Terms and Conditions
Last updated: January 14, 2024
Neural Science Institute, Inc. (“NSI”) operates technology services, the website NeuralScienceInstitute.com, associated mobile applications, and the content associated therewith (the “Service”), which facilitate the delivery of healthcare services through telehealth technology to patients of third-party medical groups. NSI does not engage in the practice of medicine or mental health care. The Medical Groups and the physicians and other licensed health professionals are solely responsible for the delivery of healthcare services to patients through NSI’s Service. The Medical Groups are third-party beneficiaries of these Terms and Conditions.
These Terms and Conditions constitute a binding agreement between the user (“you” or “your”) or in the case of a use of the Service by or on behalf of a minor, “you,” “yours,” “me” and “my” refer to and include (i) the parent or legal guardian who provides consent to the use of the service by such minor or uses the service on behalf of such minor, and (ii) the minor for whom consent is being provided or on whose behalf the service is being utilized, and NSI, its subsidiaries, affiliates, associates, officers, directors, agents and subcontractors (collectively, “NSI,” “we”, “us”, or “our”).
IF YOU ARE EXPERIENCING A MEDICAL EMERGENCY, SEEK IN-PERSON EMERGENCY CARE IMMEDIATELY OR DIAL 911. THE SERVICE IS NOT INTENDED TO PROVIDE ACCESS TO MEDICAL CARE, URGENT CARE, OR EMERGENCY CARE.
PLEASE READ THE TERMS AND CONDITIONS CAREFULLY BEFORE CLICKING THE “AGREE” BOX AND USING SERVICE. BY CLICKING THE “AGREE” BUTTON DISPLAYED, YOU AGREE TO THE FOLLOWING TERMS AND CONDITIONS.
IF YOU DO NOT AGREE WITH THESE TERMS AND CONDITIONS AND THE PRIVACY POLICY INCORPORATED HEREIN, DO NOT SELECT THE “AGREE” BUTTON AND DO NOT ACCESS THE PORTAL OR ESTABLISH A PORTAL CONNECTION. NSI’S ACCEPTANCE TO THESE TERMS AND CONDITIONS IS EXPRESSLY CONDITIONED UPON YOUR ASSENT TO ALL THE TERMS AND CONDITIONS OF THIS AGREEMENT.
CONSENT TO TELEHEALTH SERVICES
NSI provide mental health care services via telehealth (“Telehealth Services”). By agreeing to the terms set forth herein (this “Telehealth Consent”), you consent to the applicable Medical Group providing services to you pursuant to these terms.
The terms “you” and “yours” refer to the person using the Telehealth Services, or in the case of a use of the Telehealth Services by or on behalf of a minor, “you,” “yours,” “me,” and “my” refer to and include (i) the parent or legal guardian who provides consent to the use of the Telehealth Services by such minor or uses the service on behalf of such minor, and (ii) the minor for whom consent is being provided or on whose behalf the service is being utilized. This purpose of this form is to obtain your consent to participate in the applicable Medical Group’s Telehealth Services.
PLEASE READ THE CONSENT TO TELEHEALTH SERVICES CAREFULLY BEFORE CLICKING THE “AGREE” BOX AND USING TELEHEALTH SERVICES. BY CLICKING THE “AGREE” BUTTON DISPLAYED TO UTILIZE TELEHEALTH SERVICES, YOU CONSENTING TO THE PROVISION OF TELEHEALTH SERVICES AND CONFIRM YOU HAVE READ THE “CONSENT TO TELEHEALTH SERVICES”.
IF YOU DO NOT CONSENT TO TELEHEALTH SERVICES, DO NOT SELECT THE “AGREE” BUTTON.
Telehealth involves the delivery of healthcare services using electronic communications, information technology or other means between a healthcare provider (“Provider”) and a patient who are not in the same physical location. Telehealth may be used for diagnosis, treatment, follow-up and/or member education, and may include, but is not limited to:
The electronic systems used in the Telehealth Services will incorporate network and software security protocols to protect the privacy and security of health information and imaging data, and will include measures to safeguard the data to ensure its integrity against intentional or unintentional corruption.
