Mind-Centered Psychiatry: Terms of Service
Effective Date: November 12, 2026
Governing Entity: Mind-Centered Psychiatry
Contact: support@mindcenteredpsychiatry.com
These Terms of Service (“Terms”) constitute a legally binding agreement between you (or, where applicable, the parent or legal guardian executing on behalf of a minor patient, collectively “Client,” “Patient,” or “you”) and Mind-Centered Psychiatry (“we,” “our,” or “us”). These Terms govern your access to and use of our website (mindcenteredpsychiatry.com), patient portal, telehealth services, and in-person outpatient psychiatric care—including ADHD evaluations and treatment (ages 8–24), perinatal and postpartum psychiatry, and general adult/adolescent psychiatric care for depression and anxiety (collectively, the “Services”).
PLEASE READ THESE TERMS CAREFULLY. BY ACCESSING OUR WEBSITE, SUBMITTING AN INTAKE FORM, SCHEDULING AN APPOINTMENT, OR RECEIVING CLINICAL SERVICES, YOU AGREE TO BE BOUND BY THESE TERMS, INCLUDING THE MANDATORY INDIVIDUAL ARBITRATION CLAUSE AND CLASS-ACTION WAIVER IN SECTION 10.
1. CLINICAL SCOPE, LICENSURE & JURISDICTIONAL LIMITS
Licensure & Clinical Authority: All clinical services are delivered or supervised by licensed psychiatric-mental health professionals holding active licensure in good standing in the jurisdictions where care is rendered (including Florida).
Telehealth & Physical Location Requirement: Under federal and state healthcare laws, clinical care is rendered at the physical location of the Patient at the time of the encounter. You represent and warrant that the Patient will be physically located within a state where our clinicians hold active licensure (such as Florida) during every telehealth visit, and you agree to verify the Patient's exact physical street address at the start of each virtual session.
Minors & Parental/Guardian Consent (Ages 8–17): For patients under 18 years of age, a parent or legal guardian with documented medical decision-making authority must execute all intake consents, attend required portions of the initial evaluation, and authorize any treatment or medication plan.
No Emergency or Crisis Services: Mind-Centered Psychiatry is an outpatient psychiatric practice. We do not provide 24/7 crisis intervention, emergency psychiatric care, or acute stabilization. If you or your child experience a medical or psychiatric emergency, suicidal or homicidal ideation, or severe adverse medication reactions, you must immediately call 911, contact the 988 Suicide & Crisis Lifeline, or go to the nearest hospital emergency department.
2. CLINICAL ELIGIBILITY, CONTROLLED SUBSTANCES & TERMINATION OF CARE
Accurate Health History & Screening: Participation in our clinical programs—including comprehensive ADHD diagnostic packages, perinatal consultations, and ongoing medication management—is contingent upon clinical appropriateness. You agree to provide complete, truthful, and accurate medical, psychiatric, developmental, cardiovascular, and substance-use histories during intake.
No Guarantee of Specific Prescriptions: Scheduling an evaluation or enrolling in ongoing care does not guarantee the prescription of any specific medication, including Schedule II controlled stimulants. All prescribing decisions are made solely at the clinician’s independent medical judgment following a comprehensive clinical assessment, baseline vitals/medical review, and mandatory Florida Prescription Drug Monitoring Program (PDMP / E-FORCSE) checks. Patients prescribed controlled substances must execute and abide by a separate Controlled Substance Treatment Agreement.
Right to Decline or Terminate Care: Mind-Centered Psychiatry reserves the sole clinical discretion to decline, pause, or terminate services—and provide appropriate discharge resources—if a Patient or parent/guardian withholds material clinical history, fails to comply with required monitoring/vital-sign checks, engages in abusive, threatening, or fraudulent behavior, or requires a higher level of care than outpatient management can safely provide.
3. PRIVACY, HIPAA & CONFIDENTIALITY
Covered Entity Status: Mind-Centered Psychiatry operates as a Covered Entity under the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”). We safeguard your Protected Health Information (“PHI”) strictly in accordance with federal law, Florida mental health confidentiality statutes, and our Notice of Privacy Practices (NPP) provided during intake.
