One Behavioral

Terms

Terms & Conditions

1. Organizational Information

1.1 One Behavioral Services

The Terms & Conditions (the “Agreement”) details the guidelines and terms by which you may use our platform to access behavioral health content and services listed at https://onebehavioralhealth.com/ (the “Website”) or via other service methods available to you (including the website, content, provider details, and other services that may be updated from time to time by One Behavioral at its sole discretion. The use of the terms “us” and “we” is confined to the One Behavioral corporation that owns the platform. The phrases “service” and “delivery” relate to the list of services we provide to our clients, which may or may not include computers, smartphones, and tablets.

The user of the Products is referred to as “you.” You agree to be bound by these Terms as well as all relevant laws, rules, and regulations when you utilize “Services” or otherwise use or access the Services. Prior to using the listed services, you may be requested to click “I accept” at the appropriate location. If you do not select “I accept” at that time, you may be unable to access those services or utilize the counselling platform. By using the Services, you acknowledge that you have read, understood, and agree to be bound by these Terms. Please do not use the Services if you do not agree to these Terms.

You can reach us by email at contact@texasbehavioral.com. This contact email address should be used for all correspondence with One Behavioral, including any questions or concerns you may have about the Services or these Terms.

1.2 Notice Of Arbitration And Waiver Of Class Actions

Please be aware that there is an arbitration clause in these conditions. One Behavioral and you agree that disputes relating to these terms and your use of the services will be handled by mandatory binding arbitration, except for certain types of disputes mentioned in the arbitration clause, and you waive any right to claim class-action status or take part in class-wide arbitration with other customers.

1.3 Licensing Foundations

Before you use or commit to using the platform for consultation, please confirm that the information in these Terms and on the Delivery is truthful and correct. If you believe there has been an error, please request that any modifications be confirmed in writing, since we only accept responsibility for assertions and representations made in writing by One Behavioral official. As part of the evaluation or use of the platform for therapeutic purposes, you acknowledge that the United States may handle and prepare your personally identifiable information, including the handling and processing of details for specific purposes of resolving transactions and tracking individual usage of the products.

By using or accessing the services, you realize and accept that the United States may not provide the same degree of protection for your personal information as your home country, but you nevertheless authorize your personal information to be processed and stored in the United States. In order to comply with applicable law regarding the transmission, storage, and use of sensitive personal information, we shall take the necessary steps.

1.4 Terminal Changes

One Behavioral reserves the right to amend or update these Terms, as well as any other organizational policies or practices, at any time without notice to users, and will do so by posting the changed or updated Terms on this page. Any changes or updates made to https://onebehavioralhealth.com/ will take effect instantly. We may also choose to inform you of modifications to our Terms by other means, such as push notifications, pop-ups or through email, in certain situations.

2. Subscriptions & Memberships

2.1 Be A Member

You can become a “Member” by signing as a registered user. To become an exclusive Member, navigate to the applicable section of the Services, then enter your name and email information, as well as a password for the email address. You are responsible for keeping your login details safe, as well as limiting access to the system. You are not allowed to create more than one Member account.

You may be required to provide certain personalized details to us as part of your usage of the Services, which we refer to as “User information.” One Behavioral Privacy Policy outlines our information collecting and usage rules for the privacy of such User Information. You understand and agree that the integrity and accuracy of User Information is completely your responsibility and that you will keep it up to date.

You declare that by registering for One Behavioral User account and using the Services; you have read and understood the following terms and conditions.

  • You have the legal capacity to enter into legal agreements.
  • The information you provide during registration is reliable and factual.
  • You are not in violation of any applicable law or regulation by using the Services.

2.2 Minors' Access To One Behavioral

To be a registered user and use the Services, you must be 18 years old or the age of maturity in your region, district, or nation. Children below the age of 18, or the equivalent age of maturity, may read or understand the purpose of Services through the stated content only with the participation and approval of a parent or legal guardian, under such person’s account, and otherwise pursuant to these Terms.

2.3 OBH Membership

You will have access to certain features and elements of the Services as a verified One Behavioral Member that are not accessible to non-members. You expect to accept periodic special discounts, promotional offers, and survey response emails on the Services if you decide to become a Member.