You may discuss these risks and benefits with your Medical Group Provider and will be given an opportunity to ask questions about telehealth services.
Possible Benefits of Telehealth
Possible Risks of Telehealth
Will my telehealth visit be private?
Your Rights
You may withhold or withdraw your consent to a telemedicine consultation at any time before and/or during the consult without affecting your right to future care or treatment, or risking the loss or withdrawal of any program benefits to which you would otherwise be entitled. If you are a Medi-Cal recipient and receiving teleophthalmology or teledermatology by store and forward, you have the right to an interactive communication with the physician. This communication may occur at the time of your consultation or within 30 days after you receive the results of the consultation
By accepting this Consent to Telehealth, you acknowledge your understanding and agreement to the following:
My health care provider has previously discussed with me the information provided above. I have had an opportunity to ask questions about this information and all of my questions have been answered. I have read and agreed to a telemedicine consultation.
By clicking the acceptance box, I consent to receive telehealth services, or in the case of a use of the service by or on behalf of a minor, I am the parent or legal guardian of said minor and provide consent on behalf of said minor. I understand and agree that I am signing this Consent electronically and that (a) I have read this Telehealth Consent carefully, (b) I understand the risks and benefits of the Service and the use of telehealth in the medical care and treatment provided to me by Provider(s) using the Service, and (c) I have the legal capacity and authority to provide this consent for myself and/or the minor for which I am consenting under applicable federal and state laws, including laws relating to the age of majority and/or parental/guardian consent.
INFORMED CONSENT FOR CONTROLLED MEDICATION
If your physician has indicated that a controlled medication may assist in your symptomatic relief, you agree to the following informed consent for controlled medication (“Informed Consent”).
Controlled medicine can be dangerous and habit forming. These medicines must be taken only as prescribed by your doctor. Please read this consent and agreement thoroughly and ask any questions you may have. If you are in agreement and fully understand the benefits and risks of the medications, sign and date below.
By clicking the acceptance box, I understand and agree that I am signing this Informed Consent electronically and that (a) I have read this Informed Consent carefully, (b) I understand the risks and benefits of the Service and the use of telehealth in the medical care and treatment provided to me by Provider(s) using the Service, including the prescribing of controlled substances, and (c) I have the legal capacity and authority to provide this consent for myself and/or the minor for which I am consenting under applicable federal and state laws, including laws relating to the age of majority and/or parental/guardian consent.
PATIENT AUTHORIZATION AND CONSENT TO RECORD TELEMEDICINE SESSIONS
As part of NSI’s internal record-keeping process, subject to your authorization and consent, your telemedicine sessions are recorded. Your recordings remain confidential and are maintained in strict compliance with law, including the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”), as well as all other professional requirements of NSI and your provider. The recordings are never shared without your authorization, except as required or permitted under HIPAA. The recordings are performed automatically and do not interfere with your session.
By signing below, you confirm the following:
YOUR FINANCIAL RESPONSIBILITY; ASSIGNMENT OF BENEFITS
You agree to pay the Medical Group all applicable charges at the prices then in effect for the Telehealth Services provided to you or in the case of a use of the Service by or on behalf of a minor (“Covered Minor”) on whose behalf you are accepting these Telehealth Services terms and/or payment responsibility. You will be charged for the Telehealth Services, provided to you or the Covered Minor by a Medical Group Provider. You authorize the Medical Group and/or its affiliate, NSI Global, Inc., to charge your chosen payment method (“Payment Method”) for the Telehealth Services provided to you or the Covered Minor. If your Payment Method is invalid at the time payment is due, you agree to pay all amounts due upon demand. The third party services provider who manages your Payment Method may impose terms and conditions on you, which are independent of these Telehealth Services terms, and you agree to comply with all of those terms. Medical Group may accumulate charges that you have incurred for the Telehealth Services and submit them as one or more aggregate charges during or at the end of each billing cycle. Medical Group reserves the right to correct any billing errors or mistakes even if payment has already been requested or received.
Telehealth Services are billable just like an in-office visit, at the same fee that would be billed to such a visit if it were conducted in person. For the avoidance of doubt, your financial responsibility and assignment of benefits described above apply to all telehealth appointments with Medical Group.