Business Associates: All third-party electronic health record (EHR), billing, continuous performance testing (CPT), and telehealth vendors utilized to process PHI execute a binding Business Associate Agreement (“BAA”) with us.
Collaborative Care & School/Provider Releases: Communications with external parties—such as OB/GYNs, midwives, pediatricians, therapists, or school 504 Plan coordinators—require a signed HIPAA Authorization for Release of Information unless otherwise permitted by law.
4. DIRECT-PAY POLICY, FEES & SUBSCRIPTION TERMS
Strictly Direct-Pay (No Insurance Accepted): Mind-Centered Psychiatry operates exclusively on a direct-pay model. We do not participate in, bill, or accept any commercial health insurance plans, Medicare, or Medicaid. Payment in full is the sole personal responsibility of the Patient or financially responsible guarantor.
Superbills & Out-of-Network Reimbursement: Upon request, we will provide an itemized statement (“Superbill”) containing standard diagnostic (ICD-10) and procedural (CPT) codes. We make no representation or warranty that your insurance carrier will reimburse any portion of our fees. HSA and FSA cards are accepted.
Initial Evaluation Fees:
Comprehensive Diagnostic & 504 Plan ADHD Package (Ages 8–24): $1,595 (includes 60-minute initial evaluation and objective CPT testing, 1 hour of clinician diagnostic synthesis and written report generation, and a dedicated follow-up feedback session to review results and school/college 504 Plan recommendations).
Standard Clinical Evaluation (ADHD, Perinatal, Depression, or Anxiety): $495 (includes a comprehensive diagnostic interview and initial treatment plan; excludes CPT testing, formal written diagnostic reports, and 504 Plan documentation).
All initial evaluation fees are due in full at the time of booking or prior to the initial appointment as specified during scheduling.
Monthly Care & Medication Management Membership ($245/month):
Scope of Membership: Ongoing care is billed at $245 per month, which includes one scheduled monthly follow-up clinical appointment (in-person or telehealth), active prescription management and refills, ongoing symptom and vital-sign monitoring, and non-urgent secure portal messaging during regular business hours.
Billing & Cancellation of Monthly Plan: Monthly membership fees are billed automatically on a recurring monthly cycle via the payment method on file. You may cancel your monthly membership at any time by providing written notice via the patient portal or to support@mindcenteredpsychiatry.com at least seven (7) calendar days prior to your next scheduled billing date. Partial months are not prorated or refunded once billed.
5. CANCELLATIONS, RESCHEDULING & NO-SHOW POLICY
48-Hour Notice Requirement: To cancel or reschedule any initial evaluation or monthly follow-up visit without penalty, you must provide at least 48 hours’ advance notice through the patient portal or by emailing support@mindcenteredpsychiatry.com.
Late Cancellations & Missed Appointments:
Initial Evaluations ($1,595 Package or $495 Evaluation): Cancellations or rescheduling requests made with less than 48 hours' notice, or failure to attend a scheduled appointment (“No-Show”), will incur a $150 late-cancellation/no-show fee (or forfeiture of the session fee if not rescheduled within 30 days).
Monthly Membership Follow-Ups: Missed follow-up appointments or cancellations under 48 hours forfeit that month’s included visit; rescheduling an additional visit within the same billing cycle may incur a $100 administrative rebooking fee.
Completed Clinical Services Non-Refundable: Once an evaluation, CPT testing session, written report, or monthly billing cycle has been rendered, fees paid are strictly non-refundable.
6. ELECTRONIC COMMUNICATIONS & PORTAL BOUNDARIES
Secure Portal Priority: All clinical questions, symptom updates, side-effect reports, and refill requests must be submitted through our HIPAA-compliant patient portal. Portal messages are reviewed during standard business hours (typically within 1–2 business days) and are not monitored for urgent or emergent matters.