You can discontinue from One Behavioral promotional mailings by following the opt-out instructions included in these emails. Because One Behavioral membership accounts are non-transferable, you agree not to sell, transfer, or swap them in any way or under any circumstances. This includes any discounted, subsidized, or complimentary accounts or memberships.

2.4 OBH Subscriptions

One Behavioral authenticated account holders may acquire or avail the Services entirely by “Subscribing through Email,” a validated and accessible alternative for individuals who need to be updated for the addition and revisions of existing Services, which provides access to all content related to the Services. You simply need to provide us with a valid email address so that we can keep you up to speed on our counseling services.

3. Service Discontinuation

3.1 Discontinuation On Your Part

A subscription can be canceled at any time. To avoid receiving organizational commercial emails, cancellation is valid at the conclusion of the appropriate email subscription. Any such cancellations should be made here or by writing to contact@texasbehavioral.com.

3.2 Discontinuation From Us

Because of your wrongdoing or violation of any commitment under these conditions, we may immediately terminate your access to the Services. This cancellation or restriction could occur at any time and without warning. Unauthorized copying or use of our material or Services, for example, constitutes a violation of these Terms.

4. Service Restrictions

You agree not to transmit, post, email, or otherwise send, interact, or reveal any material that contains programming viruses or other computer code, documentation, or projects designed to intrude, harm, destroy, or restrict the use of any program, equipment, or gear connected directly or indirectly with the Services or the actual Services.

You agree not to obstruct the servers or organizations that are vital or related to the Services, or to disrespect any of the organizations’ techniques, approaches, or rules. You are not permitted to access the Services in an unauthorized manner. You agree not to imitate another person while using the Services, to behave in a hostile manner while using the Services, or to use the Services for any illegal, corrupt, or harmful purpose.

By breaking into any of the above arrangements, you may be committing a criminal violation under applicable laws. We may disclose any such violation to the relevant regulatory requirements specialists, and we may assist such specialists by revealing your identity to them.

5. Resources Provided Via Services

5.1 Copyright

Unless otherwise specified, all assets (including programming and content) contained in the Services are owned by One Behavioral (or our associates, as well as outsider licensors, if applicable). You agree and acknowledge that the materials are valuable property and that you will not be granted any proprietary rights in or to them unless you obtain a specific and limited permit for their use.

The materials may not be used in any way other than as specified in these Terms and any other key agreements we’ve given you without our prior written approval. You acknowledge and agree that certain materials on or in the Service are the property of third-party licensors, and you waive all remaining rights and remedies. Sound material from One Behavioral that hasn’t been proven to be unsuitable for use or duplication from the Services.

You agree not to distribute the Organizational Content with any other content you know to be misleading, or deceptive, or that is, or that empowers movement or direct that is unlawful, unsafe, undermining, harmful, inconvenient, tortious, slanderous, indecent, profane, explicit, derogatory, intrusive of another’s privacy, disdainful, or racially, ethnically, or otherwise questionable.

5.2 Trademark rights

The organization’s trademarks include the One Behavioral logo, as well as all other services and content marks. All trademarks, logos, images, and business names displayed or alluded to on or in the Services are the property of their respective owners. Nothing gives you the right or license to use, modify, remove, or reproduce such data. It is expressly forbidden for you to use the trademarks shown on the Services for any purpose. One Behavioral will pursue legal action to protect its trademark rights to the utmost degree possible, including criminal charges.

6. Service Accessibility

Despite the fact that we intend to provide you with the best assistance possible, we cannot guarantee that the Services will satisfy your needs or that the Counseling Services will be error-free. If a client finds it difficult to benefit from administrations in some way, please report it to us at  contact@texasbehavioral.com, and we will investigate your complaint and, if appropriate, correct the problem.

Your access to the Services may be restricted from time to time to evaluate fixes, support, or the introduction of new offices. We will immediately reopen the offices.

7. Information For The End User

We may enable you to provide Information to us for the Services; for instance, you may be able to publish remarks or feedbacks in specific capacities or highlights of the Services. We use the term “Information For The End User” in these Terms to refer to any freely accessible material of any kind that you provide to us, such as information, photos, infographics, or content.