If you provide information about your health insurance or health plan, that will be deemed your authorization for us to submit claims for covered Telehealth Services to your health insurer or health plan. You hereby assign or otherwise authorize payment of medical benefits to us for the Telehealth Services provided to you or the Covered Minor. You authorize the release of any medical or other information necessary to process any claims for the Telehealth Services provided. You further understand and accept your financial responsibility for any portion of the bill not covered by your health insurer or health plan. SUBMISSION OF CHARGES DOES NOT WAIVE OUR RIGHT TO SEEK PAYMENT DIRECTLY FROM YOU.
All purchases are final and once paid, all fees, including Subscription Fees, are non-refundable regardless of whether Services are utilized, except as prohibited by applicable law. We reserve the right to issue refunds or credits at our sole discretion. If we issue a refund or credit in one instance, we are under no obligation to issue the same refund or credit in the future. Should there be a payment dispute, you agree to contacts via the online form located on this site at CONTACT US prior to taking any further action or requesting additional services.
PROHIBITED ACTIVITIES
You may not access or use the Service for any purpose other than that for which we make the Service available. The Service may not be used in connection with any commercial endeavors except those that are specifically endorsed or approved by us.
As a user of the Service, you agree not to:
THIRD-PARTY SERVICES
Parties other than NSI, including laboratories, pharmacies, payment services, and the Medical Group’s clinicians, may provide services and medication directly to you with the support of the Service (collectively, “Third-Parties”). Your use of any Third-Party services and any interactions with Third-Parties, including payment and delivery of goods or services, and any other terms, conditions, warranties or representations associated with such use or interactions, are solely between you and such Third-Parties. You should make whatever investigation you feel necessary or appropriate before proceeding with any online or offline transaction involving Third-Parties or any Third-Party goods and services. You are solely responsible for, and shall exercise caution, discretion, common sense and judgment in, using the Service and disclosing personal information.
You agree that NSI shall not be responsible or liable for any loss or damage of any sort incurred as the result of your use of the Service, including any Third-Party goods and services or your interactions with any Third-Parties. In the event of any dispute between you and any Third-Party, any other User or any other entity or individual, you understand and agree that NSI is under no obligation to become involved in such dispute, and you hereby release and indemnify NSI, the Medical Groups, and their respective, subsidiaries, and affiliates, and all of their respective contractors, directors, officers, employees, representatives, proprietors, partners, shareholders, servants, principals, agents, predecessors, successors, assigns, accountants, and attorneys (collectively, “NSI Parties”) from any and all claims, demands and/or damages (actual or consequential) of every kind or nature, known or unknown, suspected and unsuspected, disclosed or undisclosed, arising out of or in any way related to such disputes or the Service or the features and services therein.
IF YOU ARE A CALIFORNIA RESIDENT, YOU WAIVE CALIFORNIA CIVIL CODE SECTION 1542, WHICH STATES: “A GENERAL RELEASE DOES NOT EXTEND TO CLAIMS THAT THE CREDITOR OR RELEASING PARTY DOES NOT KNOW OR SUSPECT TO EXIST IN HIS OR HER FAVOR AT THE TIME OF EXECUTING THE RELEASE AND THAT, IF KNOWN BY HIM OR HER, WOULD HAVE MATERIALLY AFFECTED HIS OR HER SETTLEMENT WITH THE DEBTOR OR RELEASED PARTY.”
INDEMNIFICATION
You agree to defend, indemnify, and hold NSI Parties and any Third Parties offering products or services through the Service, including the Medical Groups, harmless from and against any and all suits, actions, claims, proceedings, damages, settlements, judgments, injuries, liabilities, obligations, losses, risks, costs, and expenses (including, without limitation, attorneys’ fees and litigation expenses) relating to or arising from your use of the Service, your fraud, violation of law, or willful misconduct, any breach by you of this Agreement or your violation of any rights of any other person or entity. We reserve the right to control the defense of any claim by a third-party for which we are entitled to indemnification, and you agree to provide us with such cooperation as is reasonably requested by us.