Unencrypted Email & SMS Risks: Standard email and SMS text messages are not encrypted and carry inherent risks of interception. By providing your email address and mobile phone number, you consent to receive administrative reminders (appointment confirmations, billing receipts, intake links) via standard email/SMS and assume all privacy risks if you transmit clinical details outside the secure portal.
7. INTELLECTUAL PROPERTY & NO-RECORDING RULE
Ownership: All clinical frameworks, diagnostic report templates, educational handouts, nutrition/fitness guides, and proprietary website content remain the exclusive intellectual property of Mind-Centered Psychiatry. You are granted a limited, revocable, non-transferable license for personal healthcare use only.
Prohibition on Recording: Audio, video, or photographic recording of any in-person visit, telehealth encounter, or clinical feedback session is strictly prohibited without prior express written consent from the treating clinician.
8. DISCLAIMERS & LIMITATION OF LIABILITY
No Guarantee of Outcome: Psychiatric evaluations, medication management, behavioral recommendations, and school 504 Plan documentation involve clinical judgment and external institutional decisions. Mind-Centered Psychiatry makes no guarantees regarding specific symptom outcomes or whether a school district or university will adopt recommended 504 accommodations.
Liability Cap: TO THE MAXIMUM EXTENT PERMITTED BY FLORIDA LAW, MIND-CENTERED PSYCHIATRY’S TOTAL CUMULATIVE LIABILITY ARISING OUT OF OR RELATED TO THESE TERMS OR THE SERVICES SHALL NOT EXCEED THE TOTAL FEES ACTUALLY PAID BY YOU TO MIND-CENTERED PSYCHIATRY DURING THE SIX (6) MONTHS PRECEDING THE CLAIM.
9. INDEMNIFICATION
You agree to indemnify, defend, and hold harmless Mind-Centered Psychiatry, its owners, clinicians, and staff from and against any third-party claims, damages, liabilities, and expenses (including reasonable attorneys' fees) arising from your breach of these Terms, your misrepresentation of clinical history or physical geographic location during telehealth visits, or unauthorized disclosure of proprietary materials.
10. GOVERNING LAW, VENUE & MANDATORY ARBITRATION
Florida Governing Law: These Terms and any dispute arising hereunder shall be governed by and construed in accordance with the laws of the State of Florida, without regard to conflict-of-law principles.
Binding Individual Arbitration: Except for claims within the jurisdiction of small claims court or actions seeking injunctive relief to protect intellectual property or confidentiality, any dispute, claim, or controversy arising out of or relating to these Terms or the Services shall be resolved exclusively through final and binding individual arbitration administered by the American Arbitration Association (AAA) in Orange County, Florida, under its Consumer Arbitration Rules.
Class-Action & Jury Trial Waiver: YOU AND MIND-CENTERED PSYCHIATRY WAIVE ANY CONSTITUTIONAL OR STATUTORY RIGHT TO SUE IN COURT AND HAVE A TRIAL IN FRONT OF A JUDGE OR A JURY. ALL CLAIMS MUST BE BROUGHT IN AN INDIVIDUAL CAPACITY, AND NOT AS A PLAINTIFF OR CLASS MEMBER IN ANY PURPORTED CLASS OR REPRESENTATIVE PROCEEDING.
11. SEVERABILITY, ENTIRE AGREEMENT & MODIFICATIONS
Severability & Integration: If any provision of these Terms is held invalid or unenforceable, the remaining provisions shall remain in full force and effect. These Terms, together with your signed Informed Consent for Treatment, Telehealth Consent, and Notice of Privacy Practices, constitute the entire agreement between you and Mind-Centered Psychiatry.
Modifications: We reserve the right to update these Terms prospectively. Material revisions will be posted on our website with an updated Effective Date and communicated via email to active patients.
Privacy & Legal Inquiries:
Privacy Officer, Mind-Centered Psychiatry
Orlando, Florida
Email: support@mindcenteredpsychiatry.com
Notice of Privacy Practices (NPP)
Mind-Centered Psychiatry
Effective Date: November 12, 2026
THIS NOTICE DESCRIBES HOW MEDICAL AND MENTAL HEALTH INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
I. Our Legal Duty to Protect Your Privacy
Mind-Centered Psychiatry is required by the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”), the HITECH Act, and applicable Florida mental health confidentiality laws to maintain the privacy and security of your Protected Health Information (“PHI”), to provide you with this Notice of our legal duties and privacy practices, and to abide by the terms of the Notice currently in effect.