If you study or submit User Information, you are agreeing to do so in accordance with these Terms. If you are auditing or submitting User Information in accordance with these Terms, you should not do so. We may use User Information for internal business objectives, such as improving our services or classes, or advancing, marketing, or promoting One Behavioral. You understand that the use of your User Information may result in a commercial gain for us.

You declare and warrant to us the following whenever you submit User Information to us:

  • You control your User Information or have the option to provide it, and contributing it will not infringe on any outsider’s freedoms, such as protected innovation rights (like copyright or brand name), security or exposure rights and liberties, categorization liberties, or agreement privileges.
  • Your User Information isn’t illegal, vulgar, abusive, compromising, explicit, bothersome, scornful, racially or ethnically hostile, or empowers direct that would be considered a criminal offense, and it doesn’t cause common responsibility, disregard any regulation, or is generally considered improper.
  • Your user information does not advertise any product or service, nor does it encourage any business.
  • Your User Information does not identify any person under the age of 18 (by name, address, or still image or video), and if it does, you have that person’s consent to be identified in that way in your User Information, and you are not mimicking another person by providing your User Information.
  • You won’t collect client email addresses in order to send out random emails.
  • You won’t be a part of any automated framework usage, such as using content to update our content.
  • You will not access, edit, or use the non-public areas of the Products, One Behavioral’s computer frameworks, or One Behavioral’s providers’ specialized delivery frameworks without One Behavioral’s permission.

User information isn’t strictly protected. You agree not to present any User information in which you have any expectation of security. In User Information, we do not guarantee any ownership liberties. Know that after User Information leaves the Services, One Behavioral has no control over it, and it is possible that others may reproduce material found on the Services, including, but not limited to, at different locations on the Internet.

Your address, as well as a guarantee that you own or otherwise control the rights to your User information. One Behavioral and its associates are liable to you for all claims arising from or related to any liberty in your User Information or any harm arising from your User Information. Any requests, criticisms, ideas, thoughts, or other data that you provide to us that aren’t required for your use of the Services or User Information (collectively, “Submissions”) will be treated as non-exclusive and non-private.

You reserve the right to give by communicating, transferring, posting, e-mailing, and providing the address. You further understand that you will not receive a response to your Submissions, and that One Behavioral makes no guarantee to acknowledge receipt of or respond to any Submissions. Creating a Submission implies that you own or have control of all rights to the Submission.

8. Related Websites & Home Page Links

We may provide you with links to various websites or services. You understand that any entrance is at your exclusive discretion and for your information’s security. We audit or support none of those sites or services. We are completely unconcerned about the accessibility, confidentiality, or promotional practices of the material, publicizing, or assets accessible from, or the use of such assets for various sites and services. We are also not liable for any harm, disaster, or offense caused or alleged to be caused by, or in connection with, the use of or reliance on such sites or services.

You may link to our landing page as long as you do so in a way that is fair and legal and does not undermine or exploit our reputation; however, you should not use a link to imply any form of affiliation, sponsorship, or support from us where none exists. You should not establish a link from a site that you do not own. The Services may not be described on another website, and you may not link to any part of the Services unless you obtain explicit authorization from One Behavioral to do so. We have the authority to revoke linking authorization with a written declaration if necessary. You should ensure that the site from which you are linking adheres to our acceptable use policy at all times.

If you desire to make any other use of information on or in the Services than what is described above, please email contact@texasbehavioral.com.

9. Disclaimer For Services

One Behavioral is an organization that offers a wide range of behavioral health services and content. We own a group of healthcare or behavioral-health professionals. Our behavioral health professionals will help you resolve psychological concerns as well as improve performance and relationships. One Behavioral makes no claims, assurances, or warranties that the Services will be beneficial to you physically or psychologically. Any psychiatrically essential health information you provide or that One Behavioral suggests is exclusively for your convenience and to improve your quality of life.

