Terms, Conditions & Consents
Effective Date: August 2026
The following terms, conditions, and consents (these “Terms”)
govern psychological assessments and related services provided by
NeuroClarity, a brand of Time to Evaluate LLC (“Provider”).
Please read carefully. By proceeding, you acknowledge and agree to these
Terms, which address professional services, payment, administrative support,
confidentiality, telehealth, legal rights and other matters.
1. Professional Services
All clinical, diagnostic, and professional services are provided exclusively
by Provider through clinicians who are appropriately licensed or otherwise
legally authorized to provide those services in the jurisdiction where the
patient is located. Provider and its clinicians exercise independent
professional judgment in accordance with applicable federal and state law. No
non‑licensed or non‑professional entity provides, controls, or
influences clinical services.
2. Nature of Assessment
A psychological assessment involves several procedures designed to help the
licensed psychologist form a diagnostic opinion. The methods used to determine
whether a person meets criteria for a neurodevelopmental condition are based
on applicable professional standards and evidence-based methods. At present,
this typically includes:
- Self/Parent/caregiver interview;
- Review of medical, educational, and/or other records made available.
If further information is required, the assessment may also include:
- Interviews with other persons identified by you;
- Questionnaires;
- Direct testing or clinical observation.
In addition to the methods described, above, Provider may use
clinician-supervised computer-based or artificial-intelligence tools to help
organize, summarize, evaluate, or score information. These tools are used
solely as decision-support tools under Provider’s supervision. They do
not replace Provider’s professional judgment, diagnosis, interpretation
of clinical results, or recommendations. Provider’s licensed clinician
remains responsible for the final diagnostic evaluation and
recommendations.
Benefits of assessment include increased clarity regarding diagnosis and
treatment planning. Risks include:
- Not receiving the diagnosis or outcome you expect;
- Receiving an unexpected diagnosis;
- Emotional discomfort in discussing personal or family matters.
If services are provided to a minor, a parent or caregiver is required for
ADI-R administration during scheduled appointment time.
3. No Guaranteed Outcome or Acceptance
Services are provided for evaluation purposes only. No diagnosis, result,
opinion, or outcome is promised or guaranteed. Payment is for the performance
of professional services, not for any particular result.
Provider also does not guarantee that the evaluation results, diagnostic
opinions, or written reports will be accepted by employers, schools, insurers,
government programs, or other institutions. Acceptance of diagnostic reports
may vary depending on the policies of the receiving organization.
4. Administrative Services and Professional Independence
Certain administrative, technological, and non‑clinical support
services may be provided by a separate administrative services organization,
Agentic Studios, Inc. (“Administrative Services Organization”).
Such services may include scheduling, intake management, technology
infrastructure, and payment facilitation. The Administrative Services
Organization is not a healthcare provider, does not practice medicine,
psychology or any other licensed profession, and does not exercise clinical
judgment. The Administrative Services Organization does not direct, control,
influence, participate in, or interfere with Provider’s professional
judgment, diagnosis, evaluation, treatment, professional decision-making, or
the clinician‑patient relationship.
5. Payment Terms; Fee Characterization
Fees are charged for professional services rendered by Provider. Patient
payments are for professional services furnished by Provider. Agentic Studios,
Inc. may facilitate payment collection on Provider’s behalf and is
separately compensated by Provider for non-clinical administrative services
pursuant to the parties’ administrative services arrangement. Payment
may be required in advance or at the time services are rendered and may be
facilitated through third-party payment processors.
6. HSA/FSA; Insurance; Reimbursement
Certain payment methods, including Health Savings Account (HSA) or Flexible
Spending Account (FSA) cards, may be accepted for administrative convenience.
Acceptance of a payment method does not determine or guarantee eligibility for
reimbursement. Provider makes no representations regarding insurance coverage,
medical necessity determinations, or reimbursement under any federal or
private benefit program. You are solely responsible for confirming eligibility
and coverage.
7. Confidentiality and Legal Limits
Your confidentiality is very important to us. To the extent applicable,
Provider complies with the Health Insurance Portability and Accountability Act
(“HIPAA”) and applicable federal and state laws regarding patient
confidentiality. Limits to confidentiality include:
- If there is an identifiable risk of harm to yourself or others, Provider
must notify persons or authorities able to help ensure safety;
- Healthcare providers must report suspected child abuse or neglect to the
appropriate authorities;
- Provider must report suspected abuse, neglect, or exploitation of
vulnerable adults;
- Records may be disclosed if ordered by a court or otherwise required by
law;
- Limited information (name, services provided, amount due) may be disclosed
for collections purposes. Electronic communications (email, text) are not
always fully secure and should be used only for scheduling or administrative
matters.
Additional confidentiality obligations, including Provider’s duty to
warn and mandatory reporting requirements, are set forth in the Informed
Consent provided to you separately. The terms of that Informed Consent are
incorporated herein by reference and supplement the confidentiality provisions
of these Terms. In the event of any conflict between these Terms and the
Informed Consent with respect to confidentiality, mandatory reporting, or duty
to warn obligations, the more protective standard shall apply.
