Carlo Pepia ACNP-BC · Fitness Fuel Wellness
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Terms of Service

Fitness Fuel Wellness · Carlo Pepia, ACNP-BC · Effective: 2026 · New York State

This is not medical advice. This website provides general health information for educational purposes only. It does not constitute medical advice, diagnosis, or treatment. Use of this website does not establish a patient-provider relationship.

Acceptance of Terms

By accessing this website or booking a consultation with Fitness Fuel Wellness, you agree to these Terms of Service. If you do not agree, do not use this site or its services.

Eligibility

Services provided by Fitness Fuel Wellness are available to individuals who:

  • Are 18 years of age or older
  • Are physically located in New York State at the time of consultation
  • Are not seeking services for acute emergencies or conditions requiring immediate in-person care

Carlo Pepia is licensed in New York State only. Providing services to patients outside New York State is prohibited by law. It is your responsibility to confirm your eligibility before booking.

Not a Substitute for Emergency Care

Fitness Fuel Wellness does not provide emergency medical services. If you are experiencing a medical emergency — including chest pain, difficulty breathing, severe injury, suicidal ideation, or any other life-threatening condition — call 911 or go to your nearest emergency room immediately. Do not use this website or contact form for emergencies.

Patient-Provider Relationship

Booking an appointment and completing intake forms initiates the process of establishing a patient-provider relationship. A formal relationship is established only upon Carlo Pepia's determination that he can appropriately serve you, following clinical review of your intake forms and bloodwork. He reserves the right to decline to establish a patient-provider relationship with any prospective patient.

Telehealth Consent

All services are delivered via telehealth (secure online video). By booking, you acknowledge receipt of and agreement to our Telehealth Informed Consent, which is incorporated into these Terms by reference. You must complete all required consent and intake forms before your appointment will be confirmed.

Controlled Substances and Prescribing

Testosterone and certain other medications are classified as controlled substances under federal law. Prescribing of controlled substances via telehealth is currently permitted under temporary DEA flexibilities extended through December 31, 2026. If regulatory requirements change, in-person evaluation may become required before certain prescriptions can be issued. We will notify affected patients of any such changes.

Prescriptions are issued at Carlo's sole clinical discretion. Booking a consultation does not guarantee a prescription will be issued.

Payment Terms

  • All consultations are direct-pay. No insurance is accepted.
  • Initial consultation: $300 · Quarterly follow-up: $200
  • Payment is due at the time of booking
  • Lab work is billed separately through the ordering lab and is not included in consultation fees
  • Cancellation and rescheduling policies are set through the Optimantra booking platform
  • HSA/FSA funds may apply. Superbill available upon request.

Compounded Medications

Some medications prescribed through this practice — including peptide therapies — are compounded preparations sourced from licensed 503B compounding facilities. Compounded medications are not FDA-approved drugs. By accepting a compounded prescription, you acknowledge this distinction and consent to receiving a compounded rather than commercially manufactured product.

Limitation of Liability

To the fullest extent permitted by law, Fitness Fuel Wellness and Carlo Pepia, ACNP-BC shall not be liable for indirect, incidental, consequential, or punitive damages arising from your use of this website or services. Our total liability for any claim arising from services shall not exceed the amount you paid for the consultation giving rise to the claim.

Nothing in these Terms limits liability for gross negligence, willful misconduct, or liability that cannot be excluded by law.

Governing Law

These Terms are governed by the laws of the State of New York, without regard to conflict of law principles. Any disputes arising from these Terms or services provided shall be subject to the exclusive jurisdiction of the courts of New York State.

Changes to These Terms

We reserve the right to update these Terms at any time. Changes are effective upon posting to this page. Continued use of the site or services after changes constitutes acceptance of the updated Terms.

Contact

Questions about these Terms? Contact Fitness Fuel Wellness →

© 2026 Fitness Fuel Wellness · Carlo Pepia, ACNP-BC · New York State

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