If you have a prior behavioral health disorder, chronic sickness, or condition, consult one of our licensed practitioners before continuing or beginning any counseling or medical method. You acknowledge that One Behavioral told you that this was necessary. Any guidance or other information in the Services is provided solely for the purpose of providing general information. They are not suggested to be counted upon and are not an alternative to competent medical advice tailored to your specific situation. The advice and other materials we provide are designed to help you manage your condition.

We are not accountable or liable for any repercussions resulting from your reading or being told about such advice or other materials because you are solely responsible for your decisions and actions. Advice, other materials, and information released as part of the Services are not guaranteed to be accurate, trustworthy, or appropriate for any purpose to the extent permitted by law.

10. License For End Users

The Services contain or typify One Behavioral or its licensors’ protected material, exclusive information, or other advancements. One Behavioral or its licensees retain all property, ownership, and copyright to the Services. The rights to access and use the Services are granted to you and are not being offered to you; you have no other rights in them than to use them in accordance with this License Agreement and our other Terms.

  • Acknowledge that you will not assist or allow anyone else to: Acquire, retain, reproduce, disseminate, alter, modify, emulate, or make subordinate works of the Services in any way.
  • Make any gadget or programming object that can be used to make the working framework of any kind using the Services or any part of them.
  • Meddle with the Services or circumvent any technology used by Headspace or its licensors to protect any content available through the Services
  • Use the Services in a way that is in violation of this License Agreement or other Terms.

11. Copyright Act of the Digital Millennium (DMCA)

We are committed to adhering to copyright and related restrictions, and all clients of the Services are required to do so. In the United States, owners of copyrighted material who believe their rights under intellectual property law have been violated can use certain provisions of the U.S. Digital Millennium Copyright Act of 1998 (DMCA) to report encroachments. We have a policy of terminating the benefits of any client who repeatedly infringes on the copyright liberties of an unlimited supply of genuine warnings to us by the copyright holder or the copyright proprietor’s legal advisor.

If you believe a posted comment is intimidating or intrusive, let us know immediately. We will remove or disable access to the material claimed to have been encroached upon when we receive appropriate notification of alleged infringement under the DMCA, and we will resolve the case between the telling party and the affirmed infringer as per the DMCA’s frameworks.

  • If it’s not too much bother, please provide the following information to our assigned specialist if you accept that your work has been copied in a way that constitutes copyright infringement:
  • A signature is used to identify the person authorized to follow up on behalf of the copyright holder or another person with an interest in the invention.
  • A representation of the protected work or other important information that you believe has been infringed upon.
  • A representation of the location on the site where the information that you certify is encroaching is located.
  • Your geographic address, telephone number, and email address 
  • An affirmation from you that you have a reasonable belief that the contested use is not authorized by the copyright or licensed owner, its representative, or the law
  • You must certify, under penalty of perjury, that the information in your report is accurate and that you are the owner or have been authorized to act on behalf of the owner.

By Mail: One Behavioral, 104 Whispering Pines Ave, Friendswood, TX 77546

By Email: contact@texasbehavioral.com

12. General Terms & Conditions

12.1 Our Responsibilities

In the event that it does not tangibly affect your liberties, One Behavioral can assign its rights and obligations under these Terms to any organization, firm, or individual. A privilege or commitment under these Terms may not be transferred to another individual. These Terms are personal to you, and no one else is eligible to profit from them except as stated here.

12.2 Indemnification

  • You agree to protect, compensate, and keep One Behavioral and its officers, employees, financial supporters, directors, and experts harmless from any and all claims and liabilities.
  • Your irresponsible, irrational, or frequent misuse of the Services
  • Your point of view or transmission of any critique, remark, material, data, programming, or various entries.
  • Any outside circumstances of genuine injury, death, or damage to significant individual property caused by your careless or more responsible demonstrations or oversights linked with your use of the Services, your violation or infringement of the law, or these Terms.
  • One Behavioral company may demand the selected safeguard and control of any issue at its own expense, subject to payment by you, and you agree to assist One Behavioral guard in such a case.

