Who signs it

- You sign the PMA agreement when you **create your account**.
- **Every family member 18 or older** on a family plan must sign it too. You can resend it to them from **Settings > Family Members**.

## You confirm it each time you book

At checkout you tick **"I've read and accepted the Appointment & PMA confirmation"**. It says:

> "I confirm this appointment is being scheduled for myself, and that only individuals covered under the Private Membership Agreement (PMA) will participate in this consultation and I agree that If I violate this policy my appointment will be canceled and I will be charged the full amount."

What this means for you:

- **Book for yourself.** To book for a family member, switch to **their profile** first. See [Add a family member](https://chatwoot-web-production-8008.up.railway.app/hc/goldcare/articles/how-to-add-family-member)
- **Only people covered by the PMA can join the visit.** For a caregiver to join, see [Can a family member join my visit?](https://chatwoot-web-production-8008.up.railway.app/hc/goldcare/articles/recordings-and-joining-with-family)

## What the agreement says, in short

- **You're joining a private association.** GoldCare Health & Wellness is a faith-based private membership association. You join voluntarily, pay a membership fee (monthly or yearly) and use **tokens** for services.
- **Who provides your care.** Prescribers, Advisors and Coaches aren't GoldCare employees; they provide services through **GoldCare Doctors, PC**, and every medical decision is theirs.
- **Advisors and Coaches are educational.** They don't diagnose, order labs or imaging, or prescribe. For those, book a **Prescriber**. See [Prescriber, Advisor or Coach?](https://chatwoot-web-production-8008.up.railway.app/hc/goldcare/articles/prescribers-vs-advisors)
- **Talk to providers through the platform.** Contact with providers outside GoldCare isn't permitted.
- **Everything is confidential.** Don't share recordings or video of a visit without written consent.
- **Medicare.** GoldCare doesn't participate in Medicare. Visits are private-pay and shouldn't be submitted to Medicare.
- **Refunds.** Services already provided aren't refundable. Any refund of membership fees is at GoldCare's discretion. See [Refund policy](https://chatwoot-web-production-8008.up.railway.app/hc/goldcare/articles/refund-policy)
- **Disagreements.** Disputes are handled privately instead of in court: **1)** contact Member Services, **2)** if it isn't resolved, email **dispute@goldcare.com**, **3)** if needed, the case is referred to Relational Wisdom 360 (RW360.org) for a final decision.

## Where to find your copy

A **signed copy of your agreement is kept in your online portal**. If you can't find it or would like another copy, message Member Services (click your name, top right → **Messages**) or email **memberservices@goldcare.com**.

Family members on your plan receive an email to sign the PMA themselves.