Legal
Last updated 25 September 2026
These terms apply to your use of this website and to membership of OmOmbre, operated by Tiffany M Holm FNP Registered Nursing A Professional Corporation. By using this site or becoming a member you agree to them. If you do not agree, please do not use the service.
We may update these terms. If we do, we will change the date at the top of this page, and continued membership after that means you accept the updated terms.
Membership is a monthly subscription of $135 which provides access to mental health care delivered remotely by secure video consultation, together with messaging with your provider between visits, and management of prescriptions.
Appointments are available Monday–Friday, 9am–8pm PST. Membership begins when your first payment is processed and continues month to month until cancelled.
Membership is personal to you. Please do not share your access with anyone else.
Membership is not health insurance and is not a substitute for it. OmOmbre does not bill insurance, and membership does not cover the cost of medications, laboratory tests, or care provided by anyone else.
This service is not for emergencies and is not monitored around the clock for them. If you are in crisis or thinking about harming yourself, call or text 988, call 911, or go to your nearest emergency room. Do not wait for a reply to a message.
Your provider will recommend care elsewhere where that is the right thing — including therapy, which this practice does not primarily provide.
Care is delivered remotely by video. That format has real benefits and real limits: your provider cannot physically examine you, and some conditions cannot be assessed properly without an in-person examination or testing.
There is a small possibility that a technical failure interrupts a consultation, and a possibility that information transmitted electronically could be intercepted despite the safeguards in place.
Before your first appointment you will be asked to give informed consent to receiving care by telehealth, as California law requires. You may withdraw that consent at any time without affecting your right to care.
If your provider judges that telehealth is not appropriate for your situation, they will tell you and help you find care that is.
Tiffany Holm is licensed in California. Care can only be provided to patients physically located in a state where the provider is licensed at the time of the appointment.
Please tell us if you move, or if you will be travelling when an appointment is scheduled. This is a legal requirement, not a preference, and we may have to reschedule.
Your provider may prescribe medication where it is clinically appropriate. Prescriptions are sent to the pharmacy of your choice; the pharmacy, not this practice, dispenses them and charges for them.
No prescription is guaranteed. Your provider will prescribe only what they judge appropriate after assessing you, and will decline where it is not. Certain medications are subject to additional legal requirements and professional judgement.
Refill requests should be made with reasonable notice, through the channels your provider gives you.
Membership is billed monthly in advance through PayPal, which accepts major credit and debit cards including cards linked to HSA and FSA accounts.
You are responsible for keeping a valid payment method on file. If a payment fails we will contact you before there is any interruption to your care.
Membership fees may be reimbursable through FSA, HSA and HRA accounts, and may be tax deductible for patients who itemize medical expenses. We can provide a statement of services on request. We cannot give tax advice — please ask your tax advisor.
You can cancel your membership at any time, for any reason. We will honor your request right away. We go month by month and do not lock you into a lengthy contract.
To cancel, email hr@omombre.com or call 619-323-5146. We will confirm in writing. Your membership runs to the end of the period you have already paid for.
If you are not 100% satisfied with our service, please contact us within 30 days of payment and we will refund you in full.
Refunds are returned to the card used to pay. Card refunds can take up to 30 days to appear on a statement.
Care delivered remotely depends heavily on what you tell your provider. You agree to give accurate and complete information about your health, your medications and your history, and to tell us when those change.
You agree to attend scheduled appointments or give notice when you cannot, and to treat your provider with the same courtesy you would expect.
Your health information is handled in accordance with the Notice of Privacy Practices given to you at intake, and with state and federal law. You may request a copy of your records at any time, including after you cancel.
How this website handles information is described separately in the Privacy Policy.
The content of this website is provided for general information about the practice. It is not medical advice, and reading it does not create a provider-patient relationship. That relationship begins when you become a patient and are formally accepted for care.
The text, images and design of this site belong to Tiffany M Holm FNP Registered Nursing A Professional Corporation and may not be copied or reproduced without permission.
We aim to provide care of a high standard. No medical practice can guarantee a particular outcome, and nothing here should be read as promising one.
To the extent the law allows, our liability arising from your use of this website is limited. Nothing in these terms limits any liability that cannot lawfully be limited, including liability for professional negligence.
If something goes wrong, please tell us first — email hr@omombre.com or call 619-323-5146. Most problems are resolved quickly once someone knows about them.
You also have the right to raise a concern with the California Board of Registered Nursing.
These terms are governed by the laws of the State of California. If any part of them is found unenforceable, the rest continues to apply.
These terms, together with the Privacy Policy and the Notice of Privacy Practices, are the whole of the agreement between us about the service.
Tiffany M Holm FNP Registered Nursing A Professional Corporation, 3160 Camino Del Rio S., Suite 309, San Diego, CA 92108. 619-323-5146 · hr@omombre.com