12.3 Constraints & Warranty Claims

  • These constraints and warranty claims provide you with explicit valid liberties, and you may also have unique privileges that vary by state.
  • You acknowledge and accept full responsibility for your own use of the Services. 
  • One Behavioral will not be liable to you, your beneficiaries, allots, or any third party for any misfortune, death, harm, or substantial injury that you suffer, or that you cause to any third party, as a result of your use of our Services.
  • The Services and related content are provided on a “with no guarantees” basis, and we make no representations or claims of any kind, including as to the accuracy and completion of administrations or their content.
  • We anticipate no liability or responsibility for any errors or omissions in the content of the Services, as well as any disappointments, delays, or interruptions in the Services’ arrangement.
  • To the fullest extent permitted by law, we disclaim and exclude any express or implied warranties or representations, including any warranties of merchantability for a certain purpose behind the Services.
  • To the extent permitted by law, any conditions, guarantees, and other terms that could be inferred in some way by resolution, customary regulation, or the law of value are excluded.

12.4 No Deferral

Assuming we shelve practicing or neglect to practice or implement any right accessible to us under these Terms, such deferral or disappointment doesn’t establish a waiver of that right or some other privileges under these Terms.

12.5 Understanding

Unless otherwise specified, any phrase given by the words “accounting,” “incorporate,” “particularly,” “for example,” or other similar articulation shall be considered as illustrative only and will not be interpreted as confining the consensus of any earlier terms.

12.6 Digital Communications

As per legal regulations, a percentage of the information or correspondence we send you must be in writing. You agree to execute with us electronically when using the Services, and your correspondence with us will be primarily electronic. We will contact you via email or provide you with information by publishing notices on the Services.

You consent to this electronic method of communication and acknowledge that all agreements, notifications, data, and other exchanges that we provide to you electronically comply with any legal requirement that such exchanges be recorded in hard copy. You have the option of receiving a paper copy of the correspondence. If it’s not too much bother, request a printed copy by writing us at contact@texasbehavioral.com.

We reserve the right, in our sole discretion, to terminate or amend the agreements under which we provide electronic correspondences, as well as to discontinue the organization of your electronic interchanges. We shall provide you with a notice of any such termination or change as required by law.

12.7 Entire Agreement

These Terms, along with any information specifically referenced in them, represent our whole understanding and supersede any previous talk, correspondence, exchange, understanding, or arrangement between us regarding their subject. We both understand that we can’t rely on, and won’t have any recourse for, any representation or assurance (whether made honestly or carelessly) that isn’t spelled forth in these Terms or the archives referred to in them.

Every one of us agrees that our primary responsibility in relation to the representations and promises set out in this agreement (whether given honestly or carelessly) will be for a breach of the agreement. Nothing in this section limits or excludes any liability for misrepresentation.

12.8 Liability Of Third Parties

Other materials, products, or services sold or provided by third parties (“Third Party Content”), links to Third Party Content (including but not limited to links to other sites), or notices related to Third Party Content may be found on the Platform. Similarly, we will not be compelled to:

Malfunctioning system action during the enlistment interaction, membership completion, or transmission of any information, as well as inaccurate or excessively sluggish transmission of information by the internet service, or potentially any harm that occurs because of data presented by you not being gotten by us, not being gotten quickly, or not being thought of, because of specialized issues with our product or equipment (regardless of whether they are inside or outside our control).

Any loss or damage caused by viruses or other malicious software that may infect your Device, system hardware, software, information, or other property as a result of your accessing, using, or downloading from the Products, or through transmissions through messages or connections received from us.

