Refine, MD Northwest Terms & Conditions

Last Updated: September 23, 2026

These Terms & Conditions govern your use of https://refinemdnw.com/ and related online services provided by Puget Sound Plastic Surgical Group, PLLC, doing business as Refine, MD Northwest (“Refine,” “we,” “us,” or “our”). By accessing or using this website, you agree to these Terms & Conditions.

1. Website Information

Information on this website is provided for general informational and educational purposes. Website content does not replace an evaluation, diagnosis, treatment recommendation, informed consent discussion, or other advice from a qualified health care professional.

Surgical and non-surgical treatment suitability, risks, benefits, alternatives, expected results, recovery, and complications vary among individuals. Treatment decisions should be made after an appropriate consultation and clinical evaluation.

2. No Provider-Patient Relationship Through Website Use

Visiting this website, viewing treatment information, submitting a contact form, sending an email, requesting information, or communicating through the public website does not by itself establish a provider-patient relationship. A provider-patient relationship is established only through appropriate clinical procedures and acceptance for care by the practice.

Do not use general website forms or ordinary email for emergencies. Call 911 or seek appropriate emergency medical assistance for an emergency.

3. Consultations and Appointments

Consultation and appointment requests submitted through the website are requests only and are subject to confirmation. Consultations, appointments, deposits, scheduling, cancellations, late arrivals, rescheduling, surgical bookings, and related matters are subject to practice policies communicated at the time of booking or service.

Submitting a consultation or appointment request does not guarantee availability, candidacy, treatment eligibility, surgical scheduling, or a particular result.

4. Medical, Surgical, and Aesthetic Information

Descriptions of surgeries, treatments, devices, procedures, medications, wellness services, products, expected outcomes, before-and-after photographs, testimonials, and reviews are general information. Individual experiences and results vary. No photograph, review, testimonial, or example guarantees the same or similar result for another person.

Final recommendations depend on medical history, examination, goals, risk assessment, informed consent, and clinical judgment.

5. Before-and-After Images and Testimonials

Before-and-after photographs and patient testimonials may reflect individual experiences. Images may involve patients who consented to use of their photographs. Results vary and no image or testimonial should be understood as a promise, guarantee, or prediction of outcome.

6. Pricing, Products, Memberships, Promotions, and Financing

Prices, surgical quotes, treatment packages, memberships, skincare products, promotions, financing options, and special offers are subject to the terms presented at the time of purchase, consultation, enrollment, or service and may change unless applicable law or a written agreement provides otherwise.

Third-party financing and payment providers maintain their own eligibility requirements, agreements, terms, and privacy practices. Refine is not responsible for the independent acts or policies of those third parties.

7. Text Messaging Terms

When you provide a mobile number for a consultation, appointment, or requested service and select text as a preferred method of communication, you authorize service-related text communications reasonably connected to that request, subject to applicable law.

Promotional or marketing text messages are sent only after the required affirmative consent. Message frequency varies. Message and data rates may apply. Consent to receive marketing text messages is not a condition of purchase. Reply STOP to opt out of applicable text messages. Reply HELP for assistance, or contact us at info@refinemdnw.com, (425) 420-2663, or (425) 739-0808.

Mobile telephone numbers and text-message consent information are not sold or provided to third parties for their independent marketing purposes.

8. Email Communications

If you subscribe to promotional email communications, marketing emails include an unsubscribe method. Transactional, consultation-related, appointment-related, patient care, and response communications are separate from promotional communications.

9. Privacy

Use of this website is subject to our Privacy Policy. Consumer health data subject to the Washington My Health My Data Act is addressed in our Consumer Health Data Privacy Policy. Cookies and similar technologies are described in our Cookie Policy. Patient medical records and protected health information are subject to applicable healthcare privacy laws and our Notice of Privacy Practices when HIPAA applies.

10. Permitted Website Use

You agree to use this website only for lawful purposes. You must not:

• Attempt to gain unauthorized access to the website, servers, databases, accounts, patient systems, or connected systems.
• Introduce malware, malicious code, automated attacks, or other harmful technologies.
• Interfere with website operation or security.
• Systematically scrape website content without authorization.
• Impersonate another person or submit fraudulent, unlawful, abusive, or misleading information.
• Use website content in violation of intellectual property, privacy, publicity, or other applicable laws.

11. Intellectual Property

Unless otherwise stated, website text, graphics, branding, photographs, videos, logos, layouts, design elements, and other original content belong to Refine, the legal entity operating the practice, or licensors and are used with authorization. You receive a limited right to access the website for personal, noncommercial use. No ownership rights transfer through website access.

12. Third-Party Websites and Services

The website may link to third-party services, including scheduling platforms, patient portals, financing providers, product manufacturers, payment providers, maps, embedded media, and social media platforms. We do not control independent third-party services. Your use of a third-party service is subject to that provider’s own terms and privacy practices, except where the provider acts solely on our behalf under a contract.

13. User Communications and Submissions

Information submitted through website forms should be accurate to the best of your knowledge. Do not submit unlawful content or information belonging to another person without appropriate authority. Reviews, testimonials, photographs, videos, or other materials intended for public promotional use require appropriate authorization before publication.

14. Website Availability and Accuracy

We work to maintain accurate and current website information. Treatments, procedures, pricing, promotions, provider availability, technology, products, and website content may change. We reserve the right to correct errors, modify website content, discontinue website features, and update information without prior notice unless applicable law requires otherwise.

15. Disclaimer

The public website and its general informational content are provided on an as available basis to the extent permitted by law. Refine does not guarantee uninterrupted website operation, complete accuracy of all website content, candidacy for treatment, or a specific treatment or surgical result. Nothing in these Terms limits patient rights or remedies that cannot lawfully be limited.

16. Limitation of Liability

To the extent permitted by applicable law, Refine is not responsible for indirect, incidental, consequential, or special damages resulting solely from use of or inability to use the public website. This section does not limit professional liability, patient rights, medical obligations, or other duties that applicable law does not permit us to limit.

17. Governing Law

These Terms are governed by the laws of the State of Washington, without regard to conflict-of-law principles. Any dispute involving these website Terms will be handled in an appropriate court with jurisdiction in Washington, subject to applicable law.

18. Changes to These Terms

We may update these Terms & Conditions. The Last Updated date identifies the most recent revision. Continued use of the website after revised Terms become effective constitutes acceptance of the revised Terms to the extent permitted by law.

19. Contact Information