Patient Portal Terms
Last updated: June 8, 2026
Patient Portal Terms
These Patient Portal Terms (“Terms”) apply when a patient, client, parent, guardian, personal representative, caregiver, or other authorized person (“you”) accesses or uses patient-facing features of the Pebble platform, including portal access, secure messages, appointments, forms, documents, billing features, profile features, and related services (the “Patient Portal”).
Pebble is operated by Growing Higher LLC (“Growing Higher,” “we,” “us,” or “our”). Your health care provider, therapist, practice, clinic, or other organization that invited you to use the Patient Portal is referred to as your “Provider.”
By creating an account, accepting an invitation, clicking an acceptance box, accessing the Patient Portal, or using the Patient Portal, you agree to these Terms. If you do not agree, do not use the Patient Portal.
1. Relationship Between You, Your Provider, and Growing Higher
Your Provider controls your care, your medical record, and your access to the Patient Portal. Growing Higher provides software used by your Provider.
Growing Higher is not your health care provider, therapist, counselor, billing advisor, insurer, or emergency service. Growing Higher does not provide medical care, diagnosis, treatment, clinical advice, billing advice, legal advice, or insurance advice.
Questions about your care, treatment, diagnosis, medications, records, bills, insurance, appointments, provider availability, or clinical instructions should be directed to your Provider.
2. No Emergency Use
The Patient Portal is not for emergencies or urgent situations.
If you may be experiencing a medical, mental-health, safety, or other emergency, call 911, go to the nearest emergency department, contact local crisis resources, or use another emergency resource available in your location.
Messages, forms, appointment requests, billing requests, and other Patient Portal activity may not be monitored immediately. Do not rely on the Patient Portal for urgent or emergency communication.
3. Portal Access
Your Provider decides whether to invite you to the Patient Portal, what features are available to you, what information you can see, and whether your access should be changed, suspended, or removed.
You must provide accurate information when creating or using your account. You may not impersonate another person or access another person’s information unless you are legally authorized and your Provider has granted that access.
You are responsible for keeping your login credentials confidential and for all activity under your account. Notify your Provider and Growing Higher promptly if you believe your account or credentials have been compromised.
4. Parents, Guardians, and Personal Representatives
If you use the Patient Portal on behalf of another person, you represent that you have authority to do so.
Your Provider is responsible for determining whether a parent, guardian, caregiver, personal representative, or other person may access a patient’s information. Access may be limited by law, clinical judgment, patient rights, age, family circumstances, or Provider policy.
5. Messages and Communications
The Patient Portal may allow you to send or receive messages with your Provider. Portal messages may become part of your medical record.
You should use the Patient Portal only for appropriate non-emergency communications. Your Provider is responsible for setting expectations about response times, message monitoring, clinical use, and communication policies.
Electronic communications may carry privacy and security risks. You are responsible for using a secure device and network where possible and for protecting access to your account.
6. Forms, Documents, and Consents
Your Provider may ask you to complete, acknowledge, or sign forms, documents, consents, notices, intake materials, or other records through the Patient Portal.
Your Provider is responsible for the content of those forms and documents and for deciding what is required for your care. If you have questions about a form, consent, notice, or document, contact your Provider before signing or submitting it.
Electronic signatures, acknowledgements, timestamps, and submission records may be stored and made available to your Provider.
7. Appointments and Telehealth
The Patient Portal may display appointments, allow appointment requests, or support telehealth-related workflows if your Provider enables those features.
Appointment availability, scheduling decisions, cancellations, no-show policies, telehealth suitability, emergency procedures, and clinical care are controlled by your Provider.
If telehealth features are used, you are responsible for joining from a safe and private location when possible and for following your Provider’s telehealth instructions.
8. Billing and Payments
The Patient Portal may display bills, balances, invoices, payment links, receipts, insurance information, superbills, or other billing-related information if your Provider enables those features.
Your Provider is responsible for fees, billing policies, insurance submissions, payment posting, refunds, balances, and financial responsibility policies. Payment processing may be provided by third-party payment processors.
Billing questions should be directed to your Provider.
9. Privacy
Growing Higher’s Privacy Policy explains how we collect, use, disclose, and protect information in connection with Pebble and the Patient Portal.
When we process protected health information for your Provider, we generally do so as your Provider’s business associate under a Business Associate Agreement. Your Provider’s Notice of Privacy Practices, not this document, explains your Provider’s privacy practices and your rights concerning your medical record.
Requests to access, amend, restrict, or receive an accounting of disclosures of your medical information should generally be directed to your Provider.
10. Acceptable Use
You may not:
- use the Patient Portal for emergencies;
- use the Patient Portal in violation of law;
- access or attempt to access information or accounts without authorization;
- share your login credentials;
- impersonate another person;
- upload malware, harmful code, or unlawful content;
- interfere with the operation or security of the Patient Portal;
- harass, threaten, abuse, or harm others;
- submit false, misleading, or fraudulent information; or
- reverse engineer, scrape, or misuse the Patient Portal.
11. Availability and Changes
The Patient Portal may be unavailable from time to time due to maintenance, outages, security events, Provider configuration, third-party services, or other reasons.
Growing Higher may modify, suspend, or discontinue patient-facing features from time to time. Your Provider may also change, limit, or remove your access.
12. Termination or Loss of Access
Your Patient Portal access may end if your Provider removes access, your relationship with your Provider changes, your account is closed, you violate these Terms, or continued access creates legal, security, privacy, or operational risk.
Loss of Patient Portal access does not necessarily affect your rights to request medical records directly from your Provider.
13. Disclaimers
The Patient Portal is provided “as is” and “as available” to the fullest extent permitted by law.
Growing Higher does not guarantee uninterrupted access, error-free operation, immediate message delivery, immediate Provider response, or that the Patient Portal will meet your particular needs.
14. Limitation of Liability
To the fullest extent permitted by law, Growing Higher and its owners, officers, directors, employees, contractors, agents, affiliates, licensors, and service providers will not be liable for indirect, incidental, special, consequential, exemplary, punitive, or lost-profit damages arising out of or relating to the Patient Portal or these Terms.
Some jurisdictions do not allow certain limitations, so some limitations may not apply.
15. Changes to These Terms
Growing Higher may update these Terms from time to time. Updated Terms will be posted with a new “Last updated” date. If changes are material, we will provide notice as required by law.
Your continued use of the Patient Portal after updated Terms become effective means you accept the updated Terms.
16. Contact
For care, appointment, billing, medical record, consent, or clinical questions, contact your Provider.
For Pebble technical support questions, contact your Provider or support@pebblepm.com.
For security concerns involving the Patient Portal, contact security@pebblepm.com.
For privacy questions about Growing Higher’s own privacy practices, contact privacy@pebblepm.com.