ONE BEHAVIORAL AND ITS PARTNERS, PROVIDERS, CLIENTS, OR LICENSORS (COLLECTIVELY, THE “HIGHLY PROTECTED FEATURES”) WILL NOT BE LIABLE FOR ANY NOTABLE, COINCIDENTAL, OR REFORMATORY HARMS OR LOSSES, WHETHER DIRECT OR INDIRECT, ARISING FROM OR IN ANY WAY CONNECTED WITH THE USE OF, OR MALFUNCTION IN USE, THE PRODUCTS OR THE CONTENT, COMPONENTS, AND CAPACITIES (TO THE EXTENT PERMITTED BY LAW). IN NO EVENT WILL THE PROTECTED SUBSTANCES BE LIABLE FOR OR CONCERNING ANY CONTENT UPLOADED, COMMUNICATED, TRADED, OR OBTAINED BY OR IN THE INTEREST OF ANY CUSTOMER OR OTHER INDIVIDUAL IN OR THROUGH THE ITEMS. IN NO EVENT WILL THE SAFEGUARDED MATERIALS’ TOTAL RESPONSIBILITY TO YOU FOR ALL HARMS, MISFORTUNES, AND REASONS FOR ACTIVITY (WHETHER IN AGREEMENT OR MISDEED, INCLUDING BUT NOT LIMITED TO, CARELESSNESS) ARISING FROM THESE TERMS OF USE OR YOUR USE OF THE ITEMS EXCEED, IN THE AGGREGATE, THE REAL SUM PAID BY YOU TO ONE BEHAVIORAL FOR YOUR USE OF THE ITEMS IN QUESTION.

Regardless of any deviations from the standard, you accept full responsibility for your own use of the Services. Because some states may not allow the prevention or limitation of unintentional or significant harms, the aforementioned barrier or rejection may not apply to you.

13. Conditional Adjudication & Disputes Settlement

IF IT’S NOT TOO MUCH TROUBLE, READ THE ACCOMPANYING SECTIONS CAUTIOUSLY, AS THEY EXPECT YOU TO REFEREE DISPUTES WITH ONE BEHAVIORAL, AND LIMIT THE WAY IN WHICH YOU CAN LOOK FOR ALLEVIATION FROM ONE BEHAVIORAL REMEMBERING AN IMPEDIMENT FOR THE OPTION TO DISPUTE CLAIMS PARTAKE IN A CLASS ACTIVITY OR DELEGATE ACTIVITY AS FOR A CASE.

You must acquainted yourself with a few laws and regulations.

All questions arising out of, connected with, or concerning these Terms or your use of the Services that can’t be resolved amicably or in minor cases in court will be resolved by limiting intervention to a single premise; however, you and One Behavioral are not required to parley any debate in which either party seeks impartial relief for the alleged unlawful use of copyrights, brand names, business trademarks, logos, proprietary adware, or proprietary software.

The adjudicator will have the authority to choose the arbitrator’s ward.

The issue will not be merged with any other issues or grouped with any other cases or gatherings.

The arbitrator will have the authority to grant concessions that are conclusive of all or part of any case or dispute.

The judge will have the authority to give any cures available under applicable law, the standards of the arbitral gathering, and the Terms.

An arbitrator’s role would be akin to that of an adjudicator in a formal courtroom. The authority’s honor is binding and constraining on you and One Behavioral.

However, because you and One Behavioral are not permitted by regulation to attend court and have a preliminary hearing before an appointed authority or a jury, you and One Behavioral forfeit any sacred and legal freedoms.

Rather, you and One Behavioral agree to have disputes and claims resolved through mediation.

In any event, where you and One Behavioral disagree about whether to clear or implement an intervention grant, you and One Behavioral prefer to have the question decided by an adjudicator rather than a jury.

You have the choice of terminating your mediation agreement. Assuming you do so, neither you nor One Behavioral will be compelled to negotiate.

If you want to stop, you must notify One Behavioral in writing no later than 30 days after initially becoming subject to this intervention arrangement.

Your communication should include your name and address, the email address you used to create your headspace account (if you have one), and a coherent statement that you want to end this intervention.

By Mail: One Behavioral, 104 Whispering Pines Ave, Friendswood, TX 77546

By Email: contact@texasbehavioral.com

14. Severability Clause

If any provision of these Terms is found to be unconstitutional, that provision will be severed from these Terms and will have no bearing on the legality or constitutionality of any other provisions.

