Terms of Use and Disclaimer


You must read the full terms and conditions, medical and legal disclaimers, and copyright notice contained in this Terms of Use and Disclaimer (”Terms of Use”) before using this website (the “Site”).

By using this Site, you signify that you agree with and accept all terms, conditions, the copyright notice, and the medical and legal disclaimers incorporated into this Terms of Use. If you do not understand, agree with, and accept all terms, conditions, the copyright notice, and the medical and legal disclaimers, do not use this Site.

If you breach any of the conditions of this Terms of Use, your authorization to use this Site terminates automatically, and you must immediately destroy any downloaded or printed materials and disregard all content.

Ownership: This Site is entirely owned by Dr. Howard G. Groshell. No other sponsors, third-parties, or commercial entities with any vested interest contribute to its content.

Licensed in Florida: Dr. Groshell is licensed to practice medicine in the State of Florida, USA. If you are accessing the Site from a state other than Florida that prohibits communication between patients and physicians not licensed in that state, you must exit the site immediately. If you are accessing the site from outside of the United States, you do so at your own risk and are responsible for compliance with local laws.

No medical advice: The site does not provide medical advice. The site is intended only for use by consumers in search of general introductory information of interest pertaining to fibromyalgia treatment. Content is not intended to replace or serve as substitute for medical or professional consultation or service. Contained observations and opinions should not be misconstrued as specific medical advice or recommendation.

No physician-patient relationship: Use of this site does not constitute the establishment of a physician-patient relationship between Dr. Groshell and a user. If you are experiencing any medical/psychological problem, you should base any and all decisions only on the judgment and advice of your personal physician who has examined you face-to-face and entered into a physician-patient relationship with you. In no instance shall a user attempt to diagnose a medical condition or determine appropriate treatment based on the limited information contained in this site.

Limitations of content: Site content is general in nature and not intended or sufficient to dictate what constitutes reasonable, appropriate, or best care in a given situation. Site content does not presume to present an all-inclusive factual discussion of any topic but rather only an introductory overview based on Dr. Groshell’s education, training, experience, and opinions, all of which are subject to limitation and to change at any time. Other physicians may have differing opinions or use other methods of care that when properly applied achieve similar results. While various textbooks and professional journals have been and are consulted in preparing and updating the content of this site, no one source or one set of sources are relied upon as definitive.

Dr. Groshell does not guarantee or warrant the site will be error-free or omission-free. This site may include contributions with medical or technical inaccuracies, errors, or typographical errors that will be corrected as discovered. Site content is updated periodically at Dr. Groshell’s sole discretion but is not guaranteed to be up to date with respect to the latest medical information and practices.

Samples of before and after care instructions are abbreviated examples only and not those used by Dr. Groshell in his practice. In all medical matters before and after surgery, always follow only the recommendations of your treating physician.

Liability: All content is provided “as is” and “as available” without warranties of any kind, express or implied, including accuracy, timeliness, and completeness. In no event shall Dr. Groshell or its agents and employees be liable for any direct, indirect, incidental, special, exemplary, punitive, consequential or other damages whatsoever (including, but not limited to, liability for loss of use, data, or profits, or for personal injury of any sort), without regard to the form of any action, including but not limited to contract, negligence or other tortious actions, arising out of or in connection with this Site, any content on or accessed by use of the Site, or any copying, display or other use hereof.

Indemnity: You agree to defend, indemnify, and hold Dr. Groshell, its employees, and agents, harmless from and against any claims, actions or demands, liabilities and settlements including without limitation, reasonable legal and accounting fees, resulting from, or alleged to result from, your violation of this Terms of Use.

Not for use by physicians: The site may not be used by physicians as a medical reference. The site is not intended nor of sufficient detail to teach other physicians about the treatment protocol of fibromyalgia.

Not for use by attorneys: Use of the site by attorneys is strictly prohibited. Contents of this site is not intended for use in legal proceedings of any sort or to help establish a medicolegal standard of care. Contents of the site should not be deemed sufficient in detail, accuracy, or timeliness to be cited as legal evidence either for or against the opinions, decisions, or actions of any physician, surgeon, or medical practice, including Dr. Groshell.

