Terms of Service
Who we are
Optimal State Health
Effective Date: 3/12/2026
Please read these Terms of Service (“Terms”) carefully before using the Optimal State Health website at optimalstatehealth.com (the “Website”). By accessing or using our Website, you agree to be bound by these Terms. If you do not agree, please do not use our Website.
About Our Services
Optimal State Health is a telehealth medical practice owned and operated by Dr. Ibrahim, DO, providing testosterone replacement therapy (TRT) and men’s health services to patients in California.
This Website is informational only. It provides general information about our practice, services, and how to become a patient. Clinical services — including consultations, prescriptions, lab orders, and ongoing care — are provided separately through our HIPAA-compliant patient portal (Charm Health) and are governed by separate clinical agreements and informed consent forms.
No Doctor-Patient Relationship from Website Use
Browsing this Website, reading its content, or submitting a contact form does not create a doctor-patient relationship. A doctor-patient relationship with Optimal State Health is established only when you complete our patient intake process, sign the required consent forms, and are formally accepted as a patient through our clinical platform.
Not a Substitute for Emergency Care
Our services are not intended for medical emergencies. If you are experiencing a medical emergency, call 911 or go to your nearest emergency room immediately. Optimal State Health does not provide emergency or urgent care services.
Telehealth Services
Clinical services are delivered via telehealth (secure video consultations). By becoming a patient, you will be asked to provide separate informed consent for telehealth services during the onboarding process through our patient portal. That consent covers the nature, risks, benefits, and limitations of telehealth care.
Eligibility
To use our clinical services, you must:
- Be at least 18 years of age
- Be a current resident of California (we are currently licensed to practice in California only)
- Have access to a device with a camera and internet connection for video visits
The Website itself may be accessed by anyone for informational purposes.
Appointments and Cancellations
Cancellation notice: We require 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 arrive more than 10 minutes late to a scheduled telehealth visit, the appointment may need to be rescheduled.
These websites may collect data about you, use cookies, embed additional third-party tracking, and monitor your interaction with that embedded content, including tracking your interaction with the embedded content if you have an account and are logged in to that website.
Pricing and Payment
Payment Terms
- All payments for clinical services are processed through our patient portal (Charm Health) via Stripe. No payments are collected directly on this Website.
- Payment is due at the time of service for consultations, and monthly for membership fees.
- Any changes related to pricing will be communicated to active members at least 30 days in advance.
Membership Cancellation
- You may cancel your monthly membership at any time by contacting us at hello@optimalstatehealth.com or through the patient portal.
- Cancellation takes effect at the end of your current billing cycle. No refunds are issued for the current billing period.
- There are no cancellation fees, termination penalties, or long-term contracts.
Medical Disclaimer
The content on this Website — including text, graphics, and other materials — is provided for general informational and educational purposes only. It is not intended to be, and should not be used as, a substitute for professional medical advice, diagnosis, or treatment.
Always consult a qualified healthcare provider with any questions you may have about a medical condition. Never disregard professional medical advice or delay seeking it because of something you read on this Website.
Individual results from testosterone replacement therapy vary. The information presented on this Website describes potential benefits based on clinical evidence and should not be interpreted as a guarantee of specific outcomes.
Intellectual Property
All content on this Website — including text, images, logos, graphics, page layout, and design — is the property of Optimal State Health and is protected by applicable copyright and trademark laws. You may not reproduce, distribute, modify, or create derivative works from any content on this Website without our prior written consent.
Prohibited Uses
When using our Website, you agree not to:
Use the Website to send unsolicited communications
Use the Website for any unlawful purpose
Attempt to gain unauthorized access to any portion of the Website or its systems
Transmit any viruses, malware, or harmful code
Scrape, harvest, or collect information from the Website using automated tools
Impersonate any person or entity
Limitation of Liability
To the fullest extent permitted by law, Optimal State Health, Dr. Ibrahim, and any affiliated parties shall not be liable for any indirect, incidental, special, consequential, or punitive damages arising from your use of or inability to use this Website.
Our total liability for any claim arising from your use of this Website shall not exceed the amount you paid to Optimal State Health in the 12 months preceding the claim, or $100, whichever is greater.
Disclaimer of Warranties
This Website is provided on an “as is” and “as available” basis without warranties of any kind, either express or implied, including but not limited to 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.
Third-Party Links
Our Website may contain links to third-party websites, including our patient portal, partner labs, and pharmacy partners. These links are provided for your convenience. We do not control and are not responsible for the content or practices of any third-party website.
Governing Law
These Terms are governed by and construed in accordance with the laws of the State of California, without regard to its conflict of law principles. Any disputes arising from these Terms or your use of the Website shall be resolved in the state or federal courts located in Los Angeles County, California.
Dispute Resolution
Before pursuing any formal legal action, you agree to first contact us at support@optimalstatehealth.com to attempt to resolve the dispute informally. We will make good-faith efforts to resolve any concerns within 30 days.
Changes to These Terms
We reserve the right to update these Terms at any time. Changes will be posted on this page with an updated effective date. Your continued use of the Website after any changes constitutes your acceptance of the revised Terms.
Severability
If any provision of these Terms is found to be unenforceable or invalid, that provision shall be limited or eliminated to the minimum extent necessary, and the remaining provisions shall remain in full force and effect.
Contact Us
If you have questions about these Terms of Service:
Optimal State Health
Dr. Ibrahim, DO
Email: support@optimalstatehealth.com
Website: optimalstatehealth.com