TERM AND TERMINATION
These Terms and Conditions shall remain in full force and effect while you use the Service. WITHOUT LIMITING ANY OTHER PROVISION OF THESE TERMS AND CONDITIONS, WE RESERVE THE RIGHT TO, IN OUR SOLE DISCRETION AND WITHOUT NOTICE OR LIABILITY, DENY ACCESS TO AND USE OF THE SERVICE (INCLUDING BLOCKING CERTAIN IP ADDRESSES), TO ANY PERSON FOR ANY REASON OR FOR NO REASON, INCLUDING WITHOUT LIMITATION FOR BREACH OF ANY REPRESENTATION, WARRANTY, OR COVENANT CONTAINED IN THESE TERMS AND CONDITIONS OR OF ANY APPLICABLE LAW OR REGULATION. WE MAY TERMINATE YOUR USE OR PARTICIPATION IN THE SERVICE OR DELETE YOUR ACCOUNT AND ANY CONTENT OR INFORMATION THAT YOU POSTED AT ANY TIME, WITHOUT WARNING, IN OUR SOLE DISCRETION.
If we terminate or suspend your account for any reason, you are prohibited from registering and creating a new account under your name, a fake or borrowed name, or the name of any third party, even if you may be acting on behalf of the third party. In addition to terminating or suspending your account, we reserve the right to take appropriate legal action, including without limitation pursuing civil, criminal, and injunctive redress.
MODIFICATIONS AND INTERRUPTIONS
We reserve the right to change, modify, or remove the contents of the Service at any time or for any reason at our sole discretion without notice. However, we have no obligation to update any information on our Service. We also reserve the right to modify or discontinue all or part of the Service without notice at any time. We will not be liable to you or any third party for any modification, price change, suspension, or discontinuance of the Service.
We cannot guarantee the Service will be available at all times. We may experience hardware, software, or other problems or need to perform maintenance related to the Service, resulting in interruptions, delays, or errors. We reserve the right to change, revise, update, suspend, discontinue, or otherwise modify the Service at any time or for any reason without notice to you. You agree that we have no liability whatsoever for any loss, damage, or inconvenience caused by your inability to access or use the Service during any downtime or discontinuance of the Service. Nothing in these Terms and Conditions will be construed to obligate us to maintain and support the Service or to supply any corrections, updates, or releases in connection therewith.
DISCLAIMER
THE SERVICE IS PROVIDED ON AN AS-IS AND AS-AVAILABLE BASIS. YOU AGREE THAT YOUR USE OF THE SERVICE WILL BE AT YOUR SOLE RISK. TO THE FULLEST EXTENT PERMITTED BY LAW, WE DISCLAIM ALL WARRANTIES, EXPRESS OR IMPLIED, IN CONNECTION WITH THE SERVICE AND YOUR USE THEREOF, INCLUDING, WITHOUT LIMITATION, THE IMPLIED WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, AND NON-INFRINGEMENT. WE MAKE NO WARRANTIES OR REPRESENTATIONS ABOUT THE ACCURACY OR COMPLETENESS OF THE SERVICE’S CONTENT OR THE CONTENT OF ANY WEBSITES LINKED TO THE SITE OR APP AND WE WILL ASSUME NO LIABILITY OR RESPONSIBILITY FOR ANY (1) ERRORS, MISTAKES, OR INACCURACIES OF CONTENT AND MATERIALS, (2) PERSONAL INJURY OR PROPERTY DAMAGE, OF ANY NATURE WHATSOEVER, RESULTING FROM YOUR ACCESS TO AND USE OF THE SERVICE, (3) ANY UNAUTHORIZED ACCESS TO OR USE OF OUR SECURE SERVERS AND/OR ANY AND ALL PERSONAL INFORMATION AND/OR FINANCIAL INFORMATION STORED