15. Financial Terms & Conditions

15.1 Financial Responsibility Acknowledgment

Payment for services rendered is the responsibility of the patient, parent, or guardian. This responsibility obligates you to ensure payment in full of your fees. As a courtesy, we will verify your coverage on your behalf. However, you are ultimately responsible for the payment of your bill, regardless of insurance coverage. If additional funds are required after the insurance claim has been processed, any balance will be billed to the patient. If the insurance company fails to process claims within 45 days from the date of service, the balance due may be collected from the patient. If insurance issues arise, it is the responsibility of the patient to contact the insurance company, group plan, administrator, or employer representative for resolution. A patient’s insurance policy is a contract between the patient and the insurance carrier. Texas Behavioral Health, PLLC dba One Behavioral and its associates are not parties to that contract and cannot act as a mediator with the carrier or employer. The patient will become responsible for complete payment to the provider if coverage is terminated due to a lack of premium payment.

As required by insurance mandates, it is the responsibility of the patient to obtain any necessary authorization for medical treatments. If a referral is required for treatment, it is the responsibility of the patient to obtain the referral and present it at the time of treatment. If the patient is treated without the proper referral or authorization as required by the insurance carrier, the patient assumes responsibility for payment of all fees at the time of service.

15.2 Insurance Assignment And Self-pay Agreement

I certify that I have insurance coverage with the primary insurance company and the second insurance payer, if applicable, listed above. I assign directly to Texas Behavioral Health, PLLC dba One Behavioral all insurance payments, if any otherwise payable to me for services rendered. I understand I am financially responsible for deductibles, co-payments, co-insurance amounts, non-covered charges, and any balances not covered under a signature for all insurance submissions. I request the payment of authorized Medicare benefits and if applicable, Medigap benefits, I understand that it is my responsibility to pay for services rendered at the time of the visit.

15.3 Appointment Confirmation And No-show Policy

I understand that if I cancel my appointment within 24 hours or miss my appointment, I will be charged a $50 fee. If I have more than 3 consecutive cancellations, then I will receive a termination of contract letter.

If at a later time, my circumstances change and I am able to commit to my treatment sessions, then I am welcome back to start my treatment again. Upon termination of treatment, the provider will assist me in finding another provider for continuity of care. At Texas Behavioral Health, PLLC dba One Behavioral we utilize a comprehensive treatment plan. This means that we may consult your current healthcare providers in order to provide a thorough treatment plan. At times it is necessary to make referrals to other providers such as substance abuse treatment, medication evaluation or testing, etc.

16. Treatment Terms & Conditions

16.1 Consent For Telepsychiatry

If at any point you request and qualify for tele-visits for therapy and/or medication management, the following will apply:

16.2 Introduction

Tele-psychiatry or Tele-therapy is the delivery of psychiatric services using interactive audio and visual electronic systems between a provider and a patient that are not in the same physical location. The interactive electronic systems used in Tele-psychiatry or Tele-therapy incorporate network and software security protocols to protect the confidentiality of patient information and audio and visual data. These protocols include measures to safeguard the data and to aid in protecting against intentional or unintentional corruption.

16.3 Potential Benefits

  • Increased accessibility to psychiatric care.
  • Patient convenience.

16.4 Potential Risks

As with any medical procedure, there may be potential risks associated with the use of Tele-psychiatry or Tele-therapy. These risks include, but may not be limited to:

  • Information transmitted may not be sufficient (e.g., poor resolution of video) to allow for appropriate decision-making by your provider.
  • Your provider may not be able to provide medical treatment using interactive electronic equipment nor provide for or arrange for emergency care that you may require.
  • Delays in medical evaluation and treatment may occur due to deficiencies or failures of the equipment.
  • Security protocols can fail, causing a breach of privacy of confidential health information.
  • A lack of access to all the information that might be available in a face to face visit, but not in a Tele-psychiatry or Tele-therapy session, may result in errors in judgment.

16.5 Alternatives to the Use of Tele-psychiatry or Tele-therapy

  • Traditional face-to-face sessions in your provider’s office.

16.6 Patient’s Rights

  • I understand that the laws that protect the privacy and confidentiality of medical information also apply to Telepsychiatry or Tele-therapy.
  • I have the right to withhold or withdraw my consent to the use of Tele-psychiatry or Tele-therapy during the course of my care at any time. I understand that my withdrawal of consent will not affect any future care or treatment.
  • I have the right to inspect all medical information that includes the Tele-psychiatry or Tele-therapy visit. I may obtain copies of this medical record information for a reasonable fee.
  • I understand that my provider has the right to withhold or withdraw consent for the use of Tele-psychiatry or Tele-therapy during the course of my care at any time.
  • I understand that the laws that protect the privacy and confidentiality of medical information also apply to Telepsychiatry or Tele-therapy.
  • I understand that all rules and regulations that apply to the provision of healthcare services in the State of Texas also apply to Tele-psychiatry or Tele-therapy.

