Membership Cancellation & Refund Policy

Telehealth Membership

Date: {{current_date}}

Patient Information

• **Patient First Name: {{patient_first_name}}{{patient_first_name}} {{patient_last_name}} {{patient_first_name}}** {{patient_input}}
• **Patient Last Name: {{patient_last_name}}{{patient_first_name}} {{patient_last_name}} {{patient_last_name}}** {{patient_input}}
• **Patient Date of Birth: {{patient_birthdate}}** {{patient_input}}

Policy Overview

At Ennu, we are committed to providing high-quality medical memberships tailored to your health and wellness needs. Please review our cancellation and refund policy carefully before subscribing.

Telehealth Membership Plans

1. Monthly Plan

• You may cancel your membership at any time. However, cancellation will take effect at the end of your current billing cycle, and no refunds will be issued for partial months.

2. Annual Plan

• Your membership remains active for the full 12-month period, regardless of usage.

General Policy Terms

1. Failure to use membership benefits does not entitle a member to a refund or credit.

2. Ennu reserves the right to terminate memberships for policy violations or misuse of services without a refund.

Acknowledgment

By enrolling in any Ennu membership, you acknowledge and agree to the terms of this Cancellation & Refund Policy.

Signatures

Patient Signature: {{patient_input}} Date: {{patient_input}}

Witness Signature: {{patient_input}} Date: {{patient_input}}

Medical Services provided by Primary Medical of KY, P.S.C., Elite Health Services, P.A., Co., Primary Medical of IN, P.C.

2025.04.23

Form Complete

Leave this empty:

Your legal name

Your email address

Please Confirm full name and signature.

Change fonts

• Draw Signature
  
• Type In Signature
  

Draw your signature with your mouse, tablet or smartphone Clear

I agree that I am and I agree this is a legal representation of my signature for all purposes just the same as a pen-and-paper signature

Insert Signature

I agree that I am and I understand this is a legal representation of my signature

Adopt & Sign

Ted Ennenbach
(Awaiting Signature)

Ted Ennenbach
(Awaiting Signature)

Ted Ennenbach
(Awaiting Signature)

Ted Ennenbach
(Awaiting Signature)

Ted Ennenbach
(Awaiting Signature)

Ted Ennenbach
(Awaiting Signature)

Ted Ennenbach
(Awaiting Signature)

Ted Ennenbach
(Awaiting Signature)

Lynn Scott
(Awaiting Signature)

Lynn Scott
(Awaiting Signature)

Lynn Scott
(Awaiting Signature)

Lynn Scott
(Awaiting Signature)

Lynn Scott
(Awaiting Signature)

Lynn Scott
(Awaiting Signature)

Lynn Scott
(Awaiting Signature)

Lynn Scott
(Awaiting Signature)

EnnuLife Patient Docs
(Awaiting Signature)

EnnuLife Patient Docs
(Awaiting Signature)

EnnuLife Patient Docs
(Awaiting Signature)

EnnuLife Patient Docs
(Awaiting Signature)

EnnuLife Patient Docs
(Awaiting Signature)

EnnuLife Patient Docs
(Awaiting Signature)

EnnuLife Patient Docs
(Awaiting Signature)

EnnuLife Patient Docs
(Awaiting Signature)

Signature Certificate

Membership Cancellation Policy

Unique Document ID: 5be928083bb396d17c48842eaa8359a14a27e69e

Build. Track. Sign Contracts.

EnnuLife Patient Docs

Party ID: 912778d3-c6da-470f-8c3c-b93a78d14947

Awaiting signature

Lynn Scott

Party ID: 9b317c7c-cb4c-47e2-b751-d35f95204d2d

Awaiting signature

Ted Ennenbach

Party ID: 53ef3992-70b1-4f77-87d7-c48bb41977d1

Awaiting signature

Timestamp	Audit
2026-03-03 09:12:15 UTC	Document Membership Cancellation Policy Uploaded by EnnuLife - docs-admin-ennulife@ennulife.com IP: 0.0.0.0
2026-03-05 14:25:04 UTC	Document viewed IP:

This audit trail report provides a detailed record of the online activity and events recorded for this document.

https://ennulife.com/