II. Permitted Uses and Disclosures Without Written Authorization
We may use and disclose your PHI without your separate written authorization for the following purposes:
For Treatment: To provide, coordinate, and manage your psychiatric evaluations, ADHD testing, perinatal care, and medication management, including internal consultations among Mind-Centered Psychiatry clinicians or coordination with external healthcare providers involved in your care (such as your OB/GYN, pediatrician, or primary care physician, subject to stricter federal/state protections for psychotherapy notes and substance use disorder records).
For Payment: To process direct-pay credit/debit or HSA/FSA card transactions, manage billing records, or generate an itemized Superbill at your request for out-of-network insurance submission.
For Health Care Operations: To conduct internal quality assurance, clinical protocol reviews, licensing audits, credentialing, and practice administration.
As Required by Law & Public Safety: We will disclose PHI when mandated by federal, state, or local law, including:
Mandatory reporting of suspected child, elder, or vulnerable adult abuse, abandonment, or neglect under Florida Statutes;
Responding to valid court orders or lawful administrative subpoenas;
Duty to Warn / Avert Serious Threat: Disclosing necessary information to law enforcement or targeted individuals to prevent or lessen a serious and imminent threat to your health or safety or that of the public or another person.
III. Uses and Disclosures Requiring Your Written Authorization
Except as permitted above, we will never use or disclose your PHI without your explicit written authorization, which you may revoke in writing at any time:
School & Academic Communications (504 Plans): Disclosures of diagnostic reports or 504 Plan accommodation recommendations to schools, universities, or testing boards require your signed written authorization.
Psychotherapy Notes: Separate clinical process notes maintained apart from your general medical record require specific written authorization prior to disclosure, except as strictly permitted by law.
Marketing & Sale of PHI: Mind-Centered Psychiatry does not sell your PHI and will never use or disclose your PHI for third-party marketing purposes without your signed authorization.
IV. Your Federal & Florida Privacy Rights
You have the following enforceable rights regarding your PHI:
Right to Inspect and Obtain Copies: You (or a minor patient’s authorized parent/legal guardian, subject to Florida minor-consent exceptions) may request an electronic or paper copy of your medical and billing records. We will fulfill requests within 30 days (or sooner as required by Florida law) and may charge a reasonable, cost-based administrative fee.
Right to Request Amendments: You may request in writing that we correct or supplement inaccurate or incomplete PHI in your record.
Right to an Accounting of Disclosures: You may request a list of certain non-routine disclosures of your PHI made over the prior six (6) years.
Right to Out-of-Pocket Payment Restriction: Because Mind-Centered Psychiatry is a direct-pay practice where you pay 100% out-of-pocket, you have the absolute legal right under federal law to restrict us from disclosing any PHI regarding those services to a health plan.
Right to Confidential Communications: You may request that we contact you exclusively through specific channels (e.g., encrypted patient portal only, or a designated phone number/mailing address).
Right to a Paper Copy: You are entitled to a paper copy of this Notice at any time upon request, even if you agreed to receive it electronically.
V. Breach Notification Duty
In the event of a breach of unsecured PHI affecting your information, Mind-Centered Psychiatry will notify you in writing without unreasonable delay and no later than sixty (60) calendar days following discovery, in full compliance with federal HIPAA Breach Notification Rules.
VI. Complaints & Contact Information
If you believe your privacy rights have been violated, you may file a written complaint with our Privacy Officer or directly with the U.S. Department of Health and Human Services, Office for Civil Rights (OCR). Mind-Centered Psychiatry strictly prohibits retaliation against any individual for filing a privacy complaint.
Privacy Officer Contact:
Mind-Centered Psychiatry
Orlando, Florida
Email: support@mindcenteredpsychiatry.com