Provider Disclosure

Pure IV Utah

Effective Date: 12/1/2024

Pure IV Utah is committed to providing high-quality intravenous (IV) hydration and wellness services to our patients. The following disclosure is provided in compliance with Utah state laws and regulations governing healthcare services and patient rights. Please review this information carefully.

Business and Provider Information

Business Name: Pure IV Utah

Business Phone: 385-304-3627

Website: https://www.pureivutah.com/

Owner/Operator: Joseph Lopez, Micaela Strevay

Provider Qualifications

All medical services provided by Pure IV Utah are administered or overseen by licensed healthcare providers, in compliance with Utah state regulations. These include:

• Supervising Medical Director: Allison Lane, MD, 47529
  • Role: Oversight of clinical services, protocols, and patient safety.
• Licensed Practitioners:
  • All IV infusions and injections are administered by Registered Nurses (RNs), Nurse Practitioners (NPs), Paramedics, or other licensed professionals.
  • Each provider holds an active Utah license and is trained in IV therapy and emergency response.

Scope of Services

Pure IV Utah specializes in IV hydration, vitamin infusions, and related therapies aimed at promoting wellness. These services are elective and not intended to diagnose, treat, cure, or prevent any disease. Patients are encouraged to consult with their primary healthcare provider for medical conditions.

Risks and Limitations

While IV therapy is generally safe, potential risks include but are not limited to:

• Infection at the injection site
• Bruising, swelling, or irritation
• Allergic reactions to administered substances
• Circulatory overload

Patients are required to review and sign an Informed Consent Form before receiving any services.

Patient Rights

As a patient of Pure IV Utah, you have the right to:

• Be treated with respect, dignity, and confidentiality.
• Receive accurate and complete information about your treatment.
• Refuse or discontinue treatment at any time.
• Access your medical records as permitted by law.

Emergency Protocols

Pure IV Utah is not an emergency medical service. In the event of a medical emergency, patients should contact 911 immediately. Our staff is trained to recognize emergencies and will provide initial support while emergency services are en route.

Contact Information for Complaints or Concerns

If you have concerns about your care, please contact us directly at 385-304-3627. Complaints may also be directed to:

• Utah State Board of Nursing:
  • Address: Heber M. Wells Building, 4th Floor, 160 East 300 South, Salt Lake City, UT 84111
  • Phone: (801) 530-6628
  • Email: b7@utah.gov
  • Website: https://dopl.utah.gov/nursing/
• Utah Department of Health and Human Services:
  • Address: 288 North 1460 West, Salt Lake City, UT 84116
  • Phone: (833) 353-3447
  • Website: https://dhhs.utah.gov/

Acknowledgment

By receiving services from Pure IV Utah, patients acknowledge that they have read and understood this disclosure, including the risks and limitations of IV therapy.