Copyright: As all content on this Site is protected by registered copyright, any unauthorized use of any such material is in clear violation of copyright, trademark, service mark, intellectual property, and other laws and will subject the unauthorized user of such protected content to legal and financial penalties. Content on the Site may not be copied in whole or part, modified, reproduced in any manner, publicly displayed or distributed, posted online or in print, used in any recognizable derivative form, or used for any public or commercial purposes. Other physicians, medical personnel, members of the media, operators of other web sites, and all others are expressly forbidden to use any text, portions of text, images, parts of images, movies, parts of movies, ideas, or any other protected content on this Site in copied or derivative form without written permission from Dr. Groshell.

Copyright violation or infringement will be enforced by legal action, notification of the appropriate state Medical Board or federal agency as indicated, and/or financial demand for remedy.

Fees: Fees listed on the Site refer to a specific procedure only with its own specific set of terms and conditions. Fees are not guaranteed and are subject to increase at any time without advance notice.

Any use of the site’s patient photos, posts, written content in copied or altered form by other doctors, operators of other web sites, members of the media, or any other third parties is in clear violation of the Site’s copyright protections noted above and of federal patient privacy statutes and are subject to legal and ethical penalties. Violations will be aggressively reported to appropriate agencies.

Testimonials: Patient comments are from actual patients of Dr. Groshell and are unsolicited. Display of testimonial statements does not constitute a warranty or prediction of outcome, and not all patients may feel the same way about their treatments. No consideration of any sort has been extended in return for such comments.

Links: Third Party Links are provided solely as a convenience to our users and do not constitute an endorsement. Dr. Groshell does not control and is not responsible for any of these sites or their content. References to other physicians or organizations do not constitute an endorsement, nor does any such reference imply their endorsement of or affiliation with Dr. Groshell.

As the Internet is maintained independently at millions of sites world-wide, the information, names, images, pictures, logos, and icons that are included or can be accessed may and do originate outside the boundaries of this Site. Dr. Groshell excludes any obligation or responsibility regarding any content derived, obtained, accessed within, through, or outside of this Site.

Viruses: The Site is not warranted to be free of viruses or similar disruptive software programs and is used at the user’s sole risk.

Online Communication: Online contact forms are provided as a patient convenience. While protected by third-party SSL encryption technology, they are not guaranteed to be secure. If you choose to use such forms, you assume all responsibility and liability for any breach of confidentiality, inappropriate disclosure of sensitive information, or loss of electronic data during and after transit over the Internet.

The online iConsultation program contact forms each contain their own additional terms of use and medical/legal disclaimers. Such terms and disclaimers are in addition to these Terms of Use and do not replace it.

Unsolicited online correspondence from other than established patients is not stored. Any reply to such correspondence is intended to provide general information only and does not constitute part of an individual’s medical record.

Denied Access: We reserve the right to block access to our website, form mail, or any other online feature based upon our sole discretion with or without cause.

Jurisdiction: These Terms of Use shall be governed by and construed in accordance with the laws of the United States of America, and, more particularly, the laws of the State of Florida. You expressly agree that exclusive jurisdiction for any dispute with Dr. Groshell, or in any way relating to your use of the Site, resides in the state and federal courts of St. John’s County, Florida and you further agree and expressly consent to the exercise of personal jurisdiction in the state and federal courts of St. John’s County, Florida, in connection with any such dispute including any claim involving Dr. Groshell, its employees, and agents.

Subject to change: These Terms of Use is subject to change without prior notice. The user is thus responsible for reviewing the Terms of Use each time the Site is accessed. Repeated use of the Site signifies a user’s full acceptance of the then-current Terms of Use.

Complete agreement: Except as expressly provided in a particular or specific notice on the Site, these Terms of Use constitute the entire agreement between you and Dr. Groshell with respect to use of the Site. If any provision of these Terms of Use is found to be invalid by any court having competent jurisdiction as described in these Terms of Use, the invalidity of such provision shall not affect the validity of the remaining provisions of these Terms of Use, which shall remain in full force and effect.

If any of the above is not acceptable in full or if you do not fully understand any part of the foregoing Terms of Use, the use of this Site must be terminated immediately and all content disregarded. If not, please enjoy our site, the community forums, and everything else we have to offer.