THEREIN, (4) ANY INTERRUPTION OR CESSATION OF TRANSMISSION TO OR FROM THE SERVICE, (5) ANY BUGS, VIRUSES, TROJAN HORSES, OR THE LIKE WHICH MAY BE TRANSMITTED TO OR THROUGH THE SERVICE BY ANY THIRD PARTY, AND/OR (6) ANY ERRORS OR OMISSIONS IN ANY CONTENT AND MATERIALS OR FOR ANY LOSS OR DAMAGE OF ANY KIND INCURRED AS A RESULT OF THE USE OF ANY CONTENT POSTED, TRANSMITTED, OR OTHERWISE MADE AVAILABLE VIA THE SERVICE. WE DO NOT WARRANT, ENDORSE, GUARANTEE, OR ASSUME RESPONSIBILITY FOR ANY PRODUCT OR SERVICE ADVERTISED OR OFFERED BY A THIRD PARTY THROUGH THE SITE, APP, ANY HYPERLINKED WEBSITE, OR ANY WEBSITE OR MOBILE APPLICATION FEATURED IN ANY BANNER OR OTHER ADVERTISING, AND WE WILL NOT BE A PARTY TO OR IN ANY WAY BE RESPONSIBLE FOR MONITORING ANY TRANSACTION BETWEEN YOU AND ANY THIRD-PARTY PROVIDERS OF PRODUCTS OR SERVICES. AS WITH THE PURCHASE OF A PRODUCT OR SERVICE THROUGH ANY MEDIUM OR IN ANY ENVIRONMENT, YOU SHOULD USE YOUR BEST JUDGMENT AND EXERCISE CAUTION WHERE APPROPRIATE.
LIMITATIONS OF LIABILITY
IN NO EVENT WILL WE OR OUR AFFILIATES, DIRECTORS, EMPLOYEES, OR AGENTS BE LIABLE TO YOU OR ANY THIRD PARTY FOR ANY DIRECT, INDIRECT, CONSEQUENTIAL, EXEMPLARY, INCIDENTAL, SPECIAL, OR PUNITIVE DAMAGES, INCLUDING LOST PROFIT, LOST REVENUE, LOSS OF DATA, OR OTHER DAMAGES ARISING FROM YOUR USE OF THE SERVICE, EVEN IF WE HAVE BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES. NOTWITHSTANDING ANYTHING TO THE CONTRARY CONTAINED HEREIN, OUR LIABILITY TO YOU FOR ANY CAUSE WHATSOEVER AND REGARDLESS OF THE FORM OF THE ACTION, WILL AT ALL TIMES BE LIMITED TO THE LESSER OF THE AMOUNT PAID, IF ANY, BY YOU TO US DURING THE SIX (6) MONTH PERIOD PRIOR TO ANY CAUSE OF ACTION ARISING OR $1,000.00. CERTAIN US STATE LAWS AND INTERNATIONAL LAWS DO NOT ALLOW LIMITATIONS ON IMPLIED WARRANTIES OR THE EXCLUSION OR LIMITATION OF CERTAIN DAMAGES. IF THESE LAWS APPLY TO YOU, SOME OR ALL OF THE ABOVE DISCLAIMERS OR LIMITATIONS MAY NOT APPLY TO YOU, AND YOU MAY HAVE ADDITIONAL RIGHTS.
ARBITRATION
Any controversy or claim arising out of or relating to this contract, or the breach thereof, shall be settled by arbitration administered by the Judicial Administration and Arbitration Services (“JAMS”) in effect at the time of submission. The arbitration will be heard and determined by a single arbitrator selected by mutual agreement of the parties, or, failing agreement within thirty (30) days following the date of receipt by the respondent of the claim, by JAMS. Such arbitration will take place in San Diego, California. The arbitration award so given will be a final and binding determination of the dispute, and will be fully enforceable in any court of competent jurisdiction. Except in a proceeding to enforce the results of the arbitration or as otherwise required by law, neither party nor any arbitrator may disclose the existence, content or results of any arbitration hereunder without the prior written agreement of both. Judgment on the award rendered by the arbitrator(s) may be entered in any court having jurisdiction thereof. The costs of arbitration will be split evenly between the you and NSI.
Copyright © 2024 Neural Science Institute - All Rights Reserved.
We use cookies to analyze website traffic and optimize your website experience. By accepting our use of cookies, your data will be aggregated with all other user data.