16.7 Patient’s Responsibilities

  • I will not record any Tele-psychiatry or Tele-therapy sessions without written consent from my provider. I understand that my provider will not record any of our Tele-psychiatry or Tele-therapy sessions without my written consent.
  • I will inform my provider if any other person can hear or see any part of our session before the session begins. The provider will inform me if any other person can hear or see any part of our session before the session begins.
  • I understand that I, not my provider, am responsible for the configuration of any electronic equipment used on my computer that is used for Tele-psychiatry or Tele-therapy. I understand that it is my responsibility to ensure the proper functioning of all electronic equipment before my session begins. I understand that I must be a resident of the State of Washington to be eligible for Tele-psychiatry or Tele-therapy services from my provider.
  • I understand that my initial evaluation will not be done by Tele-psychiatry or Tele-therapy except in special circumstances under which I will be required to verify my identity.
  • All Tele-psychiatry or Tele-therapy visits will be in the state in which my provider is located. I will not use services outside of the state.
  • If I am in danger to myself or others or in crisis or in a life-threatening emergency, I will go to the nearest emergency room or dial 9-1-1.
  • I consent to all ordered laboratory testing prescribed by my provider and will complete the last testing within 24 hours of my visit with the provider.
  • In case I am prescribed any controlled medications, I will ensure my safety and the safety of others by safely securing all medications from children and/or pets.

16.8 Patient Consent To The Use of Tele-psychiatry or Tele-therapy

I have read and understand the information provided above regarding Tele-psychiatry or Tele-therapy. I have discussed it with my provider and all of my questions have been answered to my satisfaction. I hereby give my informed consent for the use of Tele-psychiatry or Tele-therapy in my health care and authorize my provider to use Tele-psychiatry or Tele-therapy in the course of my diagnosis and treatment.

17. Confidential Informed Consent For Assessment And Treatment

I understand that as a client of the providers here at Texas Behavioral Heath, PLLC dba One Behavioral, I may be provided with a range of counseling services. The type and extent of services that I will receive will be determined following an initial assessment and thorough discussion with me. The goal of the assessment process is to determine the best course of treatment for me. Typically, treatment is provided over the course of several weeks to months.

I understand that all information obtained at Texas Behavioral Health, PLLC dba One Behavioral is confidential, and no information will be shared without my consent. I acknowledge that during my treatment information may be shared with other healthcare providers in the offices of Texas Behavioral Health, PLLC dba One Behavioral.

I further understand that there are specific and limited expectations of this confidentiality which include the following:

  • A. When there is a risk of imminent danger to me or to another person, the clinician is bound to take necessary steps to prevent such danger.
  • B. When there is suspicion that a child or elder is being sexually or physically abused or is at risk of such abuse, the clinician is legally required to take steps to protect the child and inform the proper authorities.
  • C. When a valid court order is issued for medical records, the clinician and the agency are bound by law to comply with such requests.

I understand that while psychotherapy and/or medication may provide significant benefits, they may also pose risks. Psychotherapy may elicit uncomfortable thoughts and feelings or may lead to the recall of troubling memories. Medications may have unwanted side effects. I understand that I need to continue medical care with my primary care physician (PCP) and notify the providers at Texas Behavioral Health, PLLC dba One Behavioral.

If I have any questions regarding this consent form or about the services offered by the providers of Texas Behavioral Health, PLLC dba One Behavioral, and its associates, I may discuss them with my providers. I have read and understand the above. I consent to participate in the evaluation and treatment offered to me by Texas Behavioral Health, PLLC, and its associates, and I understand I can stop treatment at any time.

These Conditions are substantial and updated on September 11, 2023.

One Behavioral, 104 Whispering Pines Ave, Friendswood, TX 77546

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