Time to Evaluate uses separate systems and safeguards for clinical intake,
assessment, telehealth, records, and patient communications. We do not use
information submitted through those clinical systems, including
patient-identifying information, clinical intake information, uploaded
records, assessment information, or assessment results, to create advertising
audiences or for targeted advertising, and we do not intentionally permit
advertising platforms to receive information submitted through those clinical
systems.
Our public website may use cookies and similar technologies for website
functionality, analytics, advertising measurement, and outreach. These
public-site technologies may receive online identifiers and information about
interactions with public webpages. They are configured separately from our
clinical systems and are not intended to receive information submitted through
clinical intake, assessment, telehealth, records, or patient communication
systems. Additional information is provided in our Website Privacy &
Communications Policy.
8. HIPAA Notice of Privacy Practices
Provider maintains a Notice of Privacy Practices describing how medical
information about you may be used and disclosed and how you can obtain access
to this information.
You may obtain a copy of the Notice of Privacy Practices through
https://neuroclarity.life/ or by requesting a copy directly from Provider at
any time.
Your acknowledgment of these Terms also acknowledges that you have been made
aware of the Notice of Privacy Practices.
9. Access to Records
You may have the right to request access to your clinical records consistent
with applicable federal and state law. Requests must be made in writing.
Provider may charge only those fees permitted by applicable law, including
reasonable, cost-based fees where required by HIPAA. Provider retains clinical
records for the period required by applicable professional standards and legal
requirements.
10. Disclosures to Referring and Other Providers
Provider may share assessment information with other health care providers
when permitted by applicable law for treatment or other legally permitted
purposes. A referral to Provider does not, by itself, authorize disclosure of
your complete assessment results to the referring person or organization. When
applicable law requires your written consent or authorization for a
disclosure, Provider will obtain it separately.
11. Payment and Cancellation Policies
The fee for a psychological assessment is $590, regardless of diagnostic
outcome. No refunds will be issued once the assessment has commenced, except
where otherwise required by applicable law. Payment is due at the time of
service and may be made by cash, check, credit card, or debit card.
Credit/debit card or ACH transactions may include a processing fee to the
extent permitted by applicable law and disclosed before payment. Provider does
not participate in managed care plans and does not bill Medicare, Medicaid,
TRICARE, CHAMPVA, or other federal health care programs for these assessment
services. Provider does not accept insurance as direct payment; however, you
may submit a receipt to your insurer, which may or may not reimburse you. You
are responsible for confirming your plan requirements and for the full fee
regardless of reimbursement. If you have an outstanding balance, Provider may
pursue lawful collection remedies and may recover costs only to the extent
permitted by law. To cancel or reschedule a live session, at least 24
hours’ notice is required by telephone at (833) 350-8463. Email is not
sufficient. A cancellation with less than 24 hours’ notice may incur a
$250 fee, except where prohibited by law or waived by Provider due to an
emergency or other appropriate circumstances. The base fee does not
include:
- Attendance at meetings with schools or other professionals;
- Additional services requested;
- Psychological treatment;
- Participation in legal proceedings.
12. Telehealth Consent
Telehealth services are provided only where legally permitted and clinically
appropriate. Prior to starting, you agree to the following:
- Potential benefits and risks of telehealth differ from in-person sessions
(e.g., limits to confidentiality);
- Applicable HIPAA and confidentiality rules still apply; no sessions may be
recorded without consent;
- Provider will explain use of the secure platform selected for
sessions;
- You must use a webcam or smartphone and a secure, private
environment;
- Public/free Wi-Fi should not be used;
- You must be on time and notify Provider in advance if you must
cancel;
- A backup plan (e.g., alternate phone number) will be used if technical
issues occur;
- An emergency plan must be in place with a designated emergency contact and
nearest ER;
- Insurance reimbursement for telehealth varies and is your responsibility
to verify;
- Provider may determine telehealth is not appropriate and require in-person
sessions.
13. Telehealth Location Verification
You agree to inform Provider of your physical location at the time telehealth
services are delivered.
Provider may decline or discontinue services if you are located in a
jurisdiction where Provider or the applicable clinician is not licensed,
authorized, or otherwise legally permitted to provide the services.
14. Limitations of Services
Provider does not guarantee any particular diagnosis, outcome, or treatment
result. Services are provided for clinical purposes only and not for legal or
forensic purposes unless separately contracted in writing.
If Provider is subpoenaed, compelled by court order, or otherwise required to
produce records, provide testimony, or appear in any legal, administrative, or
regulatory proceeding in connection with services provided under these Terms,
the following terms apply:
(a) Retainer. If you or your representative request Provider’s
voluntary participation in a legal, administrative, or regulatory proceeding,
Provider may require a reasonable advance retainer for anticipated
professional time. This provision does not limit Provider’s obligation
to comply with a valid subpoena, court order, or other compulsory legal
process.
(b) Hourly Rate. To the extent permitted by applicable law,
Provider’s fee for professional time spent in connection with legal
proceedings, including record review, preparation, travel, waiting time,
deposition, and testimony, is $250 per hour for billable time.
(c) Costs. To the extent permitted by applicable law, you agree to reimburse
Provider for reasonable out-of-pocket costs incurred in connection with legal
proceedings that you request or for which you are otherwise legally
responsible.
15. Termination of Services
Provider may decline, suspend, or terminate services when clinically
appropriate and consistent with applicable law and professional obligations,
including where services cannot lawfully be provided in the patient’s
location, information necessary for a valid assessment cannot reasonably be
obtained, conduct materially threatens safety or disrupts services, or fees
remain unpaid.
16. Limitation of Liability
To the fullest extent permitted by law, Provider shall not be liable for any
indirect, incidental, consequential, or special damages arising from the use
of services, evaluation results, or electronic communications.
17. Acknowledgment & Consent
By clicking on "Continue to Secure Payment" or "Agree and Start", I:
(a) acknowledge that I have read, understood, and agreed to these Terms,
(b) agree that I have had the opportunity to ask questions about these
Terms,
(c) voluntarily consent to the assessment and related services described in
these Terms, and
(d) If services are provided for a minor, I confirm that I am the
minor’s parent or legal guardian or otherwise possess legal authority to
consent to the evaluation.
Acknowledgment & Consent
By using Provider services, you:
(a) acknowledge that you have read, understood, and agreed to these
Terms,
(b) agree that you have had the opportunity to ask questions about these
Terms,
(c) voluntarily consent to the assessment and related services described in
these Terms, and
(d) If services are provided for a minor, you confirm that you are the
minor’s parent or legal guardian or otherwise possess legal authority to
consent to the evaluation
Please contact us at hello@neuroclarity.life if you have any questions,
comments, concerns, or feedback.
Privacy Policy
Effective Date: August 2026
NeuroClarity ("we," "us," or "our") is committed to protecting your
privacy. This Privacy Policy explains how we collect, use, disclose, and
safeguard your information when you visit our website and use our
services.
Information We Collect
We may collect personal information that you voluntarily provide to us
when you register for our services, schedule an evaluation, complete our
screener, subscribe to our newsletter, or contact us. This information
may include your name, email address, phone number, and health-related
information necessary for clinical services.
How We Use Your Information
- Provide, operate, and maintain our clinical services
- Schedule and conduct evaluations
- Communicate with you about appointments and services
- Send you our newsletter (with your consent)
- Respond to your inquiries and provide support
- Comply with legal and regulatory obligations
Protected Health Information
Any health-related information you provide as part of our clinical
services is treated as Protected Health Information (PHI) under HIPAA. We
maintain appropriate administrative, technical, and physical safeguards
to protect your PHI. We do not place third-party tracking pixels on pages
that collect health information or in patient portals. Analytics are
configured to avoid sharing PHI with third parties.
Third-Party Sharing
We do not sell, trade, or otherwise transfer your personal information
to outside parties except as required to provide our services (e.g.,
secure telehealth platform providers) or as required by law. All
third-party service providers are bound by appropriate data protection
agreements. A referral to us does not by itself authorize us to disclose your
complete assessment results to the referring person or organization; where
your written authorization is required, we obtain it from you separately
(see Section 10 of the Terms).
Data Security
We implement industry-standard security measures to protect your
personal information. All telehealth sessions are conducted via
HIPAA-compliant, encrypted platforms. However, no method of transmission
over the Internet is 100% secure, and we cannot guarantee absolute
security.
Your Rights
You have the right to access, correct, or delete your personal
information. You may also request a copy of your health records in
accordance with HIPAA regulations.
Cookies and Tracking
Our public website may use essential cookies to maintain site functionality,
as well as cookies and similar technologies for analytics, advertising
measurement, and outreach. These technologies are configured separately from
our clinical systems and are not intended to receive information submitted
through clinical intake, assessment, telehealth, records, or patient
communication systems. We do not use information submitted through those
clinical systems to create advertising audiences or for targeted
advertising.
Changes to This Policy
We may update this Privacy Policy from time to time. Changes will be
posted with an updated effective date.
Consent for Assessment
By booking, you consent to a diagnostic evaluation conducted
100% virtually via secure video and a patient portal —
there are no in-person appointments. The evaluation is performed by a
licensed psychologist who retains sole authority over all diagnostic
conclusions; supporting technology (including AI) assists with data
review but never makes the diagnosis. You agree to be physically present
in your selected State of Residence during the live clinical session, in
accordance with state licensure regulations. This evaluation is not
emergency care.
NeuroClarity · hello@neuroclarity.